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Effect of IMB mode nursing intervention on quality of life of patients with indwelling PICC#br# |
LI Xinru ZHOU Tingting ZHOU Jing |
Department of Oncology, Huaian First People’s Hospital, Jiangsu Province, Huaian 223300, China |
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Abstract Objective To analyze the effect of nursing intervention of information-motiveation-behavioral skills model (IMB) on quality of life of patients with peripherally inserted central catheter (PICC). Methods A total of 120 tumor patients treated in Huaian First People’s Hospital of Jiangsu Province from February 2020 to February 2021 were selected, they were divided into control group and experimental group by random number table method, with 60 cases in each group. Negative psychological status, quality of life, adherence to catheter maintenance and incidence of complications were compared between the two groups. Results After treatment, anxiety and depression scores of the two groups were lower than before those treatment, and the experimental group was lower than the control group, and the differences were statistically significant (P < 0.05); the scores of physical function, social function, psychological function, and material life of the two groups were higher than those before treatment, and the experimental group was higher than the control group, and the differences were statistically significant (P < 0.05); the adherence rate of catheter maintenance in the experimental group was higher than that in the control group, the difference was statistically significant (P < 0.05); the incidence of total complications in the experimental group was lower than that in the control group, and the difference was statistically significant (P < 0.05). Conclusion The application of IMB mode nursing intervention in patients with PICC catheterization can improve patients’ compliance with catheterization and self-care ability, relieve adverse emotions, reduce the occurrence of complications during catheterization, and improve the quality of life.
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[1] 蔡红艳,王恒利.经尿道膀胱癌切除术后膀胱灌注化疗患者IMB护理模式探讨[J].西部中医药,2020,33(9):118-121.
[2] 宋春晓,马春霞,袁立.术前Otago运动辅助IMB行为模式对行TKA术后患者功能恢复的影响研究[J].护士进修杂志,2020,35(11):1027-1029.
[3] Ding Y,Ji L,Hu Y. Effects of tai chi on catheter management and quality of life in tumor patients with PICC at the intermission of chemotherapy:a non-inferiority randomized controlled trial [J]. Ann Palliat Med,2020,9(5):3293-3303.
[4] 华美霞.基于IMB模式的健康管理在糖尿病足溃疡患者中的应用效果及影响[J].国际护理学杂志,2020,39(11):1967-1971.
[5] 孙凤娇.以“信息-动机-行为”模型为基础的综合护理对宫颈癌术后尿潴留带管出院患者的干预效果[J].国际护理学杂志,2020,39(22):4153-4156.
[6] Pu YL,Li ZS,Zhi XX,et al. Complications and Costs of Peripherally Inserted Central Venous Catheters Compared With Implantable Port Catheters for Cancer Patients:A Meta-analysis [J]. Cancer Nurs,2020,43(6):455-467.
[7] 董蓓,王红军,沙静瑶,等.信息-动机-行为模式联合聚焦解决模式在原发性大肝癌患者中的应用[J].中华现代护理杂志,2020,26(14):1899-1902.
[8] 郭怡雪,郭普,李雪儿,等.肿瘤PICC化疗患者无针输液接头留置时间的临床研究[J].中国感染控制杂志,2021, 20(3):211-215.
[9] 彭斌,刘辉,田清,等.留置PICC在肿瘤患者化疗间隙的社区护理效果[J].西部医学,2019,31(8):1302-1304.
[10] 章亚颖,赵锐炜.应用PDCA护理模式对晚期肝癌患者经外周静脉穿刺中心静脉置管护理的效果评价[J].中国医药导报,2014,11(7):123-125.
[11] 代凤,苏迅,王蕾,等.握力大小对留置PICC肿瘤患者腋静脉血流动力学的影响[J].护理学报,2019,26(1):8-11.
[12] 李耀丽,杨启慧,孔繁贞,等.X线胸片结合体表测量方式在测量肿瘤患者PICC置管长度中的应用及护理[J].中国实用护理杂志,2021,37(8):604-609.
[13] 冯然.PDCA循环对降低肿瘤患者PICC留置期并发症的临床观察[J].河南医学研究,2013,22(6):919-921.
[14] 杜亚莉,高媛,韩彦清.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.
[15] 邾萍,刘建红,孟爱凤,等.肿瘤患者PICC留置初期自我管理能力及其影响因素研究[J].中国护理管理,2015, 15(12):1509-1513.
[16] 熊冬梅,田静,黄晓丹.PICC留置肿瘤患者自我护理能力及影响因素分析[J].实用临床医药杂志,2016,20(16):78-81.
[17] 邹艳玲,孔令霞,刘力婕,等.PICC与静脉留置针在肿瘤患者化疗效果中的应用比较[J].河北医药,2014,36(4):635-637.
[18] 张伟.肿瘤患者留置PICC导管相关性血流感染的研究[J].中华医院感染学杂志,2013,23(6):1306-1307.
[19] Yang Y,Gao ZY,Chen YK,et al. Effects on the integrated treatment of colorectal cancer patients during COVID-19 epidemic in China:a cross-sectional study [J]. Zhonghua Wei Chang Wai Ke Za Zhi,2020,23(8):795-800.
[20] 黄思莹,张媛.信息-动机-行为护理模式对老年高血压患者生活质量的影响[J].现代医学,2020,48(2):276-280.
[21] 陈谊月,夏春芳,彭永芝,等.留置PICC导管对非血液系统恶性肿瘤化疗患者血液流变学影响及其临床意义[J].中国现代医学杂志,2013,23(6):102-105.
[23] 杨爱民,张兰凤,周建萍,等.透明保护膜联合康惠尔水胶体敷料在肿瘤患者留置PICC后过敏性皮炎的疗效[J].国际护理学杂志,2018,37(21):3016-3018.
[24] Scrivens N,Sabri E,Bredeson C,et al. Comparison of complication rates and incidences associated with different peripherally inserted central catheters(PICC) in patients with hematological malignancies:a retrospective cohort study [J]. Leuk Lymphoma,2020,61(1):156-164.
[25] 张明,高伟,孙媛媛,等.肿瘤患者经外周静脉中心静脉导管留置期间真实体验的质性研究[J].解放军护理杂志,2014(19):1-5. |
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