基于跨理论模型的延续护理干预在癌症PICC带管出院患者居家应用的必要性探究  

Exploring the Necessity of Continuous Nursing Intervention Based on the Trans-theoretical Model in Home Application of Discharged Patients with Cancer PICC

作　　者：李校宣 LI Xiaoxuan(Pu’er People's Hospital,Pu’er 665000,China)

机构地区：[1]普洱市人民医院,云南普洱665000

出　　处：《中外医学研究》2025年第4期92-95,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究基于跨理论模型(trans-theoretical model,TTM)的延续护理干预在癌症经外周中心静脉置管(peripherally inserted central catheter,PICC)带管出院患者居家应用的必要性。方法:选取2022年6月—2023年6月在普洱市人民医院行PICC并带管出院的96例癌症患者,按随机数表法分为两组。对照组(n=48)给予常规延续护理,研究组(n=48)在此基础上接受基于TTM的延续护理。比较两组PICC相关并发症发生情况、自我管理能力、护理满意度及生活质量。结果:研究组PICC相关并发症总发生率为12.50%,比对照组的33.33%低,差异有统计学意义(P<0.05)。研究组自我管理能力各维度评分及总分均比对照组高,差异有统计学意义(P<0.05)。研究组护理总满意度为95.83%,比对照组的81.25%高,差异有统计学意义(P<0.05)。研究组生活质量各维度评分及总分均比对照组高,差异有统计学意义(P<0.05)。结论:基于TTM的延续护理干预在癌症PICC带管出院患者居家应用效果较好,可明显降低导管相关并发症发生率,提升患者自我管理能力及生活质量,提高满意度。Objective:To explore the necessity of continuous nursing intervention based on the trans-theoretical model(TTM)in home application of discharged patients with cancer peripherally inserted central catheter(PICC).Method:A total of 96 cancer patients who received PICC and discharged from Pu’er People's Hospital from June 2022 to June 2023 were selected and divided into two groups according to random number table method.The control group(n=48)received conventional extended care,and the study group(n=48)received continuous nursing intervention based on TTM on this basis.The incidence of PICC-related complications,self-management ability,nursing satisfaction and quality of life were compared between the two groups.Result:The total incidence of PICC-related complications in the study group was 12.50%,which was lower than 33.33% in the control group,and the difference was statistically significant(P<0.05).The all dimensions scores and total scores of self-management ability in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total nursing satisfaction of the study group was 95.83%,which was higher than 81.25%of the control group,and the difference was statistically significant(P<0.05).The all dimensions scores and total scores of quality of life of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:Continuous nursing intervention based on TTM has a good effect in home application of discharged patients with cancer PICC,which can significantly reduce the incidence of catheter-related complications,improve patients'self-management ability and quality of life,and improve satisfaction.

关 键 词：癌症 经外周中心静脉置管 跨理论模型 延续护理 生活质量 

分 类 号：R473.73[医药卫生—护理学]