Department of Hematology-Oncology, The Children's Hospital, Zhejiang University School of Medicine, Pediatric Leukemia Diagnostic and Therapeutic Technology Research Center of Zhejiang Province, National Clinical Research Center for Child Health, Hangzhou 310000, China.
Comput Math Methods Med. 2022 May 13;2022:4180113. doi: 10.1155/2022/4180113. eCollection 2022.
To analyze the nursing effect and prognostic value of self-management education model based on protective motivation theory on patients with hematological malignancies (HM) after peripheral venous catheterization (PICC).
A total of 90 patients with HMs treated with PICC catheterization in our hospital from October 2019 to October 2021 were included in the study. The patients were randomly assigned into experimental group ( = 45) and control group ( = 45). On the basis of the control group, the experimental group implemented the self-management education model based on the theory of protective motivation, and the control group implemented routine nursing health education measures. The self-nursing ability scale (ESCA), Hamilton anxiety scale (HAMA), the average cost of PICC catheter maintenance, the incidence of PICC-related complications, and the score of Newcastle nursing satisfaction scale (NSNS) were observed 1 month before and after nursing.
After one month of nursing, there was no significant difference in ESCA self-concept ( > 0.05). After one month of nursing, the scores of self-care responsibility, self-nursing skills, and health knowledge in the experimental group were significantly higher compared to those before nursing ( < 0.05) and higher compared to those in the control group ( < 0.05). After one month of nursing, the score of HAMA scale was significantly lower compared to that before nursing ( < 0.05), and the score of HAMA scale in the experimental group was lower compared to the control group ( < 0.05). After one month of nursing, the average cost of PICC pipeline maintenance in the test group was lower than that in the control group ( < 0.05). One month after nursing, the incidence of PICC-related complications in the experimental group was lower than that in the control group ( < 0.05). One month after nursing, the score of NSNS scale was significantly higher than that before nursing ( < 0.05). After one month of nursing, the score of NSNS scale in the experimental group was higher than that in the control group.
The self-management education model based on protective motivation theory is effective in nursing patients with peripheral venous catheterization and PICC catheterization of HMs. It is more beneficial to promote patients' self-nursing management ability, reduce anxiety, reduce the average cost of PICC pipeline maintenance, reduce the incidence of PICC-related complications, and enhance nursing satisfaction.
分析基于保护动机理论的自我管理教育模式对血液病（HM）患者外周静脉置入中心静脉导管（PICC）后的护理效果及预后价值。
选取我院 2019 年 10 月至 2021 年 10 月收治的 90 例行 PICC 置管的 HM 患者，采用随机数字表法分为实验组（n = 45）和对照组（n = 45）。对照组采用常规护理健康教育措施，实验组在对照组基础上采用基于保护动机理论的自我管理教育模式。观察两组患者护理前后的自我护理能力量表（ESCA）、汉密尔顿焦虑量表（HAMA）、PICC 导管维护平均费用、PICC 相关并发症发生率和纽卡斯尔护理满意度量表（NSNS）评分。
护理 1 个月后，两组患者的自我概念量表评分比较，差异无统计学意义（>0.05）。护理 1 个月后，实验组患者的自我护理责任感、自我护理技能和健康知识评分均高于护理前（<0.05），且高于对照组（<0.05）。护理 1 个月后，两组患者的 HAMA 量表评分均低于护理前（<0.05），且实验组低于对照组（<0.05）。护理 1 个月后，实验组患者的 PICC 管道维护平均费用低于对照组（<0.05）。护理 1 个月后，实验组患者的 PICC 相关并发症发生率低于对照组（<0.05）。护理 1 个月后，两组患者的 NSNS 量表评分均高于护理前（<0.05），且实验组高于对照组（<0.05）。
基于保护动机理论的自我管理教育模式应用于 HM 患者外周静脉置管及 PICC 导管维护中效果确切，更有利于促进患者的自我护理管理能力，降低焦虑程度，减少 PICC 管道维护平均费用，降低 PICC 相关并发症发生率，提高护理满意度。
