摘要
目的探讨健康教育路径干预对经外周中心静脉置管(PICC)的肿瘤患者自我护理能力和健康行为改善的效果。方法将符合纳入标准的102例PICC置管的肿瘤患者,随机分为干预组和对照组,对照组患者实施常规护理,干预组在常规护理的基础上实施健康教育路径干预。在干预前、干预10 d、30 d后分别评估两组患者自我护理能力、健康行为的情况。结果干预前两组患者自我护理能力总分、健康相关行为总分及各维度得分比较差异无统计学意义(P>0.05),在干预后10 d及干预后30 d,干预组自我护理能力(101.82±18.29,105.06±16.32)及健康相关行为得分(114.1±13.20,116.43±12.30)高于对照组(P<0.05);并且自我护理能力和健康相关行为各维度得分和总分均随着干预时间的推移而升高。结论健康教育路径干预可以提高PICC置管肿瘤患者的自我护理能力和健康行为水平,且随着干预时间的延长,患者自我护理能力和健康行为水平逐渐提高。
Objective To evaluate intervention effectiveness of health education clinical path on patients＇ self- care agency （SCA） and health behaviors （HB） among caner patients with Peripherally Inserted Central Catheter （PICC）. Methods 102 cancer patients with PICC were divided into intervention group （51 cases） and control group （51 cases） randomly. Health Education Clinical Path （HECP） with routine care was carried out in intervention group, while routine care was carried out in control group. The effects were measured by face to face interview in the first day, 10 days and one month after PICC inserted. Exercises of self-care agency scale and health promotion lifestyle profiles were investigated. Re- suits There was no statistic difference between the two groups before intervention （ P 〉 0. 05 ）. All scores of dimensions and total scores of SCA and HB in intervention group were higher than control group in 10 days and 30 days after the inter- vention （P〈0.05）. All scores of dimensions and total scores of SCA （10 days after 101.82 ±18.29, 30 clays after 105.06 ± 16. 32） and HB （ 10 clays after 114. 1±13.20, 30 days after 116. 43±12. 30） showed increased trends follow- ing intervention （ P 〈 0. 05 ）. Conclusion HECP is useful to improve SCA and HB of cancer patients with PICC, all scores of dimension score and total scores of SCA and HP is increased following intervention.
出处
《中国健康教育》
2012年第3期170-173,共4页
Chinese Journal of Health Education
基金
国家自然科学基金项目(81172201)
