"互联网+"赋权-督导-改进干预模式在中老年宫颈癌术后化疗患者经外周静脉置入中心静脉导管中的应用观察

Observation on application of the"internet+"empowerment-supervision-improvement intervention model in PICC in middle-aged and elderly patients with cervical cancer undergoing postoperative chemotherapy

中文关键词: 中老年  宫颈癌  互联网+  赋权-督导-改进干预模式  化疗  经外周静脉置入中心静脉导管

英文关键词: middle-aged and elderly  cervical cancer  internet+  empowerment-supervision-improvement intervention model  chemotherapy  peripherally inserted central catheter

中文摘要:

      目的 探讨"互联网+"赋权-督导-改进干预模式在中老年宫颈癌术后化疗患者经外周静脉置入中心静脉导管(PICC)置管中的应用价值.方法 选取2018年3月-2023年2月复旦大学附属肿瘤医院收治的49例中老年宫颈癌术后化疗患者,采用随机数字表法分为对照组(n=24)和观察组(n=25);2组患者均行PICC置管,对照组采用常规干预方法,观察组采用"互联网+"赋权-督导-改进干预模式.比较2组患者PICC自我管理能力、自我效能、心理状态、导管并发症以及满意度.结果 干预后,2组患者PICC自我管理能力量表(CPPSM)评分、中文版癌症自我管理效能感量表(C-SUPPH)评分、汉密顿抑郁量表(HAMD)评分、汉密顿焦虑量表(HAMA)评分均有明显改善,且观察组CPPSM、C-SUPPH、HAMD、HAMD评分改善优于对照组;2组汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)评分均低于同组干预前,且观察组HAMD、HAMA评分低于对照组;差异均有统计学意义(P＜0.05).观察组导管并发症发生率[4.00％(1/25),P＜0.05]低于对照组,满意度评分高于对照组(25.00％(6/24),P＜0.05).结论 在中老年宫颈癌术后化疗患者PICC置管中,"互联网+"赋权-督导-改进干预模式可提高患者的自我管理能力,改善自我效能及心理状态,降低导管并发症发生风险,具有较高的满意度.

英文摘要:

      Objective To explore the application value of an"internet+"empowerment-supervision-improvement in-tervention model in peripherally inserted central catheters(PICC)in middle-aged and elderly cervical cancer patients undergo-ing postoperative chemotherapy.Methods A total of 49 middle-aged and elderly patients with cervical cancer who underwent surgery and chemotherapy were selected from Fudan University Shanghai Cancer Center from March 2018 to February 2023.The patients were randomly divided into a control group(n=24)and an observation group(n=25)using a random number table.All patients received PICC placement.The control group received routine intervention care,while the observation group received the"internet+"empowerment-supervision-improvement intervention model.PICC self-management ability,self-effi-cacy,psychological status,catheter-related complications,and patient satisfaction were compared between the two groups.Results After the intervention,the scores of the PICC self-management scale(CPPSM),the Chinese version of the Strategies Used by People to Promote Health(C-SUPPH),the Hamilton Depression Rating Scale(HAMD),and the Hamilton Anxiety Rating Scale(HAMA)improved significantly in both groups.The improvement in the observation group was significantly greater than that in the control group.The scores of HAMD and HAMA in both groups were lower than those in the same group before the intervention,and the observation group was lower than the control group.The differences were statistically signifi-cant(all P＜0.05).The incidence of catheter-related complications in the observation group[4.00％(1/25)]was signifi-cantly lower than that in the control group[25.00％(6/24),(P＜0.05)],while patient satisfaction score in the observation group was significantly higher than that in the control group(P＜0.05).Conclusion In the PICC catheterization in middle-aged and elderly patients with cervical cancer undergoing postoperative chemotherapy,the"internet+"empowerment-supervi-sion-improvement intervention model can enhance the self-management ability of patients,improve their self-efficacy and psy-chological status,reduce the risk of catheter-related complications,and has a relatively high patient satisfaction.