程序化健康教育在乳腺癌化疗患者完全植入式静脉输液港护理中的应用  

Application of programmed health education in nursing care of breast cancer patients undergoing chemotherapy with fully implanted intravenous infusion port

作　　者：许美侠 秦聘 XU Mei-xia;QIN Pin(Department of Breast Surgery,North Anhui Coal Power Group General Hospital,Suzhou 234000,Anhui,China)

机构地区：[1]皖北煤电集团总医院甲乳外科,安徽宿州234000

出　　处：《川北医学院学报》2024年第7期1004-1008,共5页Journal of North Sichuan Medical College

摘　　要：目的:探讨程序化健康教育在乳腺癌化疗患者完全植入式静脉输液港(TIVAP)护理中的应用效果。方法:纳入110例TIVAP乳腺癌化疗患者作为研究对象,按照健康教育方式的不同将患者分为两组:将予以常规健康教育的患者作为对照组(n=55);将予以程序化健康教育的患者作为观察组(n=55)。两组均干预6个月,比较两组TIVAP护理知识水平(科室自制TIVAP护理知识水平问卷)、自我管理能力(科室自制TIVAP乳腺癌患者自我管理能力量表)、导管相关并发症情况及生活质量[乳腺癌患者生活质量量表(FACT-B)]。结果:干预后,两组TIVAP护理知识水平问卷评分均上升(P<0.05),且观察组高于对照组(P<0.05);两组TIVAP乳腺癌患者自我管理能力量表评分均上升(P<0.05),且观察组高于对照组(P<0.05);相较于对照组的23.64%,观察组并发症总发生率更低(9.10%)(P<0.05);两组FACT-B评分总分及各维度评分均上升(P<0.05),且观察组高于对照组(P<0.05)。结论:对乳腺癌患者TIVAP护理予以程序化健康教育可提高患者导管护理相关知识水平及自我管理能力,减少导管相关并发症发生,提高患者生活质量。Objective:To explore the application effect of programmed health education in the nursing of totally implantable venous access port(TIVAP)in patients with breast cancer undergoing chemotherapy.Methods:110 patients with TIVAP breast cancer chemotherapy were divided into two groups according to the different ways of health education,55 cases of routine health education were selected as control group,and 55 cases of programmed health education were selected as observation group.Both groups were intervened for 6 months.The TIVAP maintenance knowledge level[self-made TIVAP maintenance knowledge level questionnaire],self-management ability[self-made TIVAP breast cancer patient self-management ability scale],catheter-related complications and quality of life[breast cancer patient quality of life scale(FACT-B)]were compared between the two groups.Results:After intervention,the scores of TIVAP maintenance knowledge level questionnaire in both groups increased(P<0.05),and those in the observation group were higher(P<0.05).The scores of self-management ability scale of TIVAP breast cancer patients in both groups increased(P<0.05),and those in the observation group were higher(P<0.05).Compared with 23.64%in the control group,the total incidence of complications in the observation group was lower(9.10%)(P<0.05).The total score of FACT-B and the scores of each dimension in the two groups increased(P<0.05),and those in the observation group were higher(P<0.05).Conclusion:Programmed health education for TIVAP nursing of breast cancer patients can improve the knowledge level and self-management ability of catheter nursing.reduce the incidence of catheter-related complications,and improve the quality of life of patients.

关 键 词：完全植入式静脉输液港 乳腺癌化疗 程序化健康教育 导管相关并发症 自我管理能力 

分 类 号：R473.71[医药卫生—护理学]