基于扎根理论的护理干预在乳腺癌化疗患者植入式输液港管理中的应用分析  

Application analysis of nursing intervention based on grounded theory in the management of implantable venous access port in breast cancer patients receiving chemotherapy

作　　者：金翠凤 练亚琴 毛双玮 王荣荣 徐海萍[1] JIN Cuifeng;LIAN Yaqin;MAO Shuangwei;WANG Rongrong;XU Haiping(Jiangsu Provincial People's Hospital,Nanjing,210029,China)

机构地区：[1]江苏省人民医院乳腺病科,江苏省南京市210029

出　　处：《护理实践与研究》2023年第22期3362-3368,共7页Nursing Practice and Research

基　　金：江苏省妇幼健康科研项目(编号:F201821);江苏省人民医院“临床能力提升工程”(编号:JSPH-NB-2020-5);南京医科大学护理研究中心肿瘤护理研究分中心开放课题(编号:NYZLKF-2-202104)。

摘　　要：目的探讨基于扎根理论的护理干预在乳腺癌化疗患者植入式输液港(IVAP)管理中的应用效果。方法选取医院收治的2021年1月—2022年1月120例乳腺癌患者为研究对象,按照组间资料均衡可比的原则分为对照组和观察组,每组60例。对照组行常规护理干预,观察组在常规护理干预的基础上采用基于扎根理论的护理干预,两组患者干预12周。比较两组干预前后患者对输液港的认知水平、干预后患者对输液港的自我管理行为及并发症发生情况,采用乳腺癌患者生命质量测定表(FACT-B)评价患者干预前后的生命质量。结果干预前,两组患者输液港知识调查各维度得分及总分比较差异无统计学意义(P>0.05);干预后,观察组患者输液港知识调查各维度得分及总分均高于对照组,差异有统计学意义(P<0.05)。干预前,两组患者输液港自我管理行为量表各维度得分及总分比较差异无统计学意义(P>0.05),干预后,观察组患者输液港自我管理行为量表各维度得分及总分均高于对照组,差异有统计学意义(P<0.05)。观察组患者并发症总发生率低于对照组,差异有统计学意义(P<0.05)。干预前,两组患者FACT-B各维度得分及总分比较差异无统计学意义(P>0.05);干预后,观察组患者FACT-B中生理状况、情感状况、功能状况、附加关注维度得分及总分均高于对照组,差异均有统计学意义(P<0.05)。结论基于扎根理论的护理干预用于乳腺癌化疗患者IVAP管理中,能提高患者输液港认知水平及自我管理行为,有利于降低并发症发生率、改善生命质量。Objective To explore the application effects of nursing intervention based on grounded theory in the management of implantable venous access port(IVAP)in breast cancer patients receiving chemotherapy.Methods To select 120 breast cancer patients admitted to the hospital from January 2021 to January 2022 as the research subjects,they were divided into a control group and an observation group according to the principle of balanced and comparable data between groups,with 60 cases in each group.The control group received routine nursing intervention,and the observation group received nursing intervention based on grounded theory on the basis of routine nursing intervention.The two groups of patients were intervened for 12 weeks.The patients'cognitive level of the infusion port before and after the intervention,the patients'self-management behavior of the infusion port and the occurrence of complications after the intervention were compared between the two groups.The function assessment of cancer therapy-breast(FACT-B)was used to evaluate the patients'life before and after the intervention.quality.Results There was no statistically significant difference in the scores of each dimension and the total score of the infusion port knowledge survey between the two groups before intervention(P>0.05).After the intervention,the scores of each dimension and the total score of the infusion port knowledge survey in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the scores of each dimension and the total score of the infusion port self-management behavior scale between the two groups before intervention(P>0.05).After the intervention,the scores of each dimension and the total score of the self-management behavior scale of infusion port in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in th

关 键 词：乳腺癌 化学治疗 植入式静脉输液港 扎根理论 护理干预 

分 类 号：R473.73[医药卫生—护理学]