菜单式健康教育配合置管专项护理在肿瘤PICC患者中的应用  

Application of Menu Health Education Combined with Catheter Special Nursing in Patients with Tumors Undergoing PICC Catheterization

作　　者：陈丹妮 姜海燕 李心慧 Chen Danni;Jiang Haiyan;Li Xinhui(Sun Yat-sen Center University Cancer Cencer,Guangzhou Guangdong 510060,China)

机构地区：[1]中山大学肿瘤防治中心,广东广州510060

出　　处：《齐鲁护理杂志》2022年第9期25-28,共4页Journal of Qilu Nursing

摘　　要：目的:探讨菜单式健康教育配合置管专项护理在肿瘤PICC患者中的应用效果。方法:选取2019年3月1日~2021年1月31日收治的120例PICC患者作为研究对象,随机分为对照组55例和观察组65例,对照组给予PICC后常规护理,观察组给予菜单式健康教育配合置管专项护理;比较两组PICC意外拔管、置管并发症发生情况,干预前后睡眠质量[采用匹兹堡睡眠质量指数量表(PSQI)]、生活质量[采用生活质量评定量表(QOL)]。结果:观察组拔管总发生率低于对照组(P<0.05),导管滑脱、静脉炎、导管回缩、穿刺点感染并发症发生率低于对照组(P<0.05);干预后,观察组PSQI中睡眠时间、入睡时间、睡眠障碍、睡眠质量评分低于对照组(P<0.01);干预后,观察组QOL评分高于对照组(P<0.05)。结论:实施菜单式健康教育配合置管专项护理可降低肿瘤PICC患者意外拔管率、并发症发生率,提升睡眠质量和生活质量。Objective:To explore the application effect of menu health education combined with catheter special nursing in patients with tumors undergoing PICC catheterization.Methods:A total of 120 patients undergoing PICC catheterization admitted during March 1,2019 to January 31,2021 were selected as the research subjects,according to the random number table method,were randomly divided into the control group with 55 cases and the observation group with 65 cases.The control group was given routine nursing after PICC catheterization,and the observation group was given menu health education combined with catheter special nursing.PICC accidental extubation,incidence rate of catheterization complications,quality of sleep by PSQI,and quality of life by QOL were compared between the two groups.Results:The total extubation rate was lower in the observation group than that in the control group(P<0.05).The incidence rates of complications such as catheter slippage,phlebitis,catheter retraction and puncture site infection were higher in the observation group than those in the control group(P<0.05).After intervention,the sleep time,time to fall asleep,sleep disturbance and sleep quality of PSQI scores were lower in the observation group than those in the control group(P<0.01).After intervention,the QOL scores in the observation group were higher than those in the control group(P<0.05).Conclusion:The implementation of menu health education combined with catheter special nursing can reduce the accidental extubation rate and incidence rate of complications in patients with tumors undergoing PICC catheterization,improve the quality of sleep and quality of life.

关 键 词：菜单式健康教育 置管专项护理 PICC 拔管率 置管并发症 

分 类 号：R473.73[医药卫生—护理学]