摘要
目的探讨叙事护理在肿瘤患者经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)留置期间延续性护理中的应用效果。方法选取2023年12月—2024年5月在厦门大学附属第一医院行PICC维护的100例肿瘤患者,采用随机数字表法分为试验组和对照组各50例,试验组给予叙事护理模式进行延续护理,对照组给予常规延续护理,比较2组干预前后自我倡权、生活质量、并发症及依从性。结果干预后试验组自我倡权总分为(87.67±3.73)分,高于对照组的(71.90±7.15)分,差异有统计学意义(P<0.001)。干预后试验组总体健康状况评分为(77.55±8.87)分,高于对照组的(70.31±12.27)分,差异有统计学意义(P<0.05);试验组躯体功能、角色功能、情绪功能、社会功能评分均高于对照组,疲劳、恶心呕吐、食欲减退、腹泻评分均低于对照组,差异有统计学意义(P<0.05)。干预后试验组并发症发生率为10.2%,低于对照组的37.5%,差异有统计学意义(P<0.05)。干预后试验组导管维护缺失次数、缺失患者例数占比分别为1.9%、10.2%,低于对照组的8.0%、27.1%,差异有统计学意义(P<0.05)。结论叙事护理可提高肿瘤患者自我倡权水平,改善生活质量并提高患者导管维护依从性,降低并发症发生率。
Objective To explore the application effect of narrative nursing in the continuous nursing of tumor patients during the indwelling period of peripherally inserted central catheter(PICC).Methods A total of 100 tumor patients who underwent PICC maintenance at the First Affiliated Hospital of Xiamen University,School of Medicine,Xiamen University from December 2023 to May 2024 were selected and randomly divided into the experimental group and the control group,with 50 cases in each group.The experimental group was given continuous care using the narrative nursing model,while the control group was given conventional continuous care.The selfadvocacy rights,quality of life,complications and compliance of the two groups before and after the intervention were compared.Results After the intervention,the total score of self-advocacy in the experimental group was(87.67±3.73)points,which was higher than that in the control group[(71.90±7.15)points],and the difference was statistically significant(P<0.001).After the intervention,the overall health status score of the experimental group was(77.55±8.87)points,which was higher than that of the control group[(70.31±12.27)points],and the difference was statistically significant(P<0.05).The scores of physical function,role function,emotional function and social function in the experimental group were all higher than those in the control group,while the scores of fatigue,nausea and vomiting,loss of appetite and diarrhea in the experimental group were all lower than those in the control group,the differences were statistically significant(P<0.05).After the intervention,the incidence of complications in the experimental group was 10.2%,which was lower than 37.5%in the control group,and the difference was statistically significant(P<0.05).After the intervention,the frequency of catheter maintenance deficiency and the proportion of patients with deficiency in the experimental group were 1.9%and 10.2%respectively,which were lower than 8.0%and 27.1%in the control group,and the differences were statistically significant(P<0.05).Conclusion Narrative nursing can enhance the self-advocacy level of cancer patients,improve their quality of life,increase their compliance with catheter maintenance,and reduce the incidence of complications.
作者
蔡红侠
林文华
王白石
王雅娟
林芳
蓝建发
CAI Hongxia;LIN Wenhua;WANG Baishi;WANG Yajuan;LIN Fang;LAN Jianfa(Department of Obstetrics and Gynecology/Fujian Branch of National Clinical Research Center for Obstetrics and Gynecology Diseases/Xiamen Key Laboratory of Gynecological Disease Research and Diagnosis and Treatment,the First Affiliated Hospital of Xiamen University,School of Medicine,Xiamen University,Xiamen Fujian 361003,China;Department of Hematology,the First Affiliated Hospital of Xiamen University,School of Medicine,Xiamen University,Xiamen Fujian 361003,China)
出处
《中国卫生标准管理》
2025年第11期173-178,共6页
China Health Standard Management
基金
福建省自然科学基金资助项目(2022J011370)
厦门大学附属第一医院院内护理科研发展基金项目(XYY2023-017)。
