|
|
Impact of empowerment health education on the self-management ability and quality of life of PICC patients with hematological tumors |
WANG Min YU Youhuan▲ ZHANG Yanming LIN Guoqiang |
Department of Hematology, the Affiliated Huai’an Hospital of Xuzhou Medical University the Second People’s Hospital of Huai’an, Jiangsu Province, Huai’an 223001, China |
|
|
Abstract Objective To explore the effect of empowerment health education on the self-management ability and quality of life of peripherallyinserted central catheters (PICC) patients with hematological tumors. Methods A total of 90 PICC patients with hematological tumors admitted to the Affiliated Huai’an Hospital of Xuzhou Medical University from January 2017 to December 2018 were selected as the research objects. According to the random number table method, they were divided into treatment group and control group, with 45 cases in each group. The control group was given regular health education, and the treatment group was given a joint application of empowerment health education. Follow up for six months, the PICC self-management ability, PICC-related complications, quality of life of cancer patients were compared between the two groups. Results Follow-up for 6 months, 42 cases were actually included in the treatment group and 38 cases were included in the control group. The self-management ability scores of the two groups were significantly higher than those before the intervention, the catheter maintenance compliance, handling of abnormal situations, tube exercise, information acquisition, tube daily life scores, and PICC self-management ability total scores of treatment group were higher than those of the control group, the differences were statistically significant (P < 0.05); The total rate of PICC-related complications in the treatment group were lower than those in the control group, and the difference was statistically significant (P < 0.05). the functional assessment of cancer therapy-general (FACT-G) score of the two groups was significantly higher than that before the intervention of the same group, the physiological status, emotional status, activity ability scores, and FACT-G total scores of treatment group were higher than those of the control group, and the differences were statistically significant (P < 0.05). Conclusion Empowerment health education can help promote the development of PICC self-management ability of PICC patients with hematological tumor, reduce the occurrence of PICC-related complications, and improve the quality of life of patients.
|
|
|
|
|
[1] 郑美琼,陈燕,张燕,等.血液肿瘤患者PICC自我管理水平及护理对策[J].临床心身疾病杂志,2017,23(4):176-178.
[2] 马平,宋华.血液肿瘤患者PICC导管相关性血栓发生原因与预防研究的进展[J].中国护理管理,2019,19(2):301-305.
[3] 王洪梅,丁红.赋能教育对透析患者血管通路管理的应用价值[J].中国继续医学教育,2020,12(26):194-198.
[4] 周春兰,汪思祺,王艳芳,等.基于授权赋能理论的慢性病患者积极度研究[J].中华医院管理杂志,2018,34(8):677-681.
[5] 李建勇,邱录贵.中国慢性淋巴细胞白血病诊断与治疗专家共识[J].中华血液学杂志,2010,31(2):141-144.
[6] 李向红.淋巴瘤病理诊断的标准化[J].中华病理学杂志,2013,42(4):217-219.
[7] 侯健.《中国多发性骨髓瘤诊治指南(2011年修订)》诊断部分的解读[J].中华内科杂志,2011,50(10):897.
[8] 孙琛.路径化健康宣教模式对恶性血液病PICC置管患者的影响[J].国际护理学杂志,2017,36(24):3390-3392.
[9] 胡梦蝶,高阳.家庭认知干预对肿瘤PICC置管患者自我管理能力的影响[J].中国病案,2018,19(11):110-112.
[10] 刘春丽,颜美琼,陆箴琦.肿瘤患者PICC自我管理能力量表的构建及测评[J].护理学杂志,2012,27(23):1-4.
[11] 万崇华,孟琼,汤学良,等.癌症患者生命质量测定量表FACT-G中文版评价[J].实用肿瘤学杂志,2006,21(1):77-80.
[12] 夏丽敏,詹健,李雪艳,等.思维导图在结直肠癌PICC带管早期患者健康教育中的应用研究[J].护士进修杂志,2017,32(4):308-311.
[13] 王蓓,周琴,王莉莉,等.乳腺癌POWER PICC导管感染相关危险因素及应对策略的研究[J].中华现代护理杂志,2016,22(24):3486-3488.
[14] 庄佳铭,刘慧宇,朱悦,等.PICC置管肿瘤患者导管自我管理能力的研究进展[J].中华现代护理杂志,2020, 26(22):3109-3112.
[15] 凌瑛,应燕萍,陈莹莹,等.基于区域协同护理的PICC维护网络体系构建与实施[J].中国护理管理,2019,19(5):652-656.
[16] 徐榆林,王晓东,李豪,等.赋能理论在慢性病家庭主要照顾者中的研究进展[J].护士进修杂志,2020,35(22):2065-2069.
[17] 舒海燕,刘佳.赋能教育对大肠癌造口患者疾病不确定感的干预研究[J].解放军护理杂志,2018,35(9):35-38.
[18] 赵丽娟,梁静,李萍,等.授权原理与路径化健康教育相结合教育模式对尿路造口患者生活质量的影响[J].护士进修杂志,2018,33(8):732-735.
[19] 刘正翠,李成剑,游励红.赋能教育对维持性血液透析病人血管通路自我管理的影响[J].全科护理,2019,17(8):934-936.
[20] 张韶红,杨艳.赋能教育对肥胖型多囊卵巢综合征不孕患者情绪困绕的影响[J].护士进修杂志,2019,34(18):1679-1681.
[21] 欧阳静,江华容,陈大春,等.肿瘤患者PICC置管赋能教育研究[J].护理学杂志,2017,32(7):74-77.
[22] 王玉春,冯婉娟.微信平台教育对维持性血液透析患者血管通路自护能力的影响[J].淮海医药,2020,38(4):423-426.
[23] 赖妙娟,梁真群,邓春晓,等.赋能式健康教育对PICC置管乳腺癌患者生活质量的影响[J].中国当代医药,2019, 26(28):204-207.
[24] 胡利.针对性健康教育对肿瘤PICC置管患者的影响[J].中国现代医生,2019,57(18):150-152,156.
[25] 毛越,徐剑锋,陈昊天,等.同伴教育对冠心病患者心脏康复锻炼依从性的影响[J].中国实用护理杂志,2020, 36(30):2348-2353.
[26] 秦月兰,石小毛,何育兰,等.互联网+居家照护平台在肿瘤患者PICC导管延续护理中的应用[J].中华现代护理杂志,2019,25(8):986-990.
[27] 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影响因素研究[J].中国护理管理,2015, 15(12):1509-1513.
[28] 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.
[29] 李毅,龙晓彬.心电监护在PICC置管中的应用[J].中国当代医药,2020,27(26):61-63.
[30] 欧阳华,刘健,卜金枝,等.Ⅲ导联联合心电定位在左侧入路PICC患者中的应用[J].当代医学,2019,25(5):21-23. |
|
|
|