Effects of cognitive intervention and psychological intervention on puncture the central vein through the peripheral vein catheterization related complications and mood in patients with breast cancer
DU Yali1 GAO Yuan1 HAN Yanqing2▲
1.Department of Thoracic and Cardiovascular Surgery, the Second Hospital of Yulin City, Shaanxi Province, Yulin 719000, China;
2.Department of Hepatobiliary Surgery, the Second Hospital of Yulin City, Shaanxi Province, Yulin 719000, China
Abstract：Objective To explore the effects of cognitive intervention and psychological intervention on the complications and emotions associated with puncture the central vein through the peripheral vein (PICC) in patients with breast cancer after peripheral venipentesis. Methods From October 2018 to December 2019, 52 patients with ultrason-guided PICC catheter after breast cancer surgery in the Second Hospital of Yulin City were selected and divided into control group (routine nursing intervention) and observation group (enhanced cognitive and psychological intervention based on routine nursing intervention), with 26 patients in each group. Anxiety, depression, incidence of PICC catheter-related complications and nursing satisfaction were compared between the two groups. Results After intervention, the scores of anxiety self-rating scale and depression self-rating scale in the observation group decreased compared with that before intervention, and the scores of the observation group were significantly lower than those of the control group (P ＜ 0.05). The incidence of PICC catheter-related complications in the observation group was lower than that in the control group (P ＜ 0.05). Nursing intervention satisfaction in the observation group was significantly higher than that in the control group (P ＜ 0.05). Conclusion In the nursing intervention for breast cancer patients after operation, cognitive intervention combined with psychological intervention plays a very important role in the improvement of anxiety and depression in patients, which can reduce the incidence of PICC catheter-related complications catheterization and improve the nursing satisfaction of patients.
杜亚莉1 高媛1 韩彦清2▲. 认知干预配合心理干预乳腺癌术后患者PICC置管相关并发症及情绪的影响[J]. 中国医药导报, 2020, 17(26): 182-185.
DU Yali1 GAO Yuan1 HAN Yanqing2▲. Effects of cognitive intervention and psychological intervention on puncture the central vein through the peripheral vein catheterization related complications and mood in patients with breast cancer. 中国医药导报, 2020, 17(26): 182-185.
[1] Jerez Y，Lopez TS，Marquez RI，et al. Abstract P4-20-01：Implications of financial modeling in breast cancer clinical research from 1990 to 2010 [J]. Cancer Research，2017，77（4 ）：P4-20-01.
[2] 王爱红.乳腺癌化疗患者PICC置管并发症的影响因素及护理干预的相关研究[J].临床医药文献电子杂志，2018， 5（A3）：105-106.
[3] Greenslade MV，Elliott B，Mandville-Anstey SA. Same-Day Breast Cancer Surgery：A Qualitative Study of Women's Lived Experiences [J]. Onco Nurs Forum，2017，37（2）：92-97.
[4] Moreland A，Novogrodsky E，Brody L，et al. Pneumothorax with prolonged chest tube requirement after CT-guided percutaneous lung biopsy：incidence and risk factors [J]. Europ Radio，2016，26（10）：3483-3491.
[5] 郭艺芳，李翎，陈金莲，等.优质护理对乳腺癌术后患者PICC置管相关并发症及情绪的影响[J].中国卫生标准管理，2018，9（14）：159-162.
[6] 关云娇.预见性护理在降低老年乳腺癌患者PICC置管后导管相关并发症中的应用[J].护理实践与研究，2016，13（23）：108-110.
[7] 杨静，郑海燕，宋迪.肺癌PICC置管患者情绪与并发症的相关性及其干预措施[J].包头医学院学报，2018，34（5）：89-91，95.
[8] 王爱红.乳腺癌化疗患者PICC置管并发症的影响因素及护理干预的相关研究[J].临床医药文献电子杂志，2018， 5（A3）：105-106.
[9] Ownbey M，Suffoletto B，Frisch A，et al. Prevalence and Interventional Outcomes of Patients with Resolution of ST-segment Elevation between Prehospital and In-hospital ECG [J]. Prehospital Emergency Care，2017，18（2）：174-179.
[10] Cui HX，Fang WG，Yang JH. Research on regional selection of blood pressure measurement after PICC catheterization in patients with breast cancer surgery [J]. Clinical Medicine，2013，10（5）：516-517.
[11] 陆美华，黄敏清，方奕，等.认知行为干预对肿瘤PICC置管患者焦虑抑郁的影响[J].国际护理学杂志，2015， 10（2）：213-214.
[12] 孙晓文，王锦航，刘珊珊，等.危机干预在乳腺癌PICC置管患者中的应用[J].中华现代护理杂志，2018，24（28）：3418-3421.
[13] 冯建红，李洁，秦香，等.认知行为干预对PICC置管肝肺疾病患者负性情绪、生活质量及并发症的影响[J].国际精神病学杂志，2016，43（6）：1128-1131.
[14] 程如虹.认知干预对PICC置管患者治疗依从性及并发症的影响[J].中国现代医生，2013，51（16）：96-97.
[15] 李丽，董龙梅，钱丹，等.认知行为护理干预对PICC置管患者生活质量、负性情绪及并发症的影响[J].现代中西医结合杂志，2018，20（11）：112-114.
[16] 何小霞，严银英.Orem自理模式心理干预对乳腺癌患者PICC置管并发症的影响[J].中华现代护理杂志，2013， 19（27）：3321-3323.
[17] 林义秋，李莉，夏冬梅.认知干预配合心理干预对CT引导下经皮肺穿刺活检术患者并发症及焦虑抑郁情绪的影响[J].中国健康心理学杂志，2018，26（7）：1251-1253.
[18] 林义秋，李莉，夏冬梅.认知干预配合心理干预对CT引导下经皮肺穿刺活检术患者并发症及焦虑抑郁情绪的影响[J].中国健康心理学杂志，2018，26（7）：1027-1031.
[19] 王爱红.乳腺癌化疗患者PICC置管并发症的影响因素及护理干预的相关研究[J].临床医药文献电子杂志，2018， 5（A3）：105-106.
[20] 熊萍，章玉英，董赟，等.信息-动机-行为技巧模型应用于PICC患者延迟换药问题的研究[J].当代医学，2018， 24（17）：6-8.
[21] 潘汝梅.PDCA护理模式在乳腺癌患者PICC置管中的应用效果及对其并发症的影响[J].中外医学研究，2019， 17（6）：90-91.
2020, Vol. 17 
京公网安备 11010502046598号