健康教育路径对PICC置管肿瘤患者自我护理能力和早期导管相关并发症的影响效果研究-护理学专业论文.docxVIP

安徽医科大学硕士学位论文 The results of multivariate ANOVA showed that each dimension score and total scores of ECA and HP in the intervention group differed from those in the control group 10 days and 1 month after the intervention respectively(p0.05), yet no statistic difference was found before the intervention(p0.05), which indicating an improving ECA and HP in intervention group. Each dimension score and total scores of ECA and HP varied as time goes by, the intervention method and time interacted. (3) There were 27(26.47%) complications among 102 patients during 30 days, 7 (13.73%) complications in intervention group and 20（39.22%） in control group. The overall complications were 12(11.76%) during 10 days. Complications occurred in 5(9.8%) in intervention group(n=51) compared with 7(13.73%) in control group(n=51) (p0.05). There were 15(14.71%) complications among 102 patients from 11 to 30 days, 2(3.92%) complications in intervention group and 13(25.49%) in control group. The incidence of catheter related infection(CRI) and overall complications in intervention group were significant lower than those in control group(p0.01). Conclusions: (1) The mean ECA and HP rate of cancer patients with PICC in general were moderate, it was determined that patients’ age, education, anxiety and HP affected ECA. (2) HECP is proved to raise the standand of ECA and HP of cancer patients with PICC, each dimension score and total scores of ECA and HP will increase as time goes by. (3) HECP is proved to prevent early complications related to PICC among cancer patients. Key words： health education clinical path/PICC/ cancer patients/early complications 6 安徽医科大学硕士学位论文 安徽医科大学硕士学位论文 健康教育路径对 PICC 置管肿瘤患者自我护理能力和早 期导管相关并发症的影响效果研究 1 前言 1.1 研究背景 肿瘤是威胁人类生命最严重的疾病之一，20 世纪下半叶以来，肿瘤的发病率和 死亡率均呈逐年上升的趋势，尤其是 20 世纪 70 年代以后，肿瘤患者数以每年 3%~6%的速度递增[1]。大量资料表明，恶性肿瘤已成为居民的第 1、2 位死因[2]。 众所周知，静脉化疗是肿瘤综合治疗不可缺少的重要组成部分，然而，化疗药物 因其化学性、酸碱性及高浓度等对血管的损伤破坏是常见的，如去甲长春碱采用 手背及前臂静脉给药，局部疼痛静脉炎发生率高达