医患一体化模式的预见性健康干预对乳腺癌化疗患者外周中心静脉导管置管相关性血栓的防护效果  

Protective effect of predictive healthcare intervention based on the doctor-patient interaction model on peripherally inserted central venous catheter-related thrombosis in breast cancer patients undergoing chemotherapy

作　　者：邢桃红[1] 杨惠敏[2] 许斯 朱晓敏[1] 王亚军[1] 王朝娟[1] 陈瑞君[1] 杨俊娜[1] XING Taohong;YANG Huimin;XU Si;ZHU Xiaomin;WANG Yajun;WANG Zhaojuan;CHEN Ruijun;YANG Junna(Endoscopy Center,the First Affiliated Hospital of He’nan University of Science and Technology,Luoyang 471003,He’nan,China;Operating Room,the First Affiliated Hospital of He’nan University of Science and Technology,Luoyang 471003,He’nan,China;Department of Breast Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]河南科技大学第一附属医院内镜中心,河南洛阳471003 [2]河南科技大学第一附属医院手术室,河南洛阳471003 [3]郑州大学第一附属医院乳腺外科,郑州450000

出　　处：《癌症进展》2021年第17期1820-1823,共4页Oncology Progress

基　　金：河南省医学科技攻关计划联合共建项目(2018020295)。

摘　　要：目的观察医患一体化模式的预见性健康干预对乳腺癌化疗患者外周中心静脉导管(PICC)置管相关性血栓的防护效果。方法将60例接受PICC置管的乳腺癌化疗患者按干预方法不同分为对照组(30例)和观察组(30例),其中对照组给予常规干预,观察组在此基础上给予医患一体化模式的预见性健康干预。观察两组患者PICC相关性血栓发生率,比较干预前后两组患者导管自我管理能力、导管维护依从性和护理满意度的差异。结果观察组患者PICC相关血栓发生率为0%,低于对照组的20.00%,差异有统计学意义(P﹤0.05)。干预前,两组患者导管自我管理能力各维度评分比较,差异均无统计学意义(P﹥0.05);干预后,观察组患者带管日常生活、带管运动、日常导管观察、导管维护依从性、信息获取、导管异常情况处理、导管管理信心、PICC管理能力总分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者导管维护依从率及护理满意度均高于对照组,差异均有统计学意义(P﹤0.05)。结论医患一体化模式的预见性健康干预可有效预防乳腺癌化疗患者PICC置管相关性血栓的形成,可提高患者导管自我管理能力,对提高患者的护理满意度有积极意义。Objective To observe the protective effect of predictive healthcare intervention based on the doctor-pa-tient interaction model on peripherally inserted central venous catheter(PICC)-related thrombosis in breast cancer pa-tients undergoing chemotherapy.Method A total of 60 breast cancer patients receiving chemotherapy through PICC catheterization were divided into the control group(30 cases)and observation group(30 cases)according to varying inter-vention methods.The control group was given routine intervention,and the observation group was given predictive healthcare intervention based on the doctor-patient interaction model.The incidence of PICC-related thrombosis was ob-served,and the differences in catheter-related self-management skills and maintain compliance,and nursing satisfaction before and after the intervention between the two groups were compared.Result The incidence of PICC-related throm-bosis in the observation group was 0%,lower than 20.00%in the control group,the difference was statistically significant(P<0.05).Before the intervention,there was no statistically significant difference in the rating scores of the catheter self management ability between the two groups of patients(P>0.05).After the intervention,the observation group patients’daily life with a tube,exercise with a tube,daily catheter monitoring,catheter maintenance compliance,information acqui-sition dimensionality score,catheter abnormal situation handling,catheter management confidence,PICC management ability total scores were all higher than those of the control group,all differences were statistically significant(P<0.05).The catheter-related maintain compliance rate and nursing satisfaction of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The predictive healthcare inter-vention based on the doctor-patient interaction model could effectively prevent the formation of PICC catheter-related thrombosis in patients with breast cancer chemotherap

关 键 词：医患一体化 预见性 干预 乳腺癌 外周中心静脉导管 

分 类 号：R737.9[医药卫生—肿瘤]