护理干预对肿瘤经外周静脉置入中心静脉导管患者自我护理能力和健康行为的影响

目的探讨护理干预对肿瘤经外周静脉置入中心静脉导管（PICC）患者自我护理能力和健康行为的影响，以提高肿瘤PICC患者的生活质量。方法将218例肿瘤PICC患者随机分为干预组107例和对照组111例，对照组采用常规护理，干预组在对照组的基础上由PICC专科护士给予针对性的认知干预，内容包括健康知识水平、自我概念、自护责任感和自我护理技能等4个方面，干预时间为3个月。干预前后进行问卷调查。比较2组的自我护理能力和健康行为水平。结果干预后干预组自我护理能力及健康知识水平显著高对照组。结论有针对性的护理干预能有效地提高门诊肿瘤PICC患者的自我护理能力，改善健康行为。

Impact of nursing intervention on self- care ability and health behavior of cancer patients with PICC catheter

Objective To discuss the impact of nursing intervention on self-care ability and health behavior of cancer patients with indwelling PICC in order to improve their life. Methods 218 cases of cancer patients with PICC catheter were randomly divided into the intervention group （ 107 patients）and the control group （111 patients）,the control group were treated with conventional care, the intervention group was treated with targeted cognitive intervention by the PICC nurse specialists on the basis of conventional care. Interventions included improving health knowledge, self-concept, self-care responsibility and self-care skills in four areas, the intervention lasted 3 months. A questionnaire survey was conducted before and after intervention. Self-care skills and health behavior levels were compared between the two groups. Results Self-care skills and health behavior levels of the intervention group were significantly higher than those of the control group after intervention. Conclusions Targeted interventions can effectively improve the self-care capacity of outpatient oncology patients with PICC catheter and improve their health behaviors.