图示及健康教育对肿瘤患者中心静脉导管并发症的影响

摘要

目的:探讨图示及健康宣教对肿瘤患者中心静脉导管(PICC)并发症的影响.方法:选取放疗科收治的接受PICC置管的恶性肿瘤患者146例,按随机数字表法分组,对照组73例予以传统口头健康宣教,研究组73例在对照组基础上予以图示健康教育,干预后对比两组患者疾病自我护理能力评分、健康促进行为水平、生活质量评分及并发症发生率.结果:与对照组比较,研究组干预后自我护理能力测定量表(ESCA)各项目评分及总分较高,健康促进生活方式量表Ⅱ(HPLPⅡ)各项目评分及总分较高,生活质量综合评定问卷-74(GQOL-74)各维度评分较高,具有统计学意义(P<0.05);对照组并发症发生率(28.77％)高于研究组并发症发生率(12.33％),具有统计学意义(P<0.05).结论:图示及健康宣教能够提高肿瘤患者PICC置管后的自我护理能力,明显提高健康促进行为水平,改善生活质量,降低并发症的发生率.%Objective:To investigate the effect of graphic and health education on peripherally inserted central catheter ( PICC) catheter complications in patients with cancer. Methods:146 patients with cancer re-ceiving PICC catheter from the Department of Oncology in our hospital were selected and divided into 2 groups, 73 cases in the control group received traditional oral health education, 73 cases in the experiment group received graphic health education on the basis of the control group, the self care ability score, health promotion behavior, quality of life score and complication rate were compared after intervention. Results:Com-pared with the control group, each item score of self care ability scale ( ESCA) and the total score were higher after intervention in the experiment group, each item score of health promoting lifestyle scale II ( HPLP II) and the total score were higher after intervention,each dimension score of comprehensive quality of life ques-tionnaire -74 ( GQOL-74) and the total score were higher after intervention, with significant difference ( P<0.05) . Conclusion:The graphic and health education can improve self-care ability of patients with cancer re-ceiving PICC catheter, significantly improve the level of health promotion behavior, improve the quality of life, reduce the incidence of complications.