摘要
目的:观察一体化临床路径模式在乳腺癌化疗PICC置管患者护理中的应用效果。方法:选择2021年6月至10月期间中山市中医院收治的60例化疗+经外周静脉置入中心静脉导管(PICC)置管的乳腺癌患者作为研究对象。随机将所选病例分为常模组和讨论组,每组各有患者30例。给予常模组患者常规护理路径,讨论组患者在常模组的基础上给予一体化临床路径模式。对比两组患者干预前后的各项临床指标。结果:干预前,两组患者的抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分对比,无统计学差异(P>0.05)。干预后,两组患者的SDS评分、SAS评分均明显降低,且讨论组患者的SDS评分、SAS评分均明显低于常模组患者,有统计学差异(P<0.05)。干预后,讨论组患者的乳腺癌患者生活质量测定量表(QLSBC)评分明显高于常模组患者,有统计学差异(P<0.05)。讨论组患者的护理总满意度为93.33%(28/30),显著高于常模组患者的73.33%(22/30),有统计学差异(P<0.05)。结论:在乳腺癌化疗PICC置管患者的临床护理中应用一体化临床路径模式,可有效缓解焦虑、抑郁等负性情绪,改善生活质量,提高满意度,有临床推广价值。
Objective:To observe the application effect of integrated clinical pathway model in the nursing of breast cancer patients with PICC catheter during chemotherapy.Methods:A total of 60 breast cancer patients treated with chemotherapy plus peripherally inserted central venous catheter(PICC)in Zhongshan Hospital of Traditional Chinese Medicine from June to October 2021 were selected as the research objects.The selected cases were randomly divided into normal group and discussion group,with 30 patients in each group.Patients in the norm group were given routine nursing pathway,while patients in the discussion group were given integrated clinical pathway model on the basis of the norm group.The clinical indicators before and after intervention were compared between the two groups.Results:Before intervention,there was no significant difference in the scores of self-rating Depression Scale(SDS)and self-rating Anxiety Scale(SAS)between the two groups(P>0.05).After intervention,the SDS score and SAS score of patients in the two groups were significantly decreased,and the SDS score and SAS score of patients in the discussion group were significantly lower than those of patients in the norm group,with statistical differences(P<0.05).After intervention,the Quality of Life Scale for breast Cancer patients(QLSBC)score of patients in the discussion group was significantly higher than that of patients in the norm group,and the difference was statistically significant(P<0.05).The total nursing satisfaction of patients in the discussion group was 93.33%(28/30),which was significantly higher than 73.33%(22/30)in the norm group,with statistical difference(P<0.05).Conclusion:The application of integrated clinical pathway model in the clinical nursing of breast cancer patients with PICC catheterization during chemotherapy can effectively relieve anxiety,depression and other negative emotions,improve the quality of life,improve satisfaction,and has clinical promotion value.
作者
陈春玲
陈冬妮
黄媛
CHEN Chunling;CHEN Dongni;HUANG Yuan(Injection Room,Zhongshan Hospital of Traditional Chinese Medicine,Zhon gshan Guangdong 528400)
基金
中山市医学科研项目(项目编号2021A020762)。
关键词
一体化临床路径模式
乳腺癌
化疗
PICC置管
护理
Integrated clinical pathway model
Breast cancer
Chemotherap y
PICC catheter
nursing
