基于积极心理学模式的晕轮效应护理对肺癌化疗患者PICC置管下肢DVT的预防效果  

Preventive Effect of Positive Psychology Mode based Halo Effect Nursing on Lower Limb DVT of Patients with Lung Cancer Undergoing Chemotherapy by PICC Catheterization

作　　者：余艳鹤 Yu Yanhe(Department of Oncology,Xuchang Central Hospital,Xuchang,Henan,461000,China)

机构地区：[1]许昌市中心医院肿瘤内科,河南许昌461000

出　　处：《黑龙江医学》2025年第8期994-997,共4页Heilongjiang Medical Journal

摘　　要：目的:研究基于积极心理学模式的晕轮效应护理对肺癌化疗患者经外周静脉穿刺的中心静脉导管(PICC)置管下肢深静脉血栓(DVT)的预防效果。方法:选取2020年6月—2022年8月许昌市中心医院收治的86例行肺癌化疗PICC置管患者作为研究对象,将其随机分为对照组和观察组,每组各43例。对照组采用常规护理干预,观察组在对照组的基础上采用基于积极心理学模式结合晕轮效应护理模式。评估两组患者的并发症发生率、心理状态评分、生活质量评分、功能锻炼依从性及患者满意度。结果:两组患者并发症发生率比较,差异有统计学意义(χ^(2)=5.939,P<0.05);干预后,观察组患者抑郁自评量表(SDS)和焦虑自评量表(SAS)评分均低于对照组,差异均有统计学意义(t=8.407、4.981,P<0.001);干预后,观察组患者生理状况、社会/家庭状况、情感状况和功能状况评分均高于对照组,差异均有统计学意义(t=15.767、10.258、8.569、11.821,P<0.001);干预后,观察组患者依功能锻炼依从性高于对照组,差异有统计学意义(χ^(2)=10.118,P<0.05);干预后,观察组患者满意度高于对照组,差异有统计学意义(χ^(2)=11.417,P<0.05)。结论:相较于传统护理模式,基于积极心理学模式的晕轮效应护理对肺癌化疗患者PICC置管下肢DVT的预防效果较好,并发症发生率低,可降低并发症发生率、缓解患者的不良情绪,提高生活质量,增加依从性。Objective:To study the effect of positive psychology mode based Halo effect nursing on the prevention of lower limb DVT in patients with lung cancer undergoing chemotherapy by PICC catheterization.Methods:The study subjects were 86 patients who underwent PICC catheterization for lung cancer chemotherapy in hospitals from June 2020 to August 2022.They were randomly divided into control group and observation group,with 43 patients in each group.The nursing mode of the control group received routine nursing intervention,and the observation group received the positive psychology based mode combined with the Halo effect nursing mode on the basis of the control group.The incidence of complications,psychological status scores,quality of life scores,functional exercise compliance and patient satisfaction of the two groups were evaluated.Results:There was significant difference in the incidence of complications between the two groups(χ^(2)=5.939,P<0.05).After intervention,the scores of self-rating Depression Scale(SDS)and self-rating Anxiety Scale(SAS)in observation group were lower than those in control group,and the differences were statistically significant(t=8.407,4.981;P<0.001).After intervention,the scores of physiological status,social/family status,emotional status and functional status in observation group were higher than those in control group,with statistically significant difference(t=15.767,10.258,8.569,11.821;P<0.001).After the intervention,the functional exercise compliance of the observation group was higher than that of the control group,with statistically significant difference(χ^(2)=10.118,P<0.05).After intervention,the satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(χ^(2)=11.417,P<0.05).Conclusion:Compared with the traditional nursing mode,the positive psychology mode based Halo effect nursing has better preventive effect on lower limb DVT of lung cancer chemotherapy patients with PICC catheterization,which can reduce

关 键 词：积极心理学模式 晕轮效应 肺癌化疗 经外周静脉穿刺的中心静脉导管置管 深静脉血栓 

分 类 号：R47[医药卫生—护理学]