基于集束化管理的健康宣教联合心理疏导在经外周静脉穿刺中心静脉置管导管相关性感染患者中的应用观察  

Application of Health Education Combined with Psychological Counseling Based on Cluster Management in Patients With Peripherally Inserted Central Catheter Related Infection

作　　者：张健坤[1] 曾妮妮 秦玉娟 赵小梅 Zhang Jiankun;Zeng Nini;Qin Yujuan;Zhao Xiaomei(Nanxishan Hospital of Guangxi Zhuang Autonomous Region,Guilin 541002,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]广西壮族自治区南溪山医院,广西桂林541002

出　　处：《中国社区医师》2023年第20期124-126,共3页Chinese Community Doctors

基　　金：广西壮族自治区卫生健康委会员项目(编号:Z20201217)。

摘　　要：目的:观察基于集束化管理的健康宣教联合心理疏导在经外周静脉穿刺中心静脉置管(PICC)导管相关性感染患者中的应用效果。方法:选取2020年7月—2022年6月于广西壮族自治区南溪山医院行PICC的200例患者作为研究对象,随机分为对照组与观察组,各100例。对照组实施常规干预,观察组实施基于集束化管理的健康宣教联合心理疏导。比较两组恢复情况、负性情绪、维护导管依从性、满意度、并发症发生情况。结果:观察组住院时间短于对照组,导管留置时间长于对照组,差异有统计学意义(P=0.001)。干预后,观察组焦虑、抑郁评分均低于对照组,差异有统计学意义(P=0.001)。观察组维护导管依从性0、Ⅰ级占比高于对照组,Ⅱ、Ⅲ级占比低于对照组,差异有统计学意义(P=0.001)。观察组服务技术、服务效果、护理流程、医患沟通、症状管理评分及总分均高于对照组,差异有统计学意义(P=0.001)。观察组并发症总发生率低于对照组,差异有统计学意义(P=0.001)。结论:基于集束化管理的健康宣教联合心理疏导,可缩短PICC患者住院时间、留置导管时间,提高维护导管依从性,改善心理状态,促进恢复,降低并发症发生率。Objective:To observe the application effect of health education and psychological counseling based on cluster management in patients with peripherally inserted central catheter(PICC)related infection.Methods:A total of 200 patients undergoing PICC in Nanxishan Hospital of Guangxi Zhuang Autonomous Region from July 2020 to June 2022 were selected as the study subjects.They were randomly divided into control group and observation group with 100 cases in each group.The control group implemented routine intervention,and the observation group implemented health education combined with psychological counseling based on cluster management.The recovery,negative mood,maintenance catheter compliance,satisfaction,and complications in the two groups were compared.Results:The hospitalization time in the observation group were shorter than in the control group,and catheter indwelling time in the observation group were longer than in the control group,and the differences were statistically significant(P=0.001).After the intervention,the anxiety and depression scores in the observation group were lower than those in the control group,and the differences were statistically significant(P=0.001).The proportion of maintenance catheter compliance grade 0 and grade I in the observation group was higher than that in the control group,and the proportion of grade II and grade III in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.001).The service technology,service effect,nursing process,doctor-patient communication,symptom management score and total score in the observation group were higher than those in the control group,and the differences were statistically significant(P=0.001).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.001).Conclusion:Health education combined with psychological counseling based on cluster management can shorten the hospitalization time

关 键 词：负性情绪 依从性 集束化管理 心理疏导 健康宣教 

分 类 号：R472[医药卫生—护理学]