摘要
目的探讨分析“个案护理师”在乳腺癌患者静脉输液港管理中的作用研究。方法2015年10月-2016年3月收治南京医科大学第一附属医院的90例植入输液港乳腺癌化疗患者为研究对象，分为对照组、观察组各45例；2015年12月以后收治的患者作为观察组采用“个案护理师”全程管理；对照组，采用传统的护理模式。在植入输液港后1，2，4个月采用自制“输液港自护能力”患者自评量表对患者进行评价，对比两组使用输液港后患者自护能力和不良事件发生率。结果植入输液港后1，2，4个月时间点，观察组患者的自护能力在“信息获得、日常维护执行、异常情况处理、日常活动”的评分均高于对照组，差异有统计学意义（P〈0．05）；观察组使用输液港时不良事件发生率较低差异有统计学意义（P〈0．05）。结论“个案护理师”护理实践有利于乳腺癌患者静脉输液港的安全使用，提高了患者的输液港自护能力，值得临床推广应用。
Objective To explore the function of ＂ case nurse＂ in self management of patients with breast cancer. Methods From October 2015 to March 2016 in our hospital, 90 cases of breast cancer patients undergoing chemotherapy implantable infusion harbor were selected as the research object in this study. The patients were assigned to the control group and the observation group with 45 patients in each group. Patients admitted to the hospital after December 2015 were regarded as the observation group and they accepted the whole course management of ＂case nurse＂ ; while patients in the control group received the routine model of care. After the implantable venous access ports （IVAP）, access port self-care scale was used to evaluate the patients at 1 month, 2 months and 4 months after infusion, and we compared the adverse events and patient self-care ability in two groups.Results At the time of 1 month, 2 months and 4 months after IVAP, the self-care ability of patients in the observation group was better that that in the control group in ＂ information acquire, daily maintenance, processing of exception and daily activities＂ （P 〈 0. 05）. The difference of incidence rate of adverse event in the observation group during IVAP was significant （P〈 0. 05）. Conclusions ＂ Case norse＂ nursing practice is good for the security use of venous port in breast cancer patients, and it improves patients＇ self-care ability in infusion harbor, which is worthy of clinical application.
出处
《中华现代护理杂志》
2016年第33期4751-4755,共5页
Chinese Journal of Modern Nursing
关键词
乳腺肿瘤
个案护理师
静脉输液港
Breast neoplasms
Case nurse
implantable venous access ports
