快速康复外科-集束干预策略模式在经PICC置管的胃癌患者中的应用效果  

Effect of Fast-Track Surgery-Cluster Intervention Strategy Mode in Gastric Cancer Patients Undergoing PICC

作　　者：赵星惠 赵芳芳 宁鹤鹤 ZHAO Xinghui;ZHAO Fangfang;NING Hehe(Department of Gastroenterology,the Affiliated Cancer Hospital of Zhengzhou University/Henan Provincial Cancer Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州大学附属肿瘤医院/河南省肿瘤医院消化内科,河南郑州450000

出　　处：《河南医学研究》2023年第15期2858-2861,共4页Henan Medical Research

摘　　要：目的探讨快速康复外科-集束干预策略(FTS-CIS)模式在经外周静脉穿刺的中心静脉导管(PICC)的胃癌患者中的应用效果。方法选取2019年4月至2021年6月河南省肿瘤医院收治的89例接受PICC的胃癌患者作为研究对象,按随机数表法分为观察组(45例,接受FTS-CIS模式干预措施)和对照组(44例,接受常规护理模式干预措施)。比较两组患者焦虑、抑郁情况、并发症发生率、自我护理能力和护理满意度。结果干预后观察组患者焦虑、抑郁评分均低于对照组(P<0.05)。观察组发症总发生率(6.66%)低于对照组(22.72%)(P<0.05)。干预后观察组患者肿瘤患者PICC自我管理能力量表(CPPSM)评分高于对照组(P<0.05)。观察组患者护理总满意率(97.77%)高于对照组(81.81%)(P<0.05)。结论FTS-CIS模式干预措施可减少胃癌患者PICC相关并发症的发生,缓解其不良情绪,提高其自我护理能力及护理满意度。Objective To investigate the effect of fast-track surgery-cluster intervention strategy(FTS-CIS)mode in gastric cancer patients undergoing peripherally inserted central venous catheter(PICC).Methods A total of 89 patients with gastric cancer undergoing PICC admitted to Henan Provincial Cancer Hospital from April 2019 to June 2021 were selected as the study subjects.They were divided into observation group(45 cases,received the FTS-CIS model)and control group(44 cases,received conventional nursing intervention measures)according to a random number table method.The anxiety,depression,complication rate,self-care ability and nursing satisfaction of the two groups of patients were compared.Results After intervention,the scores of anxiety and depression of the observation group were lower than those of the control group(P<0.05).The total complication rate in the observation group(6.66%)was lower than that in the control group(22.72%)(P<0.05).After intervention,the cancer patients PICC self-management scale(CPPSM)score of patients in the observation group was higher than that of the control group(P<0.05).The total satisfaction rate of nursing in observation group(97.77%)was higher than that in the control group(81.81%)(P<0.05).Conclusion The FTS-CIS model can effectively reduce the incidence of complications related to PICC catheterization in gastric cancer patients,alleviate adverse emotions,and improve patients’self-care ability and nursing satisfaction.

关 键 词：快速康复外科-集束干预策略模式 胃癌 经外周静脉穿刺的中心静脉导管 并发症 

分 类 号：R473.5[医药卫生—护理学]