Application of ADOPT mode in breast cancer patients with peripherally inserted central catheter catheterization
10.3760/cma.j.cn115682-20210713-03102
- VernacularTitle:ADOPT模式在乳腺癌PICC置管患者中的应用
- Author:
Jiangying PENG
1
;
Junling SU
;
Chunrui GUO
Author Information
1. 山西省人民医院乳腺科，太原 030012
- Keywords:
Breast neoplasms;
ADOPT mode;
PICC;
Complications;
Unplanned extubation
- From:
Chinese Journal of Modern Nursing
2022;28(9):1233-1237
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of ADOPT mode in breast cancer patients with peripherally inserted central catheter (PICC) catheterization.Methods:Using the convenient sampling method, a total of 248 breast cancer patients with PICC catheterization who were admitted to Shanxi Provincial People's Hospital from June 2018 to June 2020 were selected as the research objects. The patients were divided into the observation group ( n=124) and the control group ( n=124) using the random number table method. The patients in the control group were given routine nursing care, while the patients in the observation group were given the ADOPT model on the basis of the nursing care in the control group. The incidence of PICC complications was compared between the two groups. The scores of Exercise of Self-Care Agency Scale (ESCA) , Cancer Fatigue Scale (CFS) and Quality of Life Questionnaire Breast Cancer Module 23 (QLQ-BR 23) were compared between the two groups before and after 3 months of intervention. Results:The number of unplanned extubation cases in the observation group was lower than that in the control group ( P<0.05) . After 3 months of intervention, scores of ESCA and QLQ-BR 23 function scale of the observation group were higher than those of the control group. And the scores of each dimension of the CFS, the QLQ-BR 23 symptom scale and score of the each item were lower than those of the control group, all the differences were statistically significant ( P<0.05) . Conclusions:The ADOPT model has a good effect on reducing the incidence of unplanned extubation in breast cancer patients with PICC catheterization, which can effectively improve the self-care ability and quality of life of patients and relieve cancer fatigue in patients.
