Analysis of self-care and its influencing factors in chemotherapy patients with PICC
10.3760/cma.j.issn.1674-2907.2015.35.006
- VernacularTitle:PICC置管期间肿瘤化疗患者自我护理能力及其影响因素分析
- Author:
Yalan SONG
1
;
Huiying QIN
;
Lingling ZHANG
;
Qingcai WU
Author Information
1. 510095 广州医科大学附属肿瘤医院护理部
- Keywords:
Peripheral inserted central catheter;
Chemotherapy;
Neoplasms patients;
Self care;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2015;(35):4240-4245
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the self-care and its influencing factors in chemotherapy patients with PICC. Methods A total of 88 chemotherapy patients with PICC were recruited by convenience sampling from October 2013 to January 2014 in two cancer specialty hospitals in Guangzhou. Patients were investigated by the general situation questionnaire, exercise of self-care agency scale ( ESCA) , the degree of adverse reactions to chemotherapy questionnaire, the questionnaire of PICC self-care knowledge and profile of mood state-short form ( POMS-SF) . Results A total of 80 valid questionnaires were collected finally. The total score of self-care agency among chemotherapy patients with PICC was (118. 79 ± 20. 85), and 58. 8% patients were at advanced level. The score of dimension of “self-concept” (26. 28 ± 4. 90) was the highest while “health knowledge”(39. 90 ± 7. 65) was the lowest. Multiple regression analysis showed that chemotherapy regimen, emotional state, the self-care knowledge of PICC, family relationships, education level were the main influencing factors in patients′self-care (P<0. 05), and the variation which can be explained by the five independent variables accounted for 54. 5%. Conclusions Though the self-care of the chemotherapy patients with PICC is at advanced level, the patients′ health knowledge should be improved. Nursing staff should adopt individual nursing according to patients′ personal characteristics along with paying more attention to the adjustment of patients′mental state and improving of knowledge related to PICC in the clinical work.
