基于患者视角的健康教育结合水胶体敷料对胰腺癌PICC置管患者认知水平、血液流变学指标及并发症的影响  

Effects of health education based on the perspective of patient combined with hydrocolloid dressing on the cognitive level,hemorheological indexes and complications of patients with pancreatic cancer undergoing PICC catheterization

作　　者：李小娜 王露 LI Xiaona;WANG Lu(Tumor Theranostics Center,Baoji High-Tech Hospital,Baoji 721000;Oncology Department,Traditional Chinese Medicine Hospital of Baoji,Baoji 721000,China)

机构地区：[1]宝鸡市高新医院肿瘤诊疗中心,陕西宝鸡721000 [2]宝鸡市中医医院肿瘤科,陕西宝鸡721000

出　　处：《临床医学研究与实践》2024年第33期191-194,共4页Clinical Research and Practice

摘　　要：目的探究基于患者视角的健康教育结合水胶体敷料在胰腺癌经外周静脉穿刺的中心静脉导管(PICC)置管患者中的应用效果。方法选择2021年1月至2022年10月收治的120例胰腺癌PICC置管患者为研究对象,以随机数字表法将其分为对照组和观察组,各60例。对照组接受常规护理+水胶体敷料干预,观察组在对照组基础上加施基于患者视角的健康教育。比较两组的干预效果。结果干预后,观察组的健康知识、健康信念及健康行为评分均高于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的血浆黏度(PV)、红细胞聚集指数(AI)均低于对照组,差异具有统计学意义(P<0.05)。观察组的PICC相关并发症总发生率为5.00%,低于对照组的18.33%,差异具有统计学意义(P<0.05)。结论基于患者视角的健康教育结合水胶体敷料用于胰腺癌PICC置管患者的护理中可提高其认知水平,调节血液流变学指标,降低PICC相关并发症发生风险,值得推广。Objective To explore the application effect of health education based on the perspective of patient combined with hydrocolloid dressing in patients with pancreatic cancer undergoing peripherally inserted central catheter(PICC)catheterization.Methods A total of 120 patients with pancreatic cancer undergoing PICC catheterization admitted from January 2021 to October 2022 were selected as the research objects,and the patients were divided into control group and observation group by random number table method,with 60 cases in each group.The control group received routine nursing+hydrocolloid dressing intervention,and the observation group received health education based on the perspective of patient on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of health knowledge,health belief and health behavior in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the plasma viscosity(PV)and red cell assembling index(AI)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of PICC-related complications in the observation group was 5.00%,which was lower than 18.33%in the control group,and the difference was statistically significant(P<0.05).Conclusion Health education based on the perspective of patient combined with hydrocolloid dressing for the nursing of patients with pancreatic cancer undergoing PICC catheterization can improve cognitive level,regulate hemorheological indexes,and reduce the risk of PICC-related complications,which is worthy of promotion.

关 键 词：患者视角 健康教育 水胶体敷料 胰腺癌 经外周静脉穿刺的中心静脉导管 认知水平 血液流变学 并发症 

分 类 号：R473[医药卫生—护理学]