置入PICC并带管出院癌症患者基于mHealth技术延续护理的效果观察  

Application of Continuous Nursing based on mHealth Technology in Cancer Patients with PICC

作　　者：张涌静[1] 申华平[1] 郭庆峰 王娟 ZHANG Yong-jing;SHEN Hua-ping;GUO Qing-feng;WANG Juan(Department of Nursing,Fenyang College,Shanxi Medical University,Fenyang 032200,China;Dept.of Nursing Administration,Fenyang Hospital,Fenyang 032200,China)

机构地区：[1]山西医科大学汾阳学院护理学系,山西汾阳032200 [2]山西省汾阳医院护理部,山西汾阳032200

出　　处：《护理学报》2022年第9期68-72,共5页Journal of Nursing（China）

基　　金：国家自然科学基金项目(81773297)。

摘　　要：目的 探讨基于mHealth技术的延续护理在置入PICC癌症患者中的应用效果。方法 采取便利抽样法,2020年2月—2021年3月选取山西省某三级甲等医院置入PICC并带管出院的癌症患者110例为研究对象,按入院时间分为对照组和观察组各55例。对照组给予常规延续护理,观察组在对照组基础上,给予基于m Health技术的延续护理。观察比较2组患者干预后PICC相关并发症发生率、患者导管维护依从性、PICC自我管理能力、PICC专项护理服务满意度。结果 干预3个月末观察组PICC相关并发症发生率、因导管维护花费的时间和费用低于对照组(P<0.01);导管维护依从性、PICC自我管理能力、PICC专项服务满意度高于对照组(P<0.05)。结论 基于mHealth技术的延续护理可为置入PICC并带管出院的癌症患者提供及时安全、连续的居家护理,降低导管相关并发症,提升患者自我管理能力,提高患者PICC专项护理服务满意度,值得借鉴使用。Objective To explore the application effect of continuous nursing based on mHealth technology in cancer patients with PICC. Methods Using the convenient sampling method, 110 cancer patients discharged with PICC in a tertiary grade A hospital in Shanxi Province from February 2020 to March 2021 were selected as the research objects. They were divided into control group( n=55)and experimental group(n =55) according to the admission time. The control group was given routine continuous care, and the experimental group continuous care based on mHealth technology. The incidence of PICC related complications, compliance with catheter maintenance, PICC self-management ability, satisfaction with PICC special nursing services, and the time and cost of catheter maintenance were observed and compared. Results At the end of 3-month intervention, there were lower incidence of PICC related complications, shorter time and less cost of catheter maintenance in the experimental group(P <0.01). Catheter maintenance compliance, PICC self-management ability and PICC special service satisfaction were higher than those in the control group(P<0.05). Conclusion Continuous care based on mHealth technology provides timely, and safe continuous home care for PICC patients with catheter during chemotherapy interval with reduced catheter-related complications, improved self-management ability, less economic burden and higher patient satisfaction, which is worthy of promotion.

关 键 词：mHealth技术 癌症患者 PICC 延续护理 

分 类 号：R472.9[医药卫生—护理学]