Attitude of patients for the PICC and its relevant factors for patients' indwelling selection
10.3760/cma.j.issn.1674-2907.2012.13.016
- VernacularTitle:患者对PICC的态度及其留置选择性的相关因素
- Author:
Yu-Ping LIU
1
;
Jing-Xun SUN
Author Information
1. 首都医科大学附属北京朝阳医院
- Keywords:
Patient;
PICC;
Attitude;
Indwelling selection;
Relevant factors
- From:
Chinese Journal of Modern Nursing
2012;18(13):1534-1539
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the attitude of patients for the PICC and analyse its relevant factors for patients' indwelling selection,so as to provide evidence for the promotion of PICC and health educations for clinical nurse.Methods The questionnaire survey was used and108 patients that had indwelling indications in Beijing Chao-Yang Hospital,between April and May in 2010 were recruited.They were divided into acceptance group( n =50) and refuse group( n =58) and were investigated with self-designed questionnaire.Results Both of two groups had significantly differences in terms of gender,payment method for health care,potential risk of it,financial burden from it,impacts on daily life,and the trust from the medical personnel ( P < 0.05 ).The absolutely right percent of can avoid needling during transfusion period for the attitude on the PICC function,maybe pipe block of PICC for the attitude on the danger of PICC,such needle is very expensive for the attitude on the financial burden of PICC,influencing eating for the attitude on the influencing daily life of PICC of the refuse group respectively was 46.6%,50.0%,44.8%,22.4%,and that of acceptance group was 86.0%,12.0%,28.0%,6.0%,and the difference was statistically significant ( P < 0.01 or P < 0.05 ).There was significantly difference in the attitude of PICC can reducing the puncture times,alleviating pain was the necessary therapy condition between two groups ( P < 0.05 ),as well as in the attitude of the PICC has the danger of infection,taking off,forming thrombus,catheter misplacement,fracture,and the operation safety ( P < 0.05 ).there was no significantly difference on the attitude of existing dangerous in the PICC installing( P > 0.05 ),while the difference in the attitude of the financial burden influence of PICC on the daily life between two groups was significantly( P < 0.05 ).Conclusions From the view of patients with indwelling PICC indications,most patients agree that PICC can reduce the pain suffered from long-term infusion,but they comment that fees are high,and they have different attitude towards the risk of indwelling PICC and the influences of their daily lives.Most patients trust medical staff and not believe that indwelling PICC affect their psychological status and themselves image.Therefore,patients indwelling selection is correlate with the potential risk of indwelling,the impact of daily lifc,relevant economic burden,psychological and social factors.