首页|讲解-模拟-练习-沟通-支持护理在乳腺癌 PICC置管化疗患者中的应用效果

讲解-模拟-练习-沟通-支持护理在乳腺癌 PICC置管化疗患者中的应用效果

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目的:观察讲解-模拟-练习-沟通-支持(ESPCS)护理在乳腺癌外周中心静脉导管(PICC)置管化疗患者中的应用效果.方法:回顾性分析 2019 年 1 月至 2021 年 10 月该院收治的 86 例乳腺癌PICC置管化疗患者的临床资料.以入院顺序分组,其中以 2019 年1 月至 2020 年 5 月入院的 43 例患者为对照组,给予常规护理;以 2020 年 6 月至 2021 年 10 月入院的 43 例患者为观察组,在常规护理基础上给予ESPCS护理.比较两组护理前后自我管理能力评分、导管相关并发症发生率、护理知识知晓率和护理工作满意度.结果:护理后,观察组自我管理能力评分、护理知识知晓率和护理工作满意度均高于对照组,导管相关并发症发生率低于对照组,差异均有统计学意义(P<0.05).结论:在常规护理基础上采用ESPCS护理可提高乳腺癌PICC置管化疗患者的自我管理能力评分、护理知识知晓率和护理满意度,并可降低导管相关并发症发生率,其护理效果优于单纯常规护理.
Application effects of explain-simulate-practice-communication-support nursing in breast cancer patients with PICC catheterization chemotherapy
Objective:To observe application effects of explain-simulate-practice-communication-support(ESPCS)nursing in patients with peripherally inserted central venous catheter(PICC)chemotherapy for breast cancer.Methods:The clinical data of 86 patients with breast cancer undergoing PICC catheterization chemotherapy admitted to this hospital from January 2019 to October 2021 were retrospectively analyzed.According to the order of admission,43 patients admitted from January 2019 to May 2020 were set as control group and were given routine nursing;and 43 patients admitted from June 2020 to October 2021 were enrolled in observation group and were given the ESPCS nursing on the basis of the routine nursing.The scores of self-management ability,the incidence of catheter-related complications,the awareness rate of nursing knowledge,and the satisfaction of nursing work were compared between the two groups before and after the nursing.Results:After the nursing,the self-management ability score,the nursing knowledge awareness rate and the nursing job satisfaction of the observation group were higher than those of the control group,the incidence of catheter-related complications was lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the ESPCS nursing can improve the self-management ability scores,the nursing knowledge awareness rate and the nursing job satisfaction of the breast cancer patients with PICC catheterization chemotherapy,and can reduce the incidence of catheter-related complications.Moreover,it is superior to single routine nursing.

Peripherally inserted central catheterChemotherapyBreast cancerExplain-simulate-practice-communication-support modeSelf-management ability

梁昭、许妍

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河南省人民医院肿瘤中心 河南省护理医学重点实验室 郑州大学人民医院,河南 郑州 450000

外周静脉置入中心静脉导管 化疗 乳腺癌 讲解模拟练习沟通支持模式 自我管理能力

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(1)
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