叙事护理对肿瘤患者PICC留置期间负性情绪、自我健康行为能力的影响
Effect of Narrative Nursing on Negative Emotion and Self-Health Behavior in Tumor Patients Undergoing PICC Indwelling
袁金燕 1王焕云 1刘晓文 1陈元元1
作者信息
- 1. 山东第一医科大学第二附属医院 山东泰安 271000
- 折叠
摘要
目的:探讨叙事护理对肿瘤患者经外周静脉置入中心静脉导管(PICC)留置期间负性情绪、自我健康行为能力的影响.方法:选取 2021 年 8 月 1 日～2022 年 6 月 30 日在血管通路门诊行PICC维护的 200 例肿瘤患者为研究对象,遵循双盲法分组标准分为对照组和实验组各 100 例,对照组给予常规护理,实验组给予叙事护理;比较两组依从性、护理前后负性情绪[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)]、并发症发生情况、护理前后生活质量[采用健康促进生活方式量表(HPLP-C)]和自我健康行为能力[采用自我护理能力测定量表(ESCA)].结果:实验组依从性高于对照组(P<0.05);护理后,实验组SAS、SDS评分均低于对照组(P<0.01);实验组并发症发生率低于对照组(P<0.05);护理后,实验组HPLP-C、ESCA各维度评分均高于对照组(P<0.01).结论:叙事护理能提高肿瘤患者PICC留置期间的依从性、生活质量和自我健康行为能力,还能改善负性情绪,减少并发症.
Abstract
Objective:To explore the effect of narrative nursing on negative emotions and self health behavior abilities in tumor patients during central venous catheter(PICC)placement through peripheral veins.Methods:A total of 200 tumor patients who underwent PICC ma-intenance from August 1,2021 to June 2022 were selected as the study subjects,and were divided into the control group and the experi-mental group by the double blind grouping standard,with 100 patients in each group.The control group received routine care,while the ex-perimental group received narrative care.Comparison was made on compliance,negative emotions by SAS and SDS,incidence of complica-tions,quality of life by HPLP-C,and self health behavioral abilities by ESCA between the two groups.Results:The compliance rate in the experimental group was higher than that in the control group(P<0.05).After nursing,the scores of the Self Rating Anxiety Scale(SAS)and the Self Rating Depression Scale(SDS)in the experimental group were fewer than those in the control group(P<0.01).The incidence of complications was lower in the experimental group than that in the control group(P<0.05).After nursing,the scores of the Health Pro-motion Lifestyle Scale(HPLP-C)and ESCA in the experimental group were lower than those in the control group(P<0.01).Conclusion:Narrative nursing in the PICC indwelling period can improve the compliance,quality of life,and self health behavior ability in tumor pa-tients,improve negative emotions,and reduce complications.
关键词
自我健康行为能力/叙事护理/负性情绪/PICC留置/并发症Key words
Self health behavioral ability/Narrative care/Negative emotions/PICC retention/Complications引用本文复制引用
基金项目
泰安市科技创新发展项目(2021NS379)
出版年
2024
NETL
NSTL
维普
万方数据