归因分析法理念下的预见性护理在妇科恶性肿瘤患者CVC置管中的应用分析  

Analysis of Application of Predictive Nursing under the Attribution Analysis Concept in CVC Catheterization of Patients with Gynecological Malignant Tumor

作　　者：陈雪 李玉亭 郭啊玲 石勤思 CHEN Xue;LI Yuting;GUO Aling;SHI Qinsi(Department of Gynecology,the First People's Hospital of Suqian,Suqian 223800,China;不详)

机构地区：[1]宿迁市第一人民医院妇科,江苏宿迁223800

出　　处：《中国医学创新》2025年第9期86-91,共6页Medical Innovation of China

摘　　要：目的:分析归因分析法理念下的预见性护理在妇科恶性肿瘤患者中心静脉导管(CVC)置管中的应用效果。方法:选择2023年5月—2024年5月宿迁市第一人民医院收治的132例妇科恶性肿瘤患者,随机分为常规组(予以常规护理)和归因组(予以常规护理和归因分析法理念下的预见性护理),各66例。对比两组置管操作及导管留置时间、CVC相关并发症发生率、情绪状况[抑郁-焦虑-压力量表(DASS-21)]、生活质量[欧洲癌症研究与治疗组织生命质量核心问卷(EORTC QLQ-C30)]及护理满意度[纽卡斯尔护理满意度量表(NSNS)]。结果:归因组置管操作时间显著短于常规组,导管留置时间显著长于常规组(P<0.05);归因组感染率及并发症总发生率均显著低于常规组(P<0.05);干预后,两组DASS-21各维度评分均显著降低,归因组均显著低于常规组(P<0.05);干预后,两组EORTC QLQ-C30中功能状况和总体健康状况评分均显著升高,且归因组均高于常规组,两组症状评分均显著降低,且归因组低于常规组(P<0.05);归因组护理满意度显著高于常规组(P<0.05)。结论:归因分析法理念下的预见性护理可显著降低妇科恶性肿瘤患者CVC相关并发症发生风险,缩短置管操作时间,延长导管留置时间,改善患者情绪及生活质量,提高护理满意度。Objective:To analyze the application effect of predictive nursing under the attribution analysis concept in central venous catheter(CVC)catheterization of patients with gynecological malignant tumor.Method:A total of 132 patients with gynecological malignant tumor admitted to the First People's Hospital of Suqian from May 2023 to May 2024 were randomly divided into routine group(given routine nursing)and attribution group(given routine nursing and predictive nursing under the attribution analysis concept),with 66 cases in each group.Catheterization operation and catheter indwelling time,incidence of CVC-related complications,emotional status[depressionanxiety-stress scale(DASS-21)],quality of life[European organization for research and treatment of cancer quality of life questionnaire-core 30(EORTC QLQ-C30)]and nursing satisfaction[Newcastle satisfaction with nursing scale(NSNS)]were compared between the two groups.Result:The catheterization operation time in the attribution group was significantly shorter than that in the routine group,and the catheter indwelling time was significantly longer than that in the routine group(P<0.05).The infection rate and the total complication rate in the attribution group were significantly lower than those in the routine group(P<0.05).After intervention,the scores of each dimension of DASS-21 in both groups were significantly decreased,and those in the attribution group were significantly lower than those in the routine group(P<0.05).After intervention,the scores of functional status and general health status of EORTC QLQ-C30 in both groups were significantly increased,and those in the attribution group were higher than those in the routine group,the symptom scores in both groups were significantly decreased,and that in the attribution group was lower than that in the routine group(P<0.05).The nursing satisfaction of attribution group was significantly higher than that of routine group(P<0.05).Conclusion:Predictive nursing under the attribution analysis concept can significantl

关 键 词：归因分析法 预见性护理 妇科恶性肿瘤 中心静脉导管 感染风险 

分 类 号：R47[医药卫生—护理学]