摘要
目的探讨对肿瘤科患者施行经外周静脉穿刺中心静脉置管(PICC)链条式的综合性护理干预效果。方法选取2016年3月至2016年12月肿瘤科收治的PICC置管患者112例,随机分为对照组和观察组,每组56例。2组均进行常规护理,观察组在常规护理的基础上给予多媒体等综合性护理干预措施。采用Zung编制的焦虑自评量表(SAS)观察2组患者干预后焦虑状况的改善情况、PICC置管后并发症发生情况及患者的护理满意度比较。结果观察组综合性护理干预后、SAS评分(41. 35±1. 67)低于对照组(53. 98±1. 61),差异有统计学意义(t=5. 27,P <0. 05);并发症发生率(8. 93%)与对照组(17. 86%)比较,差异有统计学意义(χ2=21. 47,P <0. 05);护理满意度(96. 43%)高于对照组(89. 29%),差异有统计学意义(χ2=19. 54,P <0. 05)。结论对肿瘤科PICC置管患者施行综合性护理干预可明显减轻患者的焦虑情绪,降低患者并发症发生率,提高患者护理满意度,值得临床推广应用。
Objective To investigate the intervention effects of chain-type comprehensive nursing on cancer patients undergoing peripherally inserted central catheter(PICC)in oncology department.Methods A total of 112 patients with cancer who underwent PICC in our hospital from March 2016 to December 2016 were randomly divided into control group and observation group,with 56 cases in each group.The patients in both groups were given routine nursing care,on this basis,the patients in observation group were given multimedia and the other of comprehensive nursing intervention measures.The improvement status of anxiety condition,the incidence of complications after PICC and nursing satisfaction degree of patients were observed and compared between the two groups by using the self-rating anxiety scale made by Zung.Results After comprehensive nursing intervention,the SAS scores in observation group(41.35±1.67)were significantly lower than those(53.98±1.61)in control group(t=5.27,P<0.05).Moreover the incidence of complication in observation group was significantly lower than that in control group(8.93%vs 17.86%,χ^2=21.47,P<0.05).In addition the nursing satisfaction degree in observation group was higher than that in control group(96.43%vs 89.29%,χ^2=19.54,P<0.05).Conclusion The comprehensive nursing intervention for cancer patients receiving PICC in department of oncology can obviously relieve the anxiety emotions of patients,reduce the incidence of complications and improve the nursing satisfaction degree of patients,therefor,it is worthy of clinical application and promotion.
作者
张秀霞
朱玉欣
张欣
尹欣欣
张聪聪
杨培
ZHANG Xiuxia;ZHU Yuxin;ZHANG Xin(Department of Oncology,The First Hospital of Shijiazhuang City,Hebei,Shijiazhuang 050011,China)
出处
《河北医药》
CAS
2018年第23期3678-3680,共3页
Hebei Medical Journal
基金
河北省医学科学研究重点课题(编号:20150165)
