肿瘤患者PICC留置期间自我护理能力探究,护理硕士论文

肿瘤患者PICC留置期间自我护理能力探究,护理硕士论文本篇论文目录导航：【第1部分】肿瘤患者PICC留置期间自我护理能力探究【第2部分】【第3部分】【第4部分】【第5部分】【第6部分】【第7部分】中文内容内容摘要目的了解肿瘤患者PICC留置期间自我护理能力情况,讨论人口学、健康促进行为、心理一致感、抑郁及社会支持对肿瘤患者PICC留置期间自我护理能力的影响,为有针对性的提高肿瘤患者PICC留置期间自我护理能力制定相应的干涉措施提供一定理论根据。方式方法采用方便取样法。2020年5月--11月对山东省某三级甲等医院PICC门诊及住院部符合纳入标准的130例患者进行调查。研究采用问卷调查法,以自填形式完成,研究内容包括六部分:一般资料调查表、自我护理能气力表、健康促进生活方式量表、心理一致感量表、抑郁自评量表及社会支持量表。采用SPSS18.0统计软件包进行统计分析。统计方式方法包括统计描绘叙述、方差分析、Pearson相关分析及多元线性回归分析。结果共发放调查表130份,全部回收,有效回收率100%,详细结果如下:1.肿瘤患者PICC留置期间自我护理能力得分为113.0811.63分,54.6%的患者自我护理能力水平处于高等水平,除自我护理技能和健康知识水平维度得分有低等水平者外,其他维度得分均在中等水平及以上。各维度平均得分由高到低依次为健康责任感4.003.95分、自我概念3.230.45分、健康知识2.030.39分、自我护理技能1.610.41分。2.肿瘤患者PICC留置期间健康促进行为总分135.7215.69分,平均分2.610.30分;各维度平均得分由高到低依次为自我实现2.850.36分、应对压力2.780.45分、人际支持2.730.39分、营养2.65士0.39分、健康责任2.400.36分、运动锻炼2.020.38分。3.肿瘤患者PICC留置期间心理一致感总分50.006.69分,平均分3,84士0.51分,三个维度平均分由高到低依次为意义感4.090.62分、处理或管理能力3.780.82分、理解能力3.700.66分。4.肿瘤患者PICC留置期间抑郁标准分为47.486.11分,高于国内常模33.468.55分(PC0.01)。抑郁发生率为29.2%,华而不实轻度抑郁为27.7%(36例),中度抑郁为1.5%(2例)。5.肿瘤患者PICC留置期间社会支持总分37.937.40分,83.9%的患者社会支持水平在中等水平,仅有16.2%的患者社会支持到达高等水平。6.单因素方差分析结果显示,不同性别、寓居地、文化程度、职业、月收入、医疗付费方式、宗教信仰、子女个数、导管留置时间、能否出现并发症及KPS评分分组之间肿瘤患者PICC留置期间自我护理能力差异有统计学意义,不同年龄、婚姻状况、寓居方式、置管次数、穿刺机会、穿刺部位及穿刺位置间自我护理能力差异无统计学意义。7.Pearson相关分析显示,健康促进行为总分及各个维度与自我护理能力呈正相关(P0.05),心理一致感总分、理解能力及处理或管理能力与自我护理能力呈正相关(尸0.01),抑郁与自我护理能力不相关,但与自我护理技能呈负相关(P0.05),社会支持总分、主观支持及支持利用度与自我护理呈正相关(P0_05)。8.多元逐步分析结果显示:营养、心理一致感、寓居地、支持利用度及宗教信仰,共能解释患者自我护理能力变异量的58.3%。结论1.肿瘤患者PICC留置期间自我护理能力与性别、寓居地、文化程度、职业、月收入、医疗付费方式、宗教信仰、子女个数、导管留置时间、能否出现并发症及KPS评分显着相关。2.肿瘤患者PICC留置期间自我护理能力处于高等水平,华而不实自我护理技能和健康知识得分水平相对较低,影响其自我护理能力的因素包括营养、心理一致感、寓居地、支持利用度及宗教信仰。本文本文关键词语语:自我护理能力;肿瘤;PICC;患者ABSTRACTObjectiveTounderstandthecurrentsituationoftheself-careagency,healthpromotionbehavior(HPB),senseofcoherence(SOC),depressionandsocialsupportincancerpatientswithPICC-line,toexploretheinfluenceofbasicpersonalinformationonself-careagencyincancerpatientswithPICC-line;furtheranalysistheinfluenceofhealthpromotionbehavior,psychologicalalignment,depressionandsocialsupportonself-careagency;thustoprovidetheoreticalreferenceforimprovementself-careagencyincancerpatientswithPICC-line.MethodsConveniencesamplingwasused.Atotalof130patientswithPICC-linewererecruitedrandomlyinclass3-AgeneralhospitalsinShandongProvincefromMaytoNovember2020.Weusedquestionnairepackagesincludedsixparts:generalinformationquestionnaire,ExerciseofSelf-CareAgencyScale,Health-PromotingLifestyleProfileII,SenseofCoherenceScale,Self-ratingDepressionScale,SocialSupportRatingScale.UsingSPSS18.0statisticalpackageforstatisticalanalysis.Descriptiveanalysis,analysisofvariance,Pearsoncorrelationanalysisandmultiplelinearregressionanalysiswereperformedtoanalyzethebasicinformation5self-careagency,healthpromotionbehavior,senseofcoherence,depressionandsocialsupport.ResultsAtotalof130questionnairesweredistributed,fullrecovery,effectiveratewas100o/o,detailedinformationwasasfollows:1.Thetotalself-careagencyscoreoftumorpatientswithPICC-linewas113.08士11.63,54.6%ofthepatientsselfcareagencyathigherlevels,inadditiontotheselfcareskillsandhealthknowledgeleveldimensionscoresofthosewhohavealowlevels,theotherdimensionscoresareinmediumlevelandabove.Theentriesaverageofeachdimensionwerehealthresponsibility4.00士3.95,selfconcept3.230.45,thehealthknowledgelevel2.03士0.39,self-careskills1.610.41.2.ThetotalHPBscoreoftumorpatientswithPICC-linewas135.72士15.69,andtheentriesaveragescorewas2.61土0.30.Theentriesaverageofeachdimensionwerespiritualgrowth2.850.36,stressmanagement2.78士0.45,interpersonalrelations2.73士0.39,nutrition2.65士0.39,healthresponsibility2.40土0.36,physicalactivity2.02土0.38.3.ThetotalSOCscoreoftumorpatientswithPICC-linewas50.00士6.69,andtheentriesaveragescorewas3.84土0.51.Theentriesaverageofeachdimensionweremeaningfulness4.090.62,manageability3.78土0.82,comprehensibility3.70士0.66.4.ThetotalSDSscoreoftumorpatientswithPICC-linewas47,48士6.11,higherthandomesticnorm33.46士8.55(P0.01).Theincidenceofdepressionwas29.2%,milddepressionin36cases(27.7%),moderatedepression2cases(1.5%).5.ThetotalSSRSscoreoftumorpatientswithPICC-linewas37.93士7.40,83.9%ofpatientssocialsupportlevelinthemediumlevel,only16.2%ofpatientssocialsupporttoachievehigherlevel.6.Theone-wayanalysisofvarianceresultsshow,therewerestatisticaldifferencesofself-careagencyindifferentcharacteristicsofsocialdemographyanddiseaseofcancerpatientswithPICC-line,thoseweredifferentsex,placeofresidence,educationbackground,occupation,income,medicalpayment,religion?thenumberofchildren,catheterindwellingtime,complications7andKPSscore;therewerenotstatisticaldifferencesofself-careagencyindifferentage,maritalstatus,livingpattem?thenumberoftube,puncturetime,insertionlocationandsiteofinsertion.7.ThePearsoncorrelationanalysisresultsshow,thetotalscoreandtheaveragescoreofeachdimensionofHPBwaspositivelycorrelated(P0.05);self-careagencywasmoderatepositivecorrelatedwiththetotalscoreofSOC,comprehensibilityandmanageability(P0.01);depressionwasnotcorrelatedwiththetotalscoreofself-careagency,butlownegativelyrelatedtonursingskillandhealthknowledge{P0.05);socialsupport,subjectivesupportandsupportutilizationdegreeandself-careangencywaslowtomoderatepositivecorrelation(P0.05).8.Multiplestepwiseanalysisresultsshowedthatnutrition,SOC,placeofresidence,supportutilizationdegreeandreligiousbeliefs,canexplain58.3%ofthepatientsself-careagencyvariance.Conclusion1.CancerpatientsduringthePICC-lineself-careabilityhasasignificantlycorrelationwithgender,placeofresidence,education,occupation,income,religion,medicalpaymentmethod,thenumberofchildren,catheterindwellingtime,complicationsandKPSscore.2.CancerpatientsduringthePICC-linesel