自我强化管理教育对中心静脉导管化疗乳腺癌病人自我带管管理能力的影响

doi:10.3969/j.issn.10056483.2019.03.010

摘要/Abstract

摘要： 目的:探讨自我强化管理教育对于经外周静脉穿刺置入中心静脉导管（PICC）化疗的乳腺癌病人带管期间自我管理能力的影响。方法: 乳腺癌病人130例，均行PICC化疗。采用随机数字表法将130例病人分为强化组和对照组，每组各65例，强化组给予自我强化管理教育措施干预，对照组仅给予一般护理及指导，观察两组干预前后的PICC自我管理能力（CPPSM）量表评分、PICC留置时间、带管期间并发症率。结果:干预前，强化组和对照组的日常生活管理、维护依从性管理、运动管理、信息获取、日常导管观察、异常情况处理、导管管理信心及CPPSM评分比较差异均无统计学意义（P>0.05）；干预后，强化组的日常生活管理、维护依从性管理、运动管理、信息获取、日常导管观察、异常情况处理、导管管理信心及CPPSM评分均高于对照组（P<0.05）；强化组的平均带管时间长于对照组（P<0.05）；强化组的并发症率为1.59%，对照组为11.48%，两组比较差异有统计学意义（P<0.05）。结论:自我强化管理教育可提升PICC化疗的乳腺癌病人带管期间自我管理相关评分，降低并发症发生率。

关键词: 自我强化管理教育, 中心静脉导管, 化疗, 乳腺癌

Abstract: Objective:To explore the effect of self strengthening management education on selfmanagement ability of breast cancer patients undergoing peripherally inserted central venous catheterization（PICC）chemotherapy.Methods:130 patients with breast cancer who received PICC chemotherapy were selected.They were randomly divided into intensive group and control group with 65 cases in each group.The intensive group was given selfreinforcement management education intervention，while the control group was only given general nursing and guidance.The PICC selfmanagement ability of the two groups before and after intervention was observed（CPPSM）scale score，PICC retention time，and complication rate during tube operation.Results:Before intervention，there was no significant difference in daily life management，maintenance compliance management，sports management，information acquisition，daily catheter observation，abnormal handling，catheter management confidence and CPPSM score between the intensive group and the control group（P>0.05）.Exercise management，information acquisition，routine catheter observation，exception handling，catheter management confidence and CPPSM scores were significantly higher than those in the control group（P<0.05），the average tube time of the intensive group was longer than that in the control group（P<0.05），and the complication rate in the intensive group was 1.59%，significantly lower than that in the control group（11.48%）（P<0.05）.Conclusion:Self strengthening management education can improve the selfmanagement score of breast cancer patients with PICC chemotherapy and reduce the complication rate.

Key words: self strengthening management education, peripherally inserted central catheter, chemotherapy, breast cancer

马晓霞, 孙静岚, 郝楠, 刘小娜, 王霞, 葛冠群. 自我强化管理教育对中心静脉导管化疗乳腺癌病人自我带管管理能力的影响[J]. 临床外科杂志, 2019, 27(3): 209-212.

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