摘要
目的探讨PICC带管出院老年患者家属居家维护接受度,并分析其影响因素。方法于2019年1—11月选取温州市3所三甲医院置入PICC且需带管出院的老年患者的家属143名为研究对象,采用一般情况调查表、导管维护相关认知调查表及Barthel指数评定量表(BI)对其进行问卷调查。本研究共发放143份问卷,共回收有效问卷143份,有效回收率为100%。结果143名老年PICC带管出院患者家属居家维护接受度为60.14%(86/143)。单因素分析显示,老年PICC带管出院患者家属居家维护接受度得分在家属工作状态、患者ADL评分、是否卧床、居住地导管维护是否方便、是否有信心进行导管观察处理、是否担心居家维护效果方面比较差异均有统计学意义(P<0.05)。多因素Logistic回归分析显示,居住地导管维护是否方便、老年患者自理能力和是否担心维护效果是老年PICC带管出院患者家属居家维护接受度的影响因素(P<0.05)。结论老年PICC带管出院患者家属居家维护接受度尚可,应加强对居住地导管维护不方便、患者自理能力差的家属的维护知识教育及操作技能培训,帮助其提升维护效果,从而更好地进行居家维护。
Objective To explore home maintenance acceptance of family members of elderly discharged patients with peripherally inserted central catheter(PICC)catheter and to analyze its influencing factors.Methods From January to November 2019,a total of 143 family members of elderly patients who were given PICC in three Class Ⅲ Grade A hospitals in Wenzhou and discharged with catheter were selected as research objects.A questionnaire survey was conducted on 143 family members of elderly discharged patients with PICC catheter using a general information questionnaire,Catheter Maintenance Related Cognitive Questionnaire and Barthel Index Rating Scale(BI).A total of 143 questionnaires were distributed in this study and a total of 143 valid questionnaires were recovered.The effective recovery rate was 100%.Results The acceptance rate of home maintenance of 143 family members of elderly discharged patients with PICC catheter was 60.14%(86/143).Single factor analysis showed that home maintenance acceptance score of family members of elderly discharged patients with PICC catheter had statistically significant differences in working status of family members,ADL score of patients,whether they stayed in bed,whether the catheter maintenance in the residence was convenient,whether they were confident in catheter observation and treatment and whether they were worried about the effect of home maintenance(P<0.05).Multivariate logistic regression analysis showed that the convenience of catheter maintenance in the residence,self-care ability of patients and whether they were worried about the maintenance effect were the influencing factors of the home maintenance acceptance of family members of elderly discharged patients with PICC catheter(P<0.05).Conclusions The family maintenance acceptance of elderly discharged patients with PICC catheter is at a medium level.It is necessary to strengthen the maintenance knowledge education and operation skills training of family members with inconvenient catheter maintenance in residence and poor s
作者
徐晓微
姚海欣
娄建琴
陈瑜
任静
Xu Xiaowei;Yao Haixin;Lou Jianqin;Chen Yu;Ren Jing(Department of Gastroenterology,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China;Department of Intervention,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China)
出处
《中华现代护理杂志》
2020年第16期2147-2151,共5页
Chinese Journal of Modern Nursing
基金
浙江省医药卫生科技计划项目(2019KY455)。
