自我管理教育对乳腺癌经外周静脉穿刺中心静脉置管化疗患者自我管理能力、化疗依从性及并发症的影响  

Effect of self-management education on self-management ability,chemotherapy compliance and complications of breast cancer patients undergoing peripherally inserted central venous catheter chemotherapy

作　　者：乔孟琳 李冬云 惠娜 韩冰冰 QIAO Menglin;LI Dongyun;HUI Na;HAN Bingbing(Department of Oncology,Luoyang Central Hospital Affiliated to Zhengzhou University,Luoyang 471003,He’nan,China)

机构地区：[1]郑州大学附属洛阳中心医院肿瘤科,河南洛阳4710030

出　　处：《癌症进展》2020年第24期2582-2585,共4页Oncology Progress

摘　　要：目的探讨自我管理教育对乳腺癌经外周静脉穿刺中心静脉置管(PICC)化疗患者自我管理能力、化疗依从性及并发症的影响。方法根据干预方式的不同将85例乳腺癌PICC化疗患者分为观察组(n=44)和对照组(n=41),对照组患者采用常规管理模式,观察组患者在对照组的基础上进行自我管理教育。比较干预前及干预1个月后两组患者的自我管理能力、化疗依从性及并发症发生情况。结果干预后,两组患者维护信息获取、维护依从性、日常导管监测、异常情况处理、运动管理、日常生活管理、自我管理信心评分及总分均高于本组干预前,且观察组患者的上述评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,观察组中年龄﹤45岁乳腺癌患者的自我管理能力评分明显高于年龄≥45岁的患者,差异有统计学意义(P﹤0.01)。干预后,观察组患者的化疗依从率为93.18%,高于对照组的82.93%,差异有统计学意义(P﹤0.05)。观察组患者的并发症总发生率为9.09%,低于对照组的29.27%,差异有统计学意义(P﹤0.05)。结论自我管理教育可提高乳腺癌PICC化疗患者的自我管理能力,改善其化疗依从性,降低相关并发症发生率。Objective To explore the effect of self-management education on self-management ability,chemotherapy compliance and complications of breast cancer patients undergoing peripherally inserted central venous catheter(PICC)chemotherapy.Method 85 breast cancer patients treated with PICC chemotherapy were divided into the control group(n=41,treated with routine management)and observation group(n=44,treated with self-management education on the basis of control group).The scores of self-management ability,chemotherapy compliance and complications before and 1 month after intervention were compared between the two groups.Result After intervention,the scores of maintenance information acquisition,maintenance compliance,daily catheter monitoring,abnormal situation management,exercise management,daily life management,self-management confidence and total scores of the two groups were significantly higher than those before intervention,with higher scores in the observation group than those in the control group(P<0.05).After intervention,the scores of self management ability for patients<45 years in the observation group were significantly higher than that for patients≥45 years(P<0.01).After intervention,the chemotherapy compliance rate was significantly higher in the observation group than that in the control group(93.18%vs 82.93%)(P<0.05).The incidence of complications was significantly lower in the observation group than that in the control group(9.09%vs 29.27%)(P<0.05).Conclusion Self-management education can improve the self-management ability of breast cancer patients undergoing PICC chemotherapy,improve chemotherapy compliance and reduce the incidence of complications.

关 键 词：自我管理教育 乳腺癌 经外周静脉穿刺中心静脉置管 自我管理能力 化疗依从性 并发症 

分 类 号：R737.9[医药卫生—肿瘤]