授权教育对PICC置管患者自我管理行为与自我效能的影响

目的 探讨授权教育方式进行健康指导对行PICC置管的患者自我管理行为、自我效能的影响.方法 选择肿瘤患者60例,随机分为授权教育组和传统教育组,每组30例,分别按照传统教育方法和授权教育方式进行健康教育.采用自我管理行为量表、自我效能问卷量表、PICC并发症发生率比较两组患者健康教育的效果.结果 出院1个月后对照组患者自我护理能力总分（89.61±8.19）分,实验组（103.06±16.2）分,两组比较差异有统计学意义（t=2.403,P＜0.05）；出院3个月后对照组患者自我效能评分（22.47±4.86）分,实验组（27.61±5.35）分,两组比较差异有统计学意义（t=4.116,P＜0.01）；出院1个月后对照组患者PICC并发症发生率50％,实验组10％,两组并发症发生率比较差异有统计学意义（x2 =4.414,P＜0.05）.结论 授权教育能够明显提高PICC患者的自我效能,提高患者对自身疾病的管理能力和信心,减少了并发症的发生,提高患者的生活质量.

Effect of empowerment education on self-management ability and self-efficacy in patients with PICC

Objective To compare the influence on self-management ability and self-efficacy in patients with peripherally inserted central catheter （PICC） between empowerment education and tranditional healtheducation.Methods Totally 60 cancer patients with PICC were randomly divided into two groups,30 patients in the experimental group with empowerment education method and 30 patients in the control group with tranditional health education method.The effect of health education was evaluated by using self-management behavior scale,self-effcacy questionnaire scale,the incidence of PICC complication and compared between the two groups.Results One month after discharge,the self-care ability score of patients was （89.61 ± 8.19） in the control group,（103.06 ± 16.2） in the experimental group,the difference was statistically significant between the two groups （t =2.403,P ＜ 0.05）.Three months after discharge,the self-efficacy score of patients was （22.47 ±4.86） in the control group,（27.61 ± 5.35） in the experimental group,the difference was statistically significant between the two groups （t =4.116,P ＜ 0.01）.One month after discharge,the incidence of PICC complication of patients was 50％ in the control group,10％ in the experimental group,the difference was statistically significant between the two groups （x2 =4.414,P ＜ 0.05）.Conclusions Empowerment education can obviously improve the self-efficacy in patients with PICC,enhance their management ability and confidence on disease,reduce the incidence of PICC complications and improve their quality of life.