【摘要】 目的 探讨血液肿瘤患者经外周静脉置入中心静脉导管自我管理水平及护理对策。方法 应用自行编制的自我管理问卷对接受经外周静脉置入中心静脉导管的113例患者进行调查,比较置管前、置管后1个月、3个月、6个月患者自我管理问卷得分情况。结果 置管后1个月起本组患者各项评分及总分均较置管前显著提高(P<0.01);置管后3个月除经外周静脉置入中心静脉导管知识技能评分,其余评分均较置管后1个月显著提高(P<0.05或0.01);置管后6个月与置管后3个月比较差异无统计学意义(P>0.05)。结论 以患者为中心的多种形式的自我管理教育可以提高经外周静脉置入中心静脉导管患者自我管理能力和自我效能,应根据患者带管阶段的不同实施有侧重点的护理干预,提高患者自我管理水平。更多还原

【Abstract】 Objective To investigate the self-management level of hematologic malignancy patients with PICC and nursing strategy.Methods A self-programmed questionnaire investigation was conducted in 113 patients with PICC.They were each scored before PICC,one month after PICC,3 months after PICC and 6 months after PICC respectively.The score of different periods was compared.Results The scores of patients one month after PICC was higher than that before PICC(P<0.01); Except of "the general knowledge and skill of PICC",the score of self-management in patients 3 month after PICC was much higher than that of one month after PICC(P<0.05 or P<0.01); and there was no difference between the score of self-management in patients 3 month after PICC and that in patients 6 month after PICC(P>0.05).Conclusion Self-management skills and self-efficacy of patients with PICC can be improved by patient-oriented multiform self-management education,nursing intervention should be given with different emphasis to improve self-management level of patients.更多还原