肿瘤患者PICC留置期间自我护理能力探究,护理硕士论文.docx

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1、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

2、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113.08 11.63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4.00 3.95分、自我概念3

3、.23 0.45分、健康知识2.03 0.39分、自我护理技能1.61 0.41分。2.肿瘤患者PICC留置期间健康促进行为总分135.72 15.69分,平均分2.61 0.30分;各维度平均得分由高到低依次为自我实现2.85 0.36分、应对压力2.78 0.45分、人际支持2.73 0.39分、营养2.65士0.39分、健康责任2.40 0.36分、运动锻炼 2.02 0.38 分。3.肿瘤患者PICC留置期间心理一致感总分50.00 6.69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4.09 0.62分、处理或管理能力3.78 0.82 分、理解能力 3.70

4、0.66 分。4.肿瘤患者PICC留置期间抑郁标准分为47.48 6.11分,高于国内常模33.46 8.55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37.93 7.40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

5、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(P 0.05),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(P 0.05),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(P 0_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

6、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ABSTRACTObjective To understand the current situation of the self-care agency, healthpromotion behavior(HPB), sense of coherence(SOC),depression

7、 and social support incancer patients with PICC-line, to explore the influence of basic personal informationon self-care agency in cancer patients with PICC-line ; further analysis the influenceof health promotion behavior, psychological alignment, depression and social supporton self-care agency; t

8、hus to provide theoretical reference for improvement self-careagency in cancer patients with PICC-line.Methods Convenience sampling was used.A total of 130 patients with PICC-linewere recruited randomly in class 3-A general hospitals in Shandong Province fromMay to November 2020.We used questionnair

9、e packages included six parts: generalinformation questionnaire, Exercise of Self-Care Agency Scale, Health-Promoting LifestyleProfile II,Sense of Coherence Scale, Self-rating Depression Scale, Social SupportRating Scale.Using SPSS 18.0 statistical package for statistical analysis. Descriptiveanalys

10、is, analysis of variance, Pearson correlation analysis and multiple linearregression analysis were performed to analyze the basic information5self-care agency,health promotion behavior, sense of coherence, depression and social support.Results A total of 130 questionnaires were distributed,full reco

11、very, effective ratewas 100o/o,detailed information was as follows:1.Thetotal self-care agency score of tumor patients with PICC-line was 113.08士 11.63,54.6% of the patients self care agency at higher levels,in addition to the self careskills and health knowledge level dimension scores of those who

12、have a low levels ,the other dimension scores are in medium level and above. The entries average ofeach dimension were health responsibility 4.00士3.95, self concept 3.23 0.45,thehealth knowledge level 2.03士0.39,self-care skills 1.61 0.41.2.Thetotal HPB score of tumor patients with PICC-line was 135.

13、72士 15.69,and theentries average score was 2.61 土0.30.The entries average of each dimension werespiritual growth 2.85 0.36,stress management 2.78士0.45,interpersonal relations2.73士0.39, nutrition 2.65士0.39,health responsibility 2.40土0.36,physical activity2.02 土 0.38.3.Thetotal SOC score of tumor pati

14、ents with PICC-line was 50.00士6.69, and theentries average score was 3.84土0.51. The entries average of each dimension weremeaningfulness 4.09 0.62, manageability 3.78土0.82,comprehensibility 3.70士0.66.4.Thetotal SDS score of tumor patients with PICC-line was 47,48士6.11, higher thandomestic norm 33.46

15、士8.55 (P 0.01). The incidence of depression was 29.2%, milddepression in 36 cases (27.7%), moderate depression 2 cases (1.5%).5.Thetotal SSRS score of tumor patients with PICC-line was 37.93士7.40,83.9% ofpatients social support level in the medium level, only 16.2% of patients socialsupport to achie

16、ve higher level.6.Theone-way analysis of variance results show,there were statistical differences ofself-care agency in different characteristics of social demography and disease ofcancer patients with PICC-line,those were different sex,place of residence,educationbackground,occupation,income,medica

17、l payment,religion?the number ofchildren,catheter indwelling time,complications7and KPS score;there were notstatistical differences of self-care agency in different age,marital status,livingpattem?the number of tube,puncture time,insertion locationand site of insertion.7.ThePearson correlation analy

18、sis results show,the total score and the average scoreof each dimension of HPB was positively correlated (P 0.05 ) ;self-care agency wasmoderate positive correlated with the total score of SOC, comprehensibility andmanageability (P 0.01) ;depression was not correlated with the total score ofself-car

19、e agency, but low negatively related to nursing skill and health knowledge P 0.05);social support, subjective support and support utilization degree and self-careangency was low to moderate positive correlation (P 0.05).8.Multiple stepwise analysis results showed that nutrition,SOC,place of residenc

20、e,support utilization degree and religious beliefs, can explain 58.3% of the patientsself-care agency variance.Conclusion1.Cancerpatients during the PICC-line self-care ability has a significantly correlationwith gender,place of residence,education, occupation, income,religion,medicalpayment method,

21、 the number of children, catheter indwelling time,complications andKPS score.2.Cancerpatients during the PICC-line self-care ability at higher levels, the variousdimensions of self nursing skill and health knowledge is relatively low. Nutrition,SOC, place of residence, supported the use of degrees a

22、nd religious beliefs are themain factors that influence the tumor patients self-care ability.Keywords: self-care agency; tumor; PICC; patients目录中文内容内容摘要Abstract第一章 前言第二章文献回首1.肿瘤发生状况2.PICC杂概述3.自我护理能力第三章研究对象与方式方法2研究工具3.数据收集4.数据处理5.质量控制6.伦理问题第四章研究结果1.研究对象的一般资料2.肿瘤患者PICC留置期间健康促进行为分析3.肿瘤患者PICC留置期间心理一致感分析4.肿瘤患者PICC留置期间抑郁分析5.肿瘤患者PICC留置期间社会支持分析6.肿瘤患者PICC留置期间自我护理能力分析第五章讨论1.肿瘤患者PICC留置期间健康促进行为2.肿瘤患者PICC留置期间心理一致感3.肿瘤患者PICC留置期间抑郁4.肿瘤患者PICC留置期间社会支持5.肿瘤患者PICC留置期间自我护理能力及影响因素第六章1.研究结论2.研究建议3.研究局限性以下为以下为参考文献致谢