以家庭为中心的赋能教育在恶性血液肿瘤患儿中的应用效果  

Application effect of family-centered enabling education in children with hematologic malignancies

作　　者：路晓红 向明丽[1] 麻彦[1] LU Xiaohong;XIANG Mingli;MAYan(Department of Pediatric Internal Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院小儿内科,郑州4500000

出　　处：《癌症进展》2024年第24期2762-2765,共4页Oncology Progress

摘　　要：目的探讨以家庭为中心的赋能教育在恶性血液肿瘤患儿中的应用效果。方法根据干预方式的不同将102例经外周静脉穿刺的中心静脉导管(PICC)化疗患儿分为对照组(50例)和观察组(52例),对照组患儿采取常规干预,观察组患儿在对照组的基础上采取以家庭为中心的赋能教育。比较两组患儿PICC置管并发症发生情况、照顾者心理压力[中文版压力知觉量表(CPSS)、抑郁自评量表(SDS)、焦虑自评量表(SAS)]、照顾者出院准确度[出院准备度量表(RHDS)]、照顾者满意度。结果观察组患儿PICC置管并发症总发生率低于对照组,照顾者总满意度高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患儿照顾者CPSS、SDS、SAS评分均低于本组干预前,RHDS评分均高于本组干预前,观察组患儿照顾者CPSS、SDS、SAS评分均低于对照组,RHDS评分高于对照组,差异均有统计学意义(P﹤0.05)。结论以家庭为中心的赋能教育可减少恶性血液肿瘤患儿PICC置管并发症,提高照顾者出院准备度及满意度,减轻照顾者心理压力。Objective To explore the application effect of family-centered enabling education in children with hema-tologic malignancies.Method According to the different intervention methods,102 children who underwent peripheral-ly inserted central venous catheter(PICC)chemotherapy were divided into control group(50 cases)and observation group(52 cases).The control group received routine intervention,and the observation group received family-centered en-abling education on the basis of the control group.The incidence of PICC catheterization complications,caregivers’psy-chological pressure[Chinese perceived stress scale(CPSS),self-rating depression scale(SDS),self-rating anxiety scale(SAS)],caregivers’discharge readiness[readiness for hospital discharge scale(RHDS)],caregivers’satisfaction were compared between the two groups.Result The total incidence of PICC catheterization complications in observation group was lower than that in control group,and the total satisfaction rate of caregivers was higher than that in control group,and the differences were statistically significant(P<0.05).After intervention,the CPSS,SDS and SAS scores of caregivers in both groups were lower than those before intervention,the RHDS scores were higher than those before inter-vention,the CPSS,SDS and SAS scores of caregivers in observation group were lower than those in control group,the RHDS score was higher than that in control group,and the differences were statistically significant(P<0.05).Conclusion Family-centered enabling education can reduce PICC catheterization complications in children with hematologic malig-nancies,improve the discharge readiness and satisfaction of caregivers,and relieve the psychological pressure of care-givers.

关 键 词：恶性血液肿瘤 以家庭为中心的赋能教育 并发症 心理压力 

分 类 号：R733[医药卫生—肿瘤]