化疗病人PICC置管依从性的质性研究
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摘要
[目的]了解化疗病人拒绝经外周静脉穿刺置入中心静脉导管(PICC)的原因,提高病人置管依从性。[方法]采用现象学研究方法,通过一对一深度访谈收集资料,依照编码、分类、解释现象的实质和意义、提炼主题和要素6个步骤进行资料分析。[结果]根据对30例病人拒绝置管原因的分析,提炼出5个主要影响因素,包括维护不便、认为无置管必要、担心影响日常生活和工作、医生与病人对PICC技术的认识存在误区、经济困难而难以承受置管及后期维护的费用。[结论]深入了解化疗病人PICC置管依从性的影响因素,采取针对性护理干预措施,提高病人置管依从性,可降低化疗并发症的发生风险。
引文
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[4]HARROLD K,MARTIN A,SCARLETT C.Proactive PICC placement:evaluating the patient experience[J].Br J Nurs,2016,25(8):S4-S14.
[5]李全磊,颜美琼,张晓菊,等.PICC经不同静脉和上肢置入对穿刺成功与并发症发生影响的系统评价[J].护理学杂志,2012,27(21):56-62.
[6]王斌,熊晓美.质性研究的方法及其在护理专业的应用与展望[J].护理学报,2008,15(3):25-27.
[7]邾萍,刘建红,孟爱凤,等.肿瘤病人PICC置管体验的质性研究[J].护理研究,2016,30(6B):2114-2117.
[8]PURRAN A,WELLER G,KERR C.Evaluation of a PICC care training programme[J].Nurs Stand,2016,30(20):45-50.
[9]SHARP R,GRECH C,FIELDER A,et al.The patient experience of a peripherally inserted central catheter(PICC):aqualitative descriptive study[J].Contemp Nurse,2014,48(1):26-35.
[10]颜美琼,李全磊,陆箴琦,等.PICC置管前评估的临床实践指南构建及AGREE评价[J].护理学杂志,2013,28(14):1-5.
[11]李莉.护理干预对PICC置管患者导管维护依从性的影响[J].解放军护理杂志,2014,31(17):64-66.
[12]高丽,刘玉萍.PICC置管依从性相关因素调查[J].中华现代护理杂志,2011,17(31):3767-3769.
[13]秦艳玲.综合护理干预对提高PICC置管患者维护依从性的研究[J].护理实践与研究,2015,12(1):127-128.
[14]BERTOGLIO S,FACCINI B,LALLI L,et al.Peripherally inserted central catheters(PICCs)in cancer patients under chemotherapy:aprospective study on the incidence of complications and overall failures[J].J Surg Oncol,2016,113(6):708-714.
[15]张明,王霞,高伟,等.PICC带管患者非正常拔管的真实体验的质性研究[J].中国实用护理杂志,2014,30(13):41-44.
[16]冯娇芳,王练,张雪艳.PICC非计划性拔管患者心理状态的质性研究[J].护理实践与研究,2015,12(4):7-10.
[2]LUO L,JING X M,WANG G R,et al.Peripherally inserted central catheter-related upper extremity venous thrombosis in oncology patients:aprospective study based on doppler sonography[J].JUltrasound Med,2016,35(8):1759-1763.
[3]FUKUDA S,NAKAJIMA K,MIYAZAKI Y,et al.Use of doublelumen peripherally inserted central catheters for safer perioperative management of esophageal cancer patients[J].J Vasc Access,2015,16(4):338-343.
[4]HARROLD K,MARTIN A,SCARLETT C.Proactive PICC placement:evaluating the patient experience[J].Br J Nurs,2016,25(8):S4-S14.
[5]李全磊,颜美琼,张晓菊,等.PICC经不同静脉和上肢置入对穿刺成功与并发症发生影响的系统评价[J].护理学杂志,2012,27(21):56-62.
[6]王斌,熊晓美.质性研究的方法及其在护理专业的应用与展望[J].护理学报,2008,15(3):25-27.
[7]邾萍,刘建红,孟爱凤,等.肿瘤病人PICC置管体验的质性研究[J].护理研究,2016,30(6B):2114-2117.
[8]PURRAN A,WELLER G,KERR C.Evaluation of a PICC care training programme[J].Nurs Stand,2016,30(20):45-50.
[9]SHARP R,GRECH C,FIELDER A,et al.The patient experience of a peripherally inserted central catheter(PICC):aqualitative descriptive study[J].Contemp Nurse,2014,48(1):26-35.
[10]颜美琼,李全磊,陆箴琦,等.PICC置管前评估的临床实践指南构建及AGREE评价[J].护理学杂志,2013,28(14):1-5.
[11]李莉.护理干预对PICC置管患者导管维护依从性的影响[J].解放军护理杂志,2014,31(17):64-66.
[12]高丽,刘玉萍.PICC置管依从性相关因素调查[J].中华现代护理杂志,2011,17(31):3767-3769.
[13]秦艳玲.综合护理干预对提高PICC置管患者维护依从性的研究[J].护理实践与研究,2015,12(1):127-128.
[14]BERTOGLIO S,FACCINI B,LALLI L,et al.Peripherally inserted central catheters(PICCs)in cancer patients under chemotherapy:aprospective study on the incidence of complications and overall failures[J].J Surg Oncol,2016,113(6):708-714.
[15]张明,王霞,高伟,等.PICC带管患者非正常拔管的真实体验的质性研究[J].中国实用护理杂志,2014,30(13):41-44.
[16]冯娇芳,王练,张雪艳.PICC非计划性拔管患者心理状态的质性研究[J].护理实践与研究,2015,12(4):7-10.