肿瘤病人PICC留置期间自我护理能力与影响因素

目的探讨肿瘤病人经外周静脉置入中心静脉导管（PICC）过程中的自我护理能力情况以及影响因素。方法选取肿瘤病人113例，采用问卷调查的方式调查病人的一般资料、社会支持、心理、自我护理能力等情况。结果病人自我护理能力得分81~140分，均值为（114.5±2.6）分；低等、中等、高等水平分别为0例（0.00%）、48例（42.78%）、65例（57.52%）。健康行为总分96~169分，均值为（129.8±3.6）分；低等、中等、高等水平分别为0例（0.00%）、62例（54.87%）、51例（45.13%）。PICC置管病人在性别、婚姻状态、留置时间、疾病类型、职业、留置次数等因素上自我护理能力差异均无统计学意义（P>0.05），不同年龄、经济收入、文化程度、居住地和是否抑郁病人的自我护理能力差异均有统计学意义（P < 0.05~P < 0.01）。结论恶性肿瘤PICC置管病人的自我护理能力与年龄、文化程度、居住地及抑郁等因素有关，以上因素均为重要影响因素，在临床护理上应予以重视。

Analysis on the self-care ability and influencing factors in the tumor patients treated with PICC

ObjectiveTo incestigate the self-care ability and influencing factors in the tumor patients treated with peripherally inserted central catheter(PICC).MethodsThe general information, social support, psychology and self-nursing ability of 113 tumor patients were investigated.ResultsThe score of self-care ability was 81-140 points, and the mean score of which was (114.5±2.6) points.The low, medium and high levels in 0 case(0.00%), 48 cases(42.78%) and 65 cases(57.52%) were indentified, respectively.The score of health behavior was 96-169 points, and the mean score of which was (129.8±3.6) points.The low, medium and high levels in 0 case(0.00%), 62 cases(54.87%) and 51cases(45.13%%) were indentified, respectively.The differences of the self-nursing ability scores in different gender, marital status, time of indwelling PICC, disease type, occupation, number of indwelling patients were not statistically significant(P>0.05).ConclusionsThe self-care ability of malignant tumor patients treated with PICC is related to the age, culture level, residence and depression, all factors are the important influencing factors, which should be paid attention to in clinical nursing.