个性化优质护理在PICC置管结直肠癌患者中的应用效果评价  

Evaluation of the Effect of Personalized High-Quality Nursing in Colorec tal Cancer Patients with PICC Catheterization

作　　者：谭英 解玲玉 王江[1] 许朝琴 张玲玲 Tan Ying;Xie Lingyu;Wang Jiang;Xu Chaoqin;Zhang Lingling(Department of Hepatobiliary and Anorectal Surgery,the Second People's Hospital of Panzhihua,Panzhihua 617068,Sichuan,China)

机构地区：[1]攀枝花市第二人民医院肝胆肛肠外科,四川攀枝花617068

出　　处：《肿瘤预防与治疗》2023年第1期53-57,共5页Journal of Cancer Control And Treatment

基　　金：攀枝花市科技计划项目(编号:2020ZDS-12)。

摘　　要：目的:探讨个性化优质护理在经外周静脉穿刺置入中心静脉导管(peripherally inserted central catheter,PICC)置管结直肠癌患者中的应用效果。方法:采用便利抽样的方法,选择2020年6月至2022年2月期间在攀枝花市第二人民医院肝胆肛肠外科进行PICC置管的结直肠癌化疗患者92例作为研究对象,采用随机数字表法分为对照组(n=46)和观察组(n=46),对照组给予常规护理,观察组在常规护理基础上实施个性化优质护理措施,分别采用肿瘤患者PICC自我管理能力量表(Cancer Patients PICC Self-Managment Scale,CPPSM)、纽卡斯尔护理服务满意度量表(Newcastle Satisfaction with Nursing Scales,NSNS)评估2组患者干预前后的自我管理能力、护理服务满意度,收集2组患者临床资料,比较2组患者的非计划性拔管率和并发症发生率等。结果:干预前,观察组与对照组患者PICC自我管理能力各维度得分及总分之间差异无统计学意义(P>0.05);干预后,观察组及对照组患者PICC自我管理能力各维度得分及总分均较干预前升高,观察组干预后高于对照组,差异有统计学意义(均P<0.05)。观察组患者的护理服务满意度NSNS评分高于对照组[(86.65±11.17)分vs(73.21±10.88)分],差异有统计学意义(t=5.846,P<0.001)。观察组导管非计划性拔管率低于对照组(6.52%vs 21.74%),差异有统计学意义(P<0.05);观察组不良反应及并发症的总体发生率低于对照组[47.83%(22/46)vs 13.04%(6/46)],差异有统计学意义(χ^(2)=11.143,P<0.001)。结论:个性化优质护理用于PICC置管结直肠癌化疗患者可以提高患者PICC自我管理能力、护理服务质量满意度,降低PICC不良反应及并发症总体发生率。Objective: To explore the effect of personalized high-quality nursing in colorectal cancer patients with peripherally inserted central catheter(PICC) catheterization. Methods : 92 colorectal cancer patients with PICC catheterization in the department of hepatobiliary and anorectal surgery in the Second People’s Hospital of Panzhihua from June 2020 to February 2022 were selected as the research objects by convenient sampling. They were randomly assigned to the control group(n = 46) and the observation group(n = 46) with a table of random digit. The control group was given routine nursing, and the observation group was given personalized high-quality nursing out of routine nursing. Cancer Patients PICC Self-Managment Scale(CPPSM) and Newcastle Satisfaction with Nursing Scales(NSNS) were used to evaluate the self-management ability and nursing service satisfaction in the two groups before and after intervention. The clinical data of the two groups were collected, and the unplanned extubation rate and the incidence of complications in the two groups were compared. Results : Before intervention, there were no significant differences between the observation group and the control group in all dimensions and the total score of cppms(P > 0.05). After intervention, all dimensions and the total score of cppms in both groups were significantly higher than those before intervention(P < 0.05);and those in the observation group was significantly higher those in the control group(P < 0.05). The NSNS score in the observation group was significantly higher than that in the control group(86.65 ± 11.17 vs 73.21 ± 10.88, t = 5.846, P < 0.001). The unplanned extubation rate in the observation group was significantly lower than that in the control group(6.52% vs 21.74%, P < 0.05). The overall incidence of adverse reactions and complications in the observation group was significantly lower than that in the control group [47.83%(22/46) vs 13.04%(6/46), χ~2 = 11.143, P < 0.001)]. Conclusion : For colorectal cancer patients with PICC

关 键 词：个性化优质护理 结直肠癌 PICC 自我管理能力 护理服务满意度 并发症 

分 类 号：R735.33[医药卫生—肿瘤]