ADOPT模式在乳腺癌PICC置管患者中的应用  

Application of ADOPT mode in breast cancer patients with peripherally inserted central catheter catheterization

作　　者：彭江英[1] 苏俊玲[1] 郭春蕊[1] Peng Jiangying;Su Junling;Guo Chunrui(Department of Breast,Shanxi Provincial People's Hospital,Taiyuan 030012,China)

机构地区：[1]山西省人民医院乳腺科,太原030012

出　　处：《中华现代护理杂志》2022年第9期1233-1237,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨ADOPT模式在乳腺癌PICC置管患者中的应用效果。方法采用便利抽样法,选取2018年6月—2020年6月山西省人民医院收治的248例乳腺癌PICC置管患者为研究对象,使用随机数字表法将患者分为观察组(n=124)与对照组(n=124)。对照组患者予以常规护理,观察组患者在对照组护理的基础上实施ADOPT模式。比较两组患者的PICC并发症发生率,比较两组患者干预前及干预3个月后的自我护理能力测定量表(ESCA)、癌症疲乏量表(CFS)、乳腺癌生活质量测定量表(QLQ-BR23)得分。结果观察组患者的非计划性拔管例数低于对照组(P<0.05);干预3个月后,观察组患者ESCA得分、QLQ-BR 23功能量表评分均高于对照组,CFS量表各维度得分、QLQ-BR 23症状量表及单项条目得分低于对照组,以上差异均有统计学意义(P<0.05)。结论ADOPT模式对降低乳腺癌PICC置管患者非计划性拔管发生情况效果较好,能有效提升患者的自我护理能力及生活质量,缓解患者癌症疲乏。Objective To explore the application effect of ADOPT mode in breast cancer patients with peripherally inserted central catheter(PICC)catheterization.Methods Using the convenient sampling method,a total of 248 breast cancer patients with PICC catheterization who were admitted to Shanxi Provincial People's Hospital from June 2018 to June 2020 were selected as the research objects.The patients were divided into the observation group(n=124)and the control group(n=124)using the random number table method.The patients in the control group were given routine nursing care,while the patients in the observation group were given the ADOPT model on the basis of the nursing care in the control group.The incidence of PICC complications was compared between the two groups.The scores of Exercise of Self-Care Agency Scale(ESCA),Cancer Fatigue Scale(CFS)and Quality of Life Questionnaire Breast Cancer Module 23(QLQ-BR 23)were compared between the two groups before and after 3 months of intervention.Results The number of unplanned extubation cases in the observation group was lower than that in the control group(P<0.05).After 3 months of intervention,scores of ESCA and QLQ-BR 23 function scale of the observation group were higher than those of the control group.And the scores of each dimension of the CFS,the QLQ-BR 23 symptom scale and score of the each item were lower than those of the control group,all the differences were statistically significant(P<0.05).Conclusions The ADOPT model has a good effect on reducing the incidence of unplanned extubation in breast cancer patients with PICC catheterization,which can effectively improve the self-care ability and quality of life of patients and relieve cancer fatigue in patients.

关 键 词：乳腺肿瘤 ADOPT模式 PICC 并发症 非计划性拔管 

分 类 号：R473.73[医药卫生—护理学]