首页|整体干预模式对卵巢癌化学治疗患者PICC留置期间相关并发症及负性情绪的影响

整体干预模式对卵巢癌化学治疗患者PICC留置期间相关并发症及负性情绪的影响

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目的 探讨整体干预模式对卵巢癌化学治疗患者经外周置入中心静脉导管(PICC)留置期间相关并发症及负性情绪的影响.方法 将96例卵巢癌化学治疗患者根据干预方案不同分成对照组(常规PICC置管维护)和研究组(整体干预模式),各 48 例.干预 1 个月.比较干预前后两组患者正性负性情绪量表(PANAS)、一般自我效能感量表(GSES)、欧洲癌症研究与治疗组织生命质量测定问卷(EORTC QLQ-C30)评分,并统计两组患者满意度、导管相关并发症发生情况.结果 干预后,两组患者PANAS的正性情绪维度、GSES评分较干预前升高,PANAS的负性情绪维度评分较干预前降低,且研究组优于对照组(P<0.01).干预后,研究组患者EORTC QLQ-C30 功能和总体生活质量维度评分较干预前升高,EORTC QLQ-C30 症状维度和除"财务困难"外的单项评分较干预前降低,且研究组优于对照组(P<0.05 或 0.01).研究组患者总满意度高于对照组,导管相关并发症发生率低于对照组(P<0.05).结论 整体干预模式可有效改善卵巢癌化学治疗患者PICC留置期间的负性情绪,降低导管相关并发症发生风险,值得临床推广.
Effect of holistic intervention model on PICC-related complications and negative emotions in ovarian cancer patients undergoing chemotherapy
Objective To explore the effect of holistic intervention model(HIM)on peripherally inserted central catheter(PICC)-related complications and negative emotions in ovarian cancer patients undergoing chemotherapy.Methods Ninety-six ovarian cancer patients undergoing chemotherapy were divided into control(receiving routine PICC maintenance)and research(doing the HIM)group according to different intervention protocols,with 48 ones in each.The intervention lasted for 1 month.Such indexes were compared between two groups as pre-and post-intervention scores on the Positive and Negative Affect Schedule(PANAS),General Self-Efficacy Scale(GSES),and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30(EORTC QLQ-C30),patients'satisfaction and occurrences of PICC-related complications of both groups counted.Results After intervention,the positive emotions scores of the PANAS and scores on the GSES elevated and negative emotions decreased in both groups compared with pre-intervention,and research group was better than controls(P<0.01).After intervention,scores on function and generic quality of life of the EORTC QLQ-C30 elevated and those on symptoms and on monomial dimensions excepting'financial difficulty'lowered in research group compared with pre-intervention,and research group was better than controls(P<0.05 or 0.01).Global satisfaction was higher and the incidence of PICC-related complications lower in research than control group(P<0.05).Conclusion The HIM can effectively improve the negative emotions of ovarian cancer patients undergoing chemotherapy with PICC indwelling,lower the risk of PICC-related complications,and deserves clinical promotion.

ovarian cancerholistic intervention modelperipherally inserted central catheternegative emotionscatheter-related complications

王莉莉、王琳、张瑞涛

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450000(河南·郑州)郑州大学第一附属医院

卵巢癌 整体干预模式 经外周置入中心静脉导管 负性情绪 导管相关并发症

2025

临床心身疾病杂志
河南省精神病医院(新乡医学院第二附属医院)

临床心身疾病杂志

影响因子:1.01
ISSN:1672-187X
年,卷(期):2025.31(1)