摘要
目的 探讨肿瘤患者PICC自我管理能力现状并分析其影响因素,为临床干预提供依据.方法 应用肿瘤患者自我管理能力量表,采取分层抽样的方法 对大连市2家三甲医院进行PICC导管维护的95例患者进行问卷调查.结果 患者自我管理能力平均得分为（153.02±17.19）分,总体水平较高,排在后两位的是信息的获取、导管管理信心.单因素分析结果 显示：不同年龄、文化程度、家庭人均月收入、医疗费用来源、居住地及置管时间的肿瘤患者PICC自我管理能力得分比较,差异均有统计学意义（P〈0.05）.采用多元逐步回归对患者管理需求进行多因素分析,结果 显示：居住地及置管时间是肿瘤患者PICC自我管理能力的影响因素.结论 肿瘤患者PICC自我管理能力水平并未达到满意效果.医护人员在为携带PICC的肿瘤患者提供导管护理的同时,应考虑患者的自身特点,从而采用多样化的健康教育手段,为患者提供个体化、合理化的健康教育,帮助其提高自我管理能力,减少并发症的发生,延长PICC留置时间.
Objective To study the status quo of self-management ability of the cancer patients with PICC and to analyze its influencing factors to provide basis for clinical research. Methods A total of 95 patients from two Top-Three hospitals in Dalian were investigated by the self-management ability scale for tumor patients, with stratified sam-pling method. Results The average score of patients＇ self-management ability was （153. 02±17. 19） . Its overall level was higher and the last two were information obtaining and faith for catheter management. Single-factor analysis showed that there were statistical significances in terms of the differences among age, education background, average family monthly income per capita, origin of the medical expenses, city where they lived and time for insertion for the self-man-agement ability of the cancer patients with PICC （ P〈0. 05 ） . The results of multiple factors analysis showed that city to live and the time of insertion was the influencing factors for the self-management ability of the cancer patients with PICC. Conclusions The self-management ability of tumor patients with PICC was not satisfiying. The personal charac-teristics of the cancer patients with PICC should be taken into consideration when being provided nursing for catheter Di-versified means of health education should be conducted as well to provide individualized, reasonable health education to patients, help them improve the ability of self-management, and reduce the occurrence of complications and extend the indwelling time of PICC.
出处
《国际护理学杂志》
2016年第22期3053-3056,共4页
international journal of nursing
关键词
肿瘤患者
自我管理
能力
PICC
Cancer patients
PICC
Self-management
Ability
