摘要
目的探讨评价个体化自我管理教育对乳腺癌患者PICC并发症发生情况的影响。方法 2016年9月—2018年1月期间,方便收集该院收治的72例乳腺癌患者,采用双盲法,将其分为两组,分别设为对照组与观察组,各36例。对照组实施常规护理,观察组配合个体化自我管理教育,评价患者护理前后的自我护理能力,统计患者PICC并发症,调查满意度。结果 (1)入院时,两组患者自我护理能力评分[(54.2±5.91)分vs(53.8±5.37)分,差异无统计学意义(t=0.301,P=0.764)],护理后1、3个月,观察组评分显著高于对照组[(89.9±6.73)分vs(77.4±4.59)分;(122.3±7.98)分vs(105.2±8.35)分,(P<0.01)]。(2)关于PICC并发症,观察组发生率为13.8%,对照组为33.3%,差异有统计学意义(χ2=10.560,P=0.001)。(3)观察组满意度评分为(93.4±5.91)分,对照组为(86.2±7.84)分,差异有统计学意义(t=4.400,P=0.000)。结论乳腺癌患者,进行个体化自我管理教育,不仅可提高患者自我护理能力,而且可减少PICC并发症,患者满意度高。
Objective To evaluate the effect of individualized self-management education on the incidence of PICC complications in breast cancer patients. Methods A total of 72 breast cancer patients admitted to the hospital during the period from September 2016 to January 2018 were convenient selected and double-blinded divided into two groups： control group and observation group, and 36 cases in each group. The control group was given routine nursing care. The observation group cooperated with individualized self-management education, evaluated the self-care ability before and after the patient＇s care, and counted the PICC complications of the patient and investigated the satisfaction. Results 1.At admission, there was no significant difference in self-care ability scores between the two groups [（54.2 ±5.91）points vs（53.8 ±5.37）points,（t =0.301,P=0.764）]. After 1 month and 3 months of nursing, the scores of the observation group were significantly higher than the control group [（89.9±6.73）points vs（77.4±4.59）points;（122.3±7.98）points vs（105.2±8.35）points,（P〈0.01）]. 2.The incidence of PICC complications was 13.8% in the observation group and 33.3% in the control group. There was a statistically significant difference between the two groups（χ^2=10.560, P=0.001）. 3.The satisfaction score of the observation group was（93.4±5.91） points, and that of the control group was（86.2±7.84） points. The difference between the groups was significant（t=4.400, P=0.000）. Conclusion Individualized self-management education for breast cancer patients can not only improve patients＇ self-care ability, but also reduce PICC complications. Patients＇ satisfaction is high.
作者
苏连珠
孔祥琴
刘茝莲
林秀银
SU Lian-zhu;KONG Xiang-qin;LIU Chai-lian;LIN Xiu-yin(The General Surgery Department,the Second Hospital of Sanming,Fujian Province,366000 China)
出处
《中外医疗》
2018年第22期150-152,共3页
China & Foreign Medical Treatment
关键词
个体化
自我管理教育
乳腺癌
PICC并发症
影响
Individuation
Self-management education
Breast cancer
PICC complications
Impact
