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雷彦俊 蒋慧玲▲ 吕魏潇 刘泽梅.自我管理项目干预对PICC置管的鼻咽癌患者及家属的自我护理能力及焦虑状态的影响[J].中国现代医生,2021,59(6):178-181
自我管理项目干预对PICC置管的鼻咽癌患者及家属的自我护理能力及焦虑状态的影响
Effect of self-management program on self-care ability and anxiety state of nasopharyngeal carcinoma patients with PICC and their family members
  
DOI:
中文关键词:  经外周静脉穿刺中心静脉置管  自我管理项目干预  鼻咽癌  自我护理能力  负面情绪
英文关键词:Peripherally inserted central venous catheters  Self-management project intervention  Nasopharyngeal carcinoma  Self-care ability  Negative emotion
基金项目:浙江省医药卫生科技计划项目(2020ZH083)
作者单位
雷彦俊 蒋慧玲▲ 吕魏潇 刘泽梅 浙江省丽水市中心医院放疗科浙江丽水 323000 
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中文摘要:
      目的 探讨自我管理项目干预在经外周静脉穿刺中心静脉置管(PICC)下鼻咽癌(NPC)家庭中的应用价值。方法 选择2018 年2 月至2020 年2 月在我院行PICC 置管的70 例NPC 患者,其中35 例患者及其家属均接受常规的健康宣教(对照组),35 例患者及其家属则实施自我管理干预(观察组),比较两组患者对PICC 相关知识的掌握情况、患者及家属的自我护理能力、负面情绪及并发症情况。结果 干预后,观察组患者对PICC 相关知识掌握程度明显高于对照组(P<0.05);观察组各项自我护理能力评分均明显高于对照组(P<0.05);且观察组干预后的焦虑状态评分明显低于对照组(P<0.05);观察组PICC 并发症的总发生率明显低于对照组(P<0.05)。结论 将自我管理项目干预应用于PICC 置管下的鼻咽癌家庭中,可有效提高患者家庭对相关知识的掌握程度及自我护理能力,同时缓解其焦虑情况,且对各项并发症的发生也具有较好的预防效果。
英文摘要:
      Objective To explore the application value of self-management program in nasopharyngeal carcinoma(NPC) patients with peripherally inserted central venous catheters (PICC) and their family members.Methods A total of 70 NPC patients underwent PICC in our hospital from February 2018 to February 2020 were selected.35 patients and their families received routine health education(the control group),while the other 35 patients and their families received self-management intervention(the observation group).The mastery of PICC related knowledge,self-care ability of patients and their families,negative emotions and complications were compared between the two groups.Results After the intervention,the patients in the observation group had a significantly better master of PICC related knowledge than the control group(P<0.05).The scores of self-care ability of patients and their families in the observation group were significantly higher than those in the control group(P<0.05).The anxiety scores of the families in the observation group after intervention were significantly lower than those in the control group(P<0.05).In addition,after observation and statistics,it was found that the total incidence of PICC complications in the observation group was significantly lower than that in the control group (P<0.05).Conclusion For NPC patients with PICC and their family members,the self-management program can effectively improve their mastery of relevant knowledge and self-care ability,relieve their anxiety,and have a good preventive effect on the occurrence of various complications.
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