胃肠外科行PICC置管化疗胃癌患者实施思维导图导向的FFC干预效果评价  

Evaluation of the effect of mind map-oriented FFCintervention on gastric cancer patients undergoing PICCcatheterization chemotherapy

作　　者：林丽惠[1] 吴文裕[2] LIN Lihui;WU Wenyu(Department of Gastrointestinal Surgery,Zhongshan Hospital Affiliated to Xiamen University,Xiamen 361000,China;Department of Infectious Diseases,The First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属中山医院胃肠外科,福建厦门361000 [2]厦门大学附属第一医院感染科,福建厦门361000

出　　处：《黑龙江医药科学》2024年第5期156-159,共4页Heilongjiang Medicine and Pharmacy

摘　　要：目的:探究实施思维导图导向的前馈控制(FFC)干预对行经外周导入中心静脉置管(PICC)化疗胃癌患者的效果情况。方法:选取2022年1月至2023年12月厦门大学附属中山医院胃肠外科收治的行PICC置管化疗胃癌患者252例,按照入院先后顺序将其分为对照组(2022年1月至2022年12月)与研究组(2023年1月至2023年12月),各126例。对照组给予常规护理,研究组在对照组基础上给予思维导图导向的FFC干预,比较两组心理状态[采用汉密尔顿抑郁量表(HAMD)及汉密尔顿焦虑量表(HAMA)评估]、并发症发生率及护理满意度。结果:干预第30 d,与对照组比较,研究组HAMD、HAMA评分偏低(t_(1)=44.154,t_(2)=27.970,P均<0.05)。干预30 d内,研究组并发症发生率较对照组偏低(χ^(2)值校正=4.288,P<0.05)。干预第30 d,研究组护理满意度较对照组偏高(χ^(2)=7.504,P<0.05)。结论:在行PICC置管化疗胃癌患者中实施思维导图导向的FFC干预,可有效改善其心理状态、并发症发生率及护理满意度。Objective:To explore the effect of mind map-oriented feedforward control(FFC)intervention on gastric cancer patients undergoing peripheral central venous catheterization(PICC)chemotherapy.Methods:A total of 252 gastric cancer patients admitted to the Department of Oncology,Zhongshan Hospital Affiliated to Xiamen University from January 2022 to December 2023 were selected and divided into the control group(January 2022 to December 2022)and the study group(January 2023 to December 2023)according to the order of admission,with 126 cases each.The control group was given routine nursing,and the research group was given mind map-oriented FFC intervention on the basis of the control group.The psychological state[assessed by Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)],complication rate and nursing satisfaction of the two groups were compared.Results:On the 30 d intervention day,HAMD and HAMA scores of the study group were lower than those of the control group(t_(1)=44.154,t_(2)=27.970,P<0.05).Within 30 days of intervention,the complication rate of the study group was lower than that of the control group(χ^(2)value correction=4.288,P<0.05).On the 30 d of intervention,the nursing satisfaction of the study group was higher than that of the control group(χ^(2)=7.504,P<0.05).Conclusion:The implementation of mind map-based FFC intervention in PICC catheterization chemotherapy for gastric cancer patients can effectively improve their psychological state,complication rate and nursing satisfaction,which is worth reference.

关 键 词：思维导图导向的前馈控制干预 经外周中心静脉置管化疗 胃癌 并发症发生率 

分 类 号：R735.2[医药卫生—肿瘤] R473.5[医药卫生—临床医学]