摘要
目的探讨认知行为干预改善肿瘤患者经外周静脉置入中心静脉导管(PICC)后日常管理的知-信-行水平的效果。方法选择120例肿瘤PICC置管患者,根据随机字母表法分为观察组和对照组,每组60例。给予对照组患者常规护理干预,观察组在常规护理干预的基础上给予认知行为干预,并利用自行设计的知-信-行问卷评估患者干预后的知-信-行水平。结果观察组患者的知识、态度和行为评分均显著优于对照组,差异有统计学意义(P<0.05)。观察组患者的PICC并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论认知行为干预能够提高肿瘤患者PICC置管日常管理的知-信-行水平,还能降低相关并发症的发生率。
Objective To explore the effect of cognitive behavior intervention on improving the level of knowledgeattitudebelief in peripherally inserted central venous catheters （ PICC） daily management of cancer patients. Methods 120 cancer patients with PICC were selected by convenience sample, and were randomly divided into experimental group and control group according to the random alphabet method, and 60 patients are in each group. The patients in control group were given routine nursing intervention, and the experimental group was treated with cognitive behavioral intervention on the basis of routine nursing intervention. The level of knowledgeattitudebelief in each group was assessed by selfdesigned questionnaire. Results The scores of knowledge, attitude and behavior in the experimental group were significantly better than those in the control group, and the difference was statistically significant （ P〈0.05） . PICC complication rate in the experimental group was significantly lower than that in the control group, and the difference has statistical significance （ P〈0.05） . Conclusion Cognitive behavioral intervention not only can improve the level of knowledgeattitudebelief in PICC daily management of cancer patients, but also can reduce the incidence rate of PICC complications.
出处
《东南国防医药》
2016年第6期628-631,共4页
Military Medical Journal of Southeast China
