【摘要】 目的观察经外周静脉置入中心静脉导管(PICC)置管患者采取信息化健康教育模式对其居家护理的影响。方法 180例PICC置管患者,随机分为实验组和对照组,各90例。对照组按常规PICC置管术前后及出院前的健康教育,实验组引入信息化健康教育模式。比较两组患者健康教育干预前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、自我护理指数量表(SCHFI)评分、健康促进生活方式问卷(HPLP)评分及并发症发生率。结果干预前两组患者SDS、SAS评分比较差异无统计学意义(P>0.05);干预后两组SDS、SAS评分均低于干预前,且实验组明显低于对照组,差异有统计学意义(P<0.05)。干预前两组患者SCHFI、HPLP评分比较差异无统计学意义(P>0.05);干预后两组SCHFI、HPLP评分高于干预前,且实验组明显高于对照组,差异有统计学意义(P<0.05)。实验组并发症发生率为2.22%,低于对照组的18.89%,差异有统计学意义(P<0.05)。结论对于PICC置管患者采取信息化健康教育模式,可有效改善居家护理中患者焦虑、抑郁不良心理状态评分,提高患者自我护理能力及健康行为能力,降低患者并发症的发生率,效果理想。更多还原

【Abstract】 Objective To observe the influence of information-based health education mode on home care of patients with peripherally inserted central catheter(PICC) catheterization. Methods A total of 180 patients with PICC catheterization were randomly divided into experimental group and control group, 90 cases in each group. The control group received health education before and after conventional PICC catheterization and before discharge, the experimental group received information-based health education mode. The self-rating anxiety scale(SAS), self-rating depression scale(SDS), self-care index(SCHFI), health promoting lifestyle profile(HPLP) score before and after health education intervention, the rate of complications between the two groups were compared. Results There were no significant differences in the SDS and SAS scores between the two groups before intervention(P>0.05). After intervention, the scores of SDS and SAS in the two groups were significantly lower than those before intervention, and above indexes of the experimental group were significantly lower than those of the control group, the differences were statistically significant(P<0.05). There were no significant differences in the scores of SCHFI and HPLP between the two groups before intervention(P>0.05). The scores of SCHFI and HPLP in the two groups after intervention were significantly higher than those before intervention, and above indexes of the experimental group were significantly higher than those of the control group, the differences were statistically significant(P<0.05). The incidence of complications in the experimental group was 2.22%, which was significantly lower than 18.89% in the control group, the difference was statistically significant(P<0.05). Conclusion Information-based health education mode for patients with PICC catheterization can effectively improve the bad mental state scores of patients’ anxiety and depression in home care, improve the ability of selfcare and healthy behavior, reduce the incidence of complications and the effect is ideal.更多还原