程序式健康教育对肺癌PICC置管化疗患者知信行水平及疾病不确定感的影响  

Effect of programmed health education on level of knowledge,attitude and practice and illness uncertainty in patients with lung cancer undergoing peripherally inserted central catheters chemotherapy

作　　者：章春芝[1] 李倩[1] 李晓媛[1] 奚月 袁美锦[1] ZHANG Chunzhi;LI Qian;LI Xiaoyuan;XI Yue;YUAN Meijin(Department of Cardiothoracic Surgery,First Affiliated Hospital of Hebei North University,Zhangjiakou,Hebei 075000,China)

机构地区：[1]河北北方学院附属第一医院胸心外科,河北张家口075000

出　　处：《重庆医学》2020年第12期1984-1987,共4页Chongqing medicine

基　　金：河北省医学科学研究重点课题计划(ZD20140476);张家口市科技局指令性项目(12110065G-3)。

摘　　要：目的探讨程序式健康教育对肺癌经外周穿刺置入中心静脉导管(PICC)置管化疗患者知信行水平及疾病不确定感的影响。方法选择2016年7月至2017年12月收治的肺癌PICC置管化疗患者124例,采用随机数字表法分为干预组和对照组,各62例。对照组给予PICC置管化疗患者常规健康教育,干预组给予程序式健康教育,化疗3个周期后,比较两组患者知信行水平、疾病不确定感、PICC相关性并发症等指标。结果干预后,干预组患者知识、态度、行为评分分别为(91.32±10.24)、(22.12±2.45)、(20.54±3.12)分,均明显高于干预后对照组及自身干预前,差异有统计学意义(P<0.05);干预后,干预组患者不明确性、不一致性、复杂性、不可预测性评分分别为(28.12±4.32)、(13.45±2.26)、(15.12±2.15)、(14.12±2.10)分,均明显低于干预后对照组及自身干预前,差异有统计学意义(P<0.05);干预后,干预组PICC相关并发症发生率(11.29%)明显低于对照组(29.03%),差异有统计学意义(P<0.05)。结论程序式健康教育有助于促进肺癌PICC置管化疗患者知信行能力的养成,缓解疾病不确定感程度,降低PICC相关并发症的发生。Objective To explore the effect of programmed health education on the level of knowledge,attitude and practice(KAP)and illness uncertainty in the patients with lung cancer undergoing peripherally inserted central catheters(PICC)chemotherapy.Methods One hundred and twenty-four lung cancer patients with PICC chemotherapy in this hospital from July 2016 to December 2017 were selected and divided into the intervention group and control group by adopting the random number tables method,62 cases in each group.The patients undergoing PICC chemotherapy in the control group were given the routine health education,and the intervention group received the programmed health education.After 3 cycles of chemotherapy,the indicators of KAP levels,illness uncertainty and PICC-related complications were compared between the two groups.Results After intervention,the KAP scores in the intervention group were(91.32±10.24)points,(22.12±2.45)points and(20.54±3.12)points respectively,which were significantly higher than those after intervention in the control group and before intervention,and the differences were statistically sifgnificant(P<0.05);after intervention,the ambiguity,inconsistency,complexity,and unpredictability scores in the intervention group were(28.12±4.32)points,(13.45±2.26)points,(15.12±2.15)points and(14.12±2.10)points respectively,which were significantly lower than those after intervention in the control group and before their own intervention,and the differences were statistically significant(P<0.05);after intervention,the occurrence rate of PICC-related complications in the intervention group was 11.29%,which was significantly lower than 29.03%in the control group,and the difference was statistically significant(P<0.05).Conclusion The programmed health education is conducive to promote the cultivation of the KAP ability inlung cancer patients with PICC chemotherapy,alleviate the degree of illness uncertainty,and reduce the occurrence of PICC related complications.

关 键 词：肺肿瘤 化疗 经外周穿刺置入中心静脉导管 健康教育 程序式 知信行 疾病不确定感 

分 类 号：R473.6[医药卫生—护理学]