Analysis of influencing factors and impact path of self-management in tumor patients with PICC of the intermission of chemotherapy
10.3760/cma.j.cn211501-20230320-00678
- VernacularTitle:PICC置管肿瘤患者化疗间歇期导管自我管理能力的影响因素及路径分析
- Author:
Xinyan GUO
1
;
Shuqing JI
;
Yuanyuan WANG
Author Information
1. 天津市第三中心医院肿瘤科，天津 300170
- Keywords:
Neoplasms;
Catheterization, central venous;
Self-management;
Patient activation;
Health-promoting lifestyle
- From:
Chinese Journal of Practical Nursing
2023;39(33):2620-2626
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analysis the effect of health-promoting lifestyle and patient activation on self-management among tumor patients with PICC of the intermission of chemotherapy, so as to provide a basis for the targeted caring intervention programs.Methods:Using cross-sectional survey methods, from January 2021 to December 2022, the tumor patients with PICC of the intermission of chemotherapy of Tianjin Third Central Hosptial were investigated, using the General Demographic Questionnaire, Cancer Patients PICC Self-management Scale, Health Promotion Lifestyle Profile Ⅱ and Patient Activation Measure. Pearson correlation analysis and multiple linear stepwise regression analysis were used to analyze the data, and the structural equation model between related factors were established.Results:A total of 251 patients were collected in the this study, the scores of self-management were (153.12 ± 20.33) points, health-promoting lifestyle were (98.58 ± 16.05) points, and patient activation were (50.52 ± 6.51) points. The dimensions scores and total scores of self-management were positively correlated with the health-promoting lifestyle and patient activation in tumor patients with PICC ( r values were 0.503-0.910, all P<0.01). Multiple linear regression analysis showed that the health-promoting lifestyle and the patient activation were the influencing factors of the patient's self-management ability ( t=2.67, 1365, both P<0.05). Pathway analysis results showed that patient activation played a partially mediating role between health-promoting lifestyle and self-management, the effect value was 0.33 (95% CI 0.301-0.557), accounting for 46.5% of the total effect. Conclusions:Health-promoting lifestyle and the patient activation were the influencing factors of the self-management ability of tumor patients with PICC, patient activation played a partially mediating role between health-promoting lifestyle and self-management.
