摘要
目的了解PICC置管患者门诊进行导管维护依从性的风险因素,并初步建立依从性的评分系统,以利于对依从性较差患者进行医学干预。方法2016年1月—2018年2月在该院门诊PICC导管维护室的526例患者,进行资料收集、问卷调查。结果根据单因素分析的结果,共有6个潜在的影响因素,分别是:来院的便利程度、文化程度、患者日常生活习惯、护理人员门诊电话随访情况、家庭成员的陪护情况、患者经济收入<2 000元/月。对潜在的危险因素做Logistic多因素回归分析,筛选出5个危险因素,分别是来院的便利程度、文化程度、患者日常生活习惯、护理人员门诊电话随访情况、患者经济收入<2 000元/月。利用β值对危险因素进行赋值,患者来院的便利程度、文化程度、日常生活习惯3项分别为2分,门诊电话随访情况得分3分。ROC评价评分系统分析:曲线下面积为0.884,标准误为0.035,P<0.01。取Z=4.5时,灵敏度=0.786,特异度=0.742。结论PICC置管患者门诊导管维护依从性差的主要风险因素分别是来院的便利程度、文化程度、患者日常生活习惯、护理人员门诊电话随访情况、患者经济收入<2 000元/月。跟患者的性别、年龄、疾病类型等无关。因此建立了导管维护的依从性评分系统,可根据系统了解患者依从性高低,提前干预,提高依从性。
Objective To understand the risk factors of catheter maintenance compliance in outpatients with PICC, and to establish a compliance scoring system initially, so as to facilitate medical intervention for patients with poor compliance. Methods From January 2016 to February 2018, 526 patients in the PICC catheter maintenance room of our hospital were collected. The data were collected and the questionnaire was investigated. Results According to the results of univariate analysis, there were 6 potential influencing factors, namely: convenience, education level, daily life habits, telephone follow-up of nursing staff, attendance of family members, and income of <2 000 yuan/month. Logistic regression analysis was used to identify potential risk factors. 5 risk factors were selected, which were convenience degree, education level, daily life habits, nursing attendance, telephone follow-up and income of <2 000 yuan/month. The beta value was used to assign the risk factors. The convenience, educational level and daily life habits were 2 points, and the outpatient telephone follow-up rate was 3 points. ROC evaluation score system analysis: the area under the curve is 0.884, the standard is 0.035, P<0.01. When Z=4.5 was taken, the sensitivity was 0.786 and the specificity was 0.742. Conclusion The main risk factors for poor compliance of outpatients with PICC catheterization were the convenience degree, educational level, daily life habits, the attendance rate of nursing patients, the <2 000 yuan/month of patients' income. It was not related to the patient's sex, age, and type of disease. Therefore, we have established the compliance scoring system for catheter maintenance, and we can understand the compliance of patients according to the system, intervene ahead of time, and improve compliance.
作者
陈玉
卓慧
郑永红
CHEN Yu;ZHOU Hui;ZHANG Yong-hong(Department of Nursing,the Second People's Hospital of Neijiang,Neijiang,Sichuan Province,641000 China;Department of Nursing,the Fourth People's Hospital of Neijiang,Neijiang,Sichuan Province,641000 China)
出处
《中国卫生产业》
2019年第18期46-49,共4页
China Health Industry
