Application of health education based on Meleis transition theory and family narrative care in lymphoma patients with PICC
Objective To explore the effect of health education based on Meleis transition theory combined with family narra-tive care on the compliance of peripherally inserted central catheter (PICC) maintenance in lymphoma patients,aiming to provide a reference for clinical care strategies.Methods Clinical data of 122 lymphoma patients with PICC from March 2022 to May 2023 were retrospectively analyzed.They were assigned to a conventional care group (59 patients) and a novel care group (63 patients).The conventional care group received routine care,while the novel care group received additional health education and family narrative care based on Meleis transition theory.PICC maintenance compliance,adverse events during PICC,self-management ability,self-efficacy,psychological status,and degree of satisfaction with care were compared.Re-sults The novel care group had a significantly higher PICC maintenance compliance rate than the conventional care group[98.41% (62/63) vs.88.13% (52/59);x2=5.252,P=0.022).Before the intervention,there were no significant differ-ences in the self-management ability scores and General Self-Efficacy Scale (GSES) scores between the two groups (P>0.05).After the intervention,both groups showed higher self-management ability scores and GSES scores compared to be-fore the intervention,and the scores in the novel care group were significantly higher than those in the conventional care group (P<0.05).Before the intervention,there were no significant differences in the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores between the two groups (P>0.05).After the intervention,both groups showed significantly lower SAS and SDS scores compared to before the intervention,and the scores in the novel care group were sig-nificantly lower than those in the conventional care group (P<0.05).The incidence of adverse events during the interven-tion period in the novel care group was significantly lower than that in the conventional care group[9.52% (6/63) vs.28.81% (17/59);x2=7.410,P=0.006].The satisfaction scores for education,listening,demonstration,and inspiration in the novel care group were significantly higher than those in the conventional care group (P<0.05).Conclusion Health education based on Meleis transition theory combined with family narrative care effectively improves PICC maintenance com-pliance,self-management,and self-efficacy,reduces negative emotions and adverse events,and increases the patient's degree of satisfaction,holding promise for a wider clinical application.
Meleis transition theoryPeripherally inserted central catheterFamily narrative careNegative emotionsTreatment compliance