影响PICC置管肿瘤化疗患者接受居家维护的多因素分析

发布时间：2018-06-24 04:50

本文选题：PICC + 居家维护　；参考：《广东医学》2017年13期

【摘要】：目的了解经外周静脉置入中心静脉导管(PICC)置管肿瘤化疗患者对居家维护的接受程度及其影响因素,为更多带管回家患者接受PICC居家维护提供依据。方法自行设计调查问卷,采用方便抽样方法,对160例PICC置管患者进行问卷调查。结果接受居家维护患者74例,未接受86例,付费方式、行动能力、住所距维护点距离、较方便的导管维护方式4个因素对PICC置管的肿瘤化疗患者居家维护接受程度的影响差异有统计学意义(OR值分别为2.180、2.959、3.688、2.293),其他调查因素对居家维护接受程度的影响差异无统计学意义(P0.05);患者接受与不接受居家维护的原因进一步分析显示,接受居家维护的患者中83.78%认为居家维护比返院维护省时、省钱,40.54%认为居住地离维护点太远,返维护点维护不方便,不接受居家维护患者中75.58%认为住所离维护点近,返院维护方便。结论 PICC居家维护接受程度呈较低水平,影响患者接受PICC居家维护的主要因素为住所距维护点距离、付费方式、行动能力和较方便的导管维护方式,建议向基层医院推广PICC维护技术,进一步建立、完善PICC社区维护网络;同时制定标准化、专业化、管理规范化的PICC居家维护模式,为部分家住偏远地区、行动不便的患者提供新的选择。
[Abstract]:Objective to understand the degree of acceptance of home maintenance and its influencing factors by peripherally inserted central venous catheter (PICC) catheterization chemotherapy patients for home maintenance, and to provide a basis for more home maintenance patients with PICC home maintenance. Methods a self-designed questionnaire was designed and a convenient sampling method was used to investigate 160 patients with PICC catheterization. 74 cases of home maintenance patients were accepted, 86 cases were not accepted, the payment method, the ability of action, the distance from the distance to the maintenance point of the residence and the convenient way of maintenance of the catheter were statistically significant (OR value 2.180,2.959,3.688,2.293) for the home maintenance acceptance of the tumor chemotherapy patients with PICC catheterization (OR value was 2.180,2.959,3.688,2.293 respectively). There was no significant difference in the effect of nursing acceptance (P0.05). Further analysis of the reasons for the patient's acceptance and non acceptance of home maintenance showed that 83.78% of the patients who received home maintenance showed that home maintenance was less expensive than the return hospital, 40.54% thought the residence was too far from the maintenance point, the maintenance point was inconvenient, and the home maintenance was not accepted. 75.58% of the people believed that the residence was close to the maintenance point, and the maintenance of home maintenance was convenient. Conclusion the degree of home maintenance acceptance of PICC is low. The main factors that affect the patient's home maintenance of PICC are the distance from the distance to the maintenance point of the residence, the way of paying, the ability of action and the convenient maintenance mode of the catheter. It is suggested that the PICC maintenance technology should be popularized to the primary hospital. Establish, improve the PICC community maintenance network, and establish a standardized, professional, standardized management of the PICC home maintenance mode, for some families living in remote areas, to provide new options for the inconvenient patients.
【作者单位】：广西医科大学第一附属医院肿瘤内科;
【基金】：广西医疗卫生适宜技术研究与开发项目(编号:S2015 24) 广西壮族自治区中青年教师基础能力提升项目(编号:KY2016LX033) 护理管理科研基金资助项目(编号:CNM-2017-12)
【分类号】：R473.2

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