乳腺癌化疗患者PICC并发症预警模型的构建及运行效果评价  

Construction of an early warning model for peripherally inserted central catheter-related complications in breast cancer patients undergoing chemotherapy and the evaluation of its performance

作　　者：邵敏[1] 李传辉[1] 段晓侠[1] 马靖靖[1] 王磊[1] 李茹[1] SHAO Min;LI Chuanhui;DUAN Xiaoxia(Department of Oncology,the Second Affiliated Hospital of Bengbu Medical College,Anhui,Bengbu 233040,China)

机构地区：[1]蚌埠医学院第二附属医院肿瘤外科,安徽省蚌埠市233040

出　　处：《河北医药》2023年第19期3026-3029,共4页Hebei Medical Journal

基　　金：蚌埠医学院人文社科重点项目(编号:2020byzd244sk)。

摘　　要：目的研究构建乳腺癌化疗患者外周静脉置入中心静脉导管(PICC)并发症预警模型及其运行效果。方法将2021年10~12月就诊的40例乳腺癌化疗患者作为对照组,将2022年1~3月就诊的40例乳腺癌化疗患者作为观察组,对照组给予常规护理,观察组通过PICC并发症预警模型予以护理,采用本院自行设计的PICC相关并发症调查表、肿瘤患者PICC自我护理能力量表和乳腺癌患者生活质量测定量表比较2组干预效果,统计2组患者PICC带管化疗期间并发症发生情况、PICC自我护理能力和生活质量的差异性。结果观察组并发症总发生率明显低于对照组(P<0.05)。2组患者干预前自我概念、自我护理责任感、自我护理技能、健康知识、生理、社会/家庭、情感、附加关注评分和总得分比较差异无统计学意义(P>0.05),对照组干预后以上各维度评分和总得分较干预差异无统计学意义(P>0.05),观察组干预后以上各维度评分和总得分明显高于干预前和对照组,差异有统计学意义(P<0.05)。结论在乳腺癌化疗患者中应用PICC并发症预警模型可以降低并发症的发生率,改善患者自我护理能力,提高生活质量,具临床推广应用价值。Objective To establish an early warning model for peripherally inserted central catheter(PICC)-related complications in breast cancer patients undergoing chemotherapy and to evaluate its performance.Methods A total of 40 breast cancer patients treated with chemotherapy in our hospital from October 2021 to December 2021 were included in the control group,and 40 breast cancer patients treated with chemotherapy in our hospital from January 2022 to March 2022 were included in the observation group.Routine nursing care,and nursing care based on the early warning model for PICC-related complications were given to patients of control group and observation group,respectively.The intervention effects of the two groups were compared by surveying the self-designed questionnaires for PICC-related complications,PICC-related self-care ability,and quality of life in breast cancer patients.During the chemotherapy period,the incidence of PICC-related complications,PICC-related self-care ability and quality of life were compared between groups.Results The total incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).There were no significant differences in the each dimensional scores and total scores of self-concept,self-care responsibility,self-care skills,health knowledge,physiology,society/family,emotion,additional attention before intervention between the two groups(P>0.05).No significant differences were detected in the above scores before and after intervention in the control group(P>0.05),which were significantly enhanced in the observation group after intervention,and significantly higher than those in the control group(P<0.05).Conclusion The application of an early warning model for PICC-related complications in breast cancer patients undergoing chemotherapy can reduce the incidence of complications,and improve the self-management ability and quality of life,which is deserved to be promoted in clinical practice.

关 键 词：乳腺癌 化疗 外周静脉置入中心静脉导管 并发症预警模型 

分 类 号：R473.73[医药卫生—护理学]