肿瘤患者中心静脉通路装置居家护理平台的研发及应用  

Development and application of a mobile App for home care of central venous catheters in cancer patients

作　　者：赵茜[1] 施如春[2] 孟爱凤[3] 江定飚 刘春丽[2] 茅静[2] 杨杨 朱文博 徐铭 朱莺[1] 徐德静[3] Zhao Qian;Shi Ruchun;Meng Aifeng;Jiang Dingbiao;Liu Chunli;Mao Jing;Yang Yang;Zhu Wenbo;Xu Ming;Zhu Ying;Xu Dejing(Department of Radiotherapy,Jiangsu Cancer Hospital,Nanjing 210009,China)

机构地区：[1]江苏省肿瘤医院(江苏省肿瘤防治研究所、南京医科大学附属肿瘤医院)放疗科,江苏南京210009 [2]江苏省肿瘤医院(江苏省肿瘤防治研究所、南京医科大学附属肿瘤医院)专科护理门诊,江苏南京210009 [3]江苏省肿瘤医院(江苏省肿瘤防治研究所、南京医科大学附属肿瘤医院)护理部,江苏南京210009 [4]江苏省肿瘤医院(江苏省肿瘤防治研究所、南京医科大学附属肿瘤医院)伦理办公室,江苏南京210009 [5]江苏省肿瘤医院(江苏省肿瘤防治研究所、南京医科大学附属肿瘤医院)信息处,江苏南京210009

出　　处：《护理学杂志》2020年第21期50-53,65,共5页Journal of Nursing Science

基　　金：江苏省预防医学科研课题(Y2018089);江苏省科学技术厅社会发展-面上项目(BE2019757)。

摘　　要：目的研发肿瘤患者中心静脉通路装置居家护理平台微信小程序,并探讨其应用于居家携中心静脉通路装置肿瘤患者的效果。方法将677例携中心静脉通路装置肿瘤居家患者随机分为对照组339例和干预组338例,对照组实施常规护理,干预组利用基于微信小程序研发的肿瘤患者中心静脉通路装置居家护理平台进行随访干预。于患者出院后3个月进行效果评价。结果干预组自我管理能力、患者满意度显著高于对照组,导管相关性血流感染等并发症、非计划拔管发生率显著低于对照组(P<0.05,P<0.01)。结论应用肿瘤患者中心静脉通路装置居家护理平台可提高患者的自我管理能力,预防和减少导管相关并发症及非计划拔管的发生,提高患者满意度。Objective To develop a WeChat mini-program for home care of central venous catheters(CVCs) in cancer patients, and to explore the application effect.Methods A total of 677 cancer patients with CVCs were randomized into a control group of 339 and an intervention group of 338, receiving either routine nursing care or follow-ups through self-designed WeChat mini-program. The effect was evaluated at 3 months after discharge.Results The intervention group had higher self-management agency and patient satisfaction, but lower incidence of catheter-associated bloodstream infection and unplanned extubation compared with the control group(P<0.05,P<0.01).Conclusion The application of mobile App for home care of CVCs in cancer patients can enhance their self-management agency, prevent or reduce catheter-related complications and unplanned extubation, and promote patient satisfaction.

关 键 词：肿瘤 中心静脉通路装置 输液港 经外周置入中心静脉导管 居家护理平台 微信小程序 延续护理 

分 类 号：R473.2[医药卫生—护理学]