摘要
目的:探讨知信行干预模式在肺癌化疗经外周静脉穿刺中心静脉导管(PICC)导管相关性静脉血栓患者中的应用。方法:选取2019年5月—2020年5月深圳市龙华区人民医院收治的78例肺癌化疗PICC患者作为研究对象,针对不同时期患者采用不同干预手段,对照组患者38例开展常规干预,实验组患者40例开展知信行干预模式,比较两组患者干预前后血栓弹力图参数、血流速度。结果:干预后,两组患者知识、行为以及态度等知信行评分显著提升,且实验组患者较对照组患者高,差异有统计学意义(t=4.140,5.558,7.666,P<0.05)。干预后,两组患者R值提升,MA值降低,实验组患者改变强度较对照组患者明显,差异有统计学意义(t=7.931,8.067,P<0.05)。实验组患者静脉血栓发生率明显低于对照组患者,差异有统计学意义(χ^(2)=4.799,P<0.05)。干预后,实验组患者最大血流速度、静脉平均血流速度较对照组患者提升更加显著,差异有统计学意义(t=2.136,2.666,P<0.05)。结论:知信行干预模式应用于肺癌PICC置管化疗患者中,可有效提升患者知信行水平,对凝血能力起到较大的改善效果,从而降低静脉血栓及相关并发症率。
Objective:To explore the use of the knowledge,attitude and practice intervention model in patients with catheter-associated venous thrombosis via peripheral venous puncture central venous catheter(PICC) for chemotherapy for lung cancer.Methods:78 patients admitted to the hospital with PICC for lung cancer chemotherapy from May 2019 to May 2020 were selected as the study population.Different interventions were used for patients in different periods,with 38 patients in the control group carrying out conventional interventions and 40 patients in the experimental group carrying out the knowledge,attitude and practice intervention model.The thromboelastographic parameters and blood flow velocity were compared between the two groups of patients before and after the intervention.Results:After the intervention,the knowledge,behavior,and attitude scores of patients in both groups increased significantly and were higher in the experimental group than in the control group,with statistically significant differences(t=4.140,5.558,7.666,P<0.05).After the intervention,R values were elevated and MA values were decreased in both groups,and the intensity of change was statistically significant in the experimental group compared with the control group(t=7.931,8.067,P<0.05).The incidence of venous thrombosis was significantly lower in the experimental group than in the control group,and the difference was statistically significant(χ^(2)=4.799,P<0.05).After the intervention,the maximum blood flow velocity and mean venous blood flow velocity of patients in the experimental group were more significantly improved than those in the control group,and the difference was statistically significant(t=2.136,2.666,P<0.05).Conclusion:The application of the knowledge,attitude and practice intervention model to patients undergoing PICC placement chemotherapy for lung cancer can effectively improve the level of knowledge and belief behavior of patients,which can have a greater effect on coagulation ability and thus reduce the rate of venous thromb
作者
骆丽芳
赖晓丹
吴希
LUO Li-fang;LAI Xiao-dan;WU Xi(Department of Respiratory Medicine,Shenzhen Longhua District People’s Hospital,Shenzhen,Guangdong,518109,China)
出处
《黑龙江医学》
2023年第5期619-621,共3页
Heilongjiang Medical Journal
基金
深圳市龙华区医疗卫生科技计划项目(2020085)。
关键词
知信行干预
肺癌
化疗
PICC置管
静脉血栓
Knowledge,attitude and practice intervention
Lung cancer
Chemotherapy
PICC catheter
Venous thrombosis
