肿瘤患者PICC自我管理行为现状及其影响因素的调查分析

摘要

Objective To explore the current situations in self-management of cancer patients over peripherally inserted central catheter (PICC) and the influencing factors. Method Self-designed general demographic data form, disease-related questionnaire and PICC self-management ability for cancer patients were used to investigate 98 tumor patients with PICC. Results The total score on self-management ability of the cancer patient with PICC was (150.85 ± 17.35). The influencing factors of their self-management of PICC included education level, economic condition, presence or absence of long-term caregivers and cognitive disorders, all contributive to the prediction of 28.60%total variance for the patients′self-management capability. Conclusions Cancer patients have a better ability in managing PICC, but a few patients failed to grasp self-management skills, which was resulted from many factors. Nurses should pay more attention to those with less education, under poorer economic conditions and without long-term caregivers, and provide them with more care and education so as to comprehensively improve their self-management skills.%目的：了解和分析经外周置入中心静脉导管（peripherally inserted central catheter，PICC）肿瘤患者自我管理行为现状及其影响因素。方法采用自行设计的一般资料调查表及肿瘤患者PICC自我管理行为量表对98例使用PICC的肿瘤患者进行调查。结果肿瘤患者PICC自我管理行为量表总分为（150．85±17．35）分。患者文化程度、经济情况、有无长期照顾者、疾病认知是影响患者自我管理行为的主要因素，共同解释自我管理能力总变异量的28．60％。结论肿瘤患者PICC自我管理行为处于较好水平，但仍有患者未能掌握PICC自我管理技能且受多种因素影响，护理人员应重视文化程度低、经济情况差、无长期照顾者的患者，给予其更多的关注和教育，以提高PICC患者的自我管理能力。