Application of self- management programme in home care of oncohematologic patients with peripherally inserted central catheters
10.3760/cma.j.issn.1672-7088.2015.36.001
- VernacularTitle:自我管理项目在经外周静脉置入中心静脉导管的恶性血液病患者居家护理中的应用
- Author:
Jun XIE
;
Xiaohua WANG
;
Xiaomin XU
- Publication Type:Journal Article
- Keywords:
Hematologic neoplasms;
Catheterization,central venous;
Self-management
- From:
Chinese Journal of Practical Nursing
2015;(36):2731-2736
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of self- management programme in home care of oncohematologic patients with peripherally inserted central catheters(PICC). Methods Seventy oncohematologic patients with PICC were divided into the control group and the intervention group with 35 patients in each group by random digital table method. The control group received the routine care. The intervention group received the self- management programme. Self- care ability, anxiety, catheter- related complications and maintenance cost were observed before and on the 10th day and 30th day after intervention. Results On the 10th day and 30th day after intervention, the total score and scores of each dimension of self- care ability in the intervention group were significantly higher than those in the control group, P<0.05 or 0.01, the differences were significant. The score of anxiety in the intervention group was significantly lower than that in the control group [for the patients on the 10th day, 47.64±4.40 vs. 51.14±6.28,on the 30th day,44.36±3.71 vs. 48.64± 5.54, t=3.40, 5.18, P<0.01; for the family members of patients on the 10th day, 47.36±2.12 vs. 50.57±3.99, on the 30th day,43.57±2.04 vs. 47.57±2.79, t=4.35, 7.42, P<0.01. The incidences of catheter- related complications were not significantly different between two groups, P>0.05. Conclusions Self- management programme can effectively improve the self-care ability, relieve the anxiety and prevent the catheter- related complications in home care of oncohematologic patients with PICC.
