【摘要】 目的探讨艾宾浩斯遗忘理论在癌症经外周中心静脉置管(peripherally inserted central catheters,PICC)携管患者出院随访健康教育中的应用效果。方法选择2011年1月~2012年1月在本院PICC出院后并到门诊维护的癌症患者127例,设为对照组,选择2012年4月~2013年4月在本院PICC出院后并到门诊维护的癌症患者135例,设为实验组。对照组患者出院前行常规健康教育,实验组患者在对照组基础上进行出院随访,并运用艾宾浩斯遗忘规律曲线理论对患者进行导管维护相关知识健康教育,直到拔管。比较两组患者置管期间并发症发生情况。结果两组患者静脉炎、导管堵管、非计划拔管发生率比较,均P>0.05,差异无统计学意义;两组患者导管相关感染、血栓、延期换药发生率比较,均P<0.05,差异具有统计学意义,实验组患者发生率明显低于对照组。结论癌症PICC携管患者出院随访中,运用艾宾浩斯遗忘理论对患者进行导管维护相关知识健康教育,可提高患者置管后维护依从性,从而降低患者置管期间并发症的发生。更多还原

【Abstract】 Objective To investigate the application of Ebbinghaus forgetting curve theory in follow-up of discharged cancer patients carrying peripherally inserted central catheters(PICC). Methods One hundred and twenty-seven discharged cancer patients carrying PICC from January 2011 to January 2012 were assigned as control group and another 135 discharged cancer patients carrying PICC from April 2012 to April 2013 as experiment group. The control group was given routine health education before discharge, while Ebbinghaus forgetting curve theory was applied during the follow-up until extubation beside the routine health education in the experiment group. The incidence of complication was compared between the two groups. Result There were no significant differences in the incidence rate of phlebitis, catheter plugging and unplanned extubation between two groups(P > 0.05),but the incidence rates of infection, thrombosis and extension dressing change in the experiment group were statistically significantly lower than those of the control group(P < 0.05). Conclusion Ebbinghaus forgetting curve theory used in the follow-up of the discharged patients carrying PICC can enhance their PICC maintenance knowledge and reduce the incidences of the PICC-related complications during PICC catheteration.更多还原