知—信—行健康教育模式对PICC置管肿瘤患者自我护理能力的影响(1)
摘 要：目的 探究知-信-行健康教育模式对PICC置管肿瘤患者自我护理能力的影响。方法 回顾分析2016年10月～2017年12月我院进行肿瘤化疗PICC置管治疗的140例患者临床资料，将其随机分为对照组和观察组，每组70例。对照组采用常规健康教育，观察组采用知-信-行健康教育模式，观察对比两组患者自我护理能力。结果 观察组PICC置管知信行维度评分高于对照组，差异有统计学意义(P<0.05)；观察组自护技能、自护责任感、自我概念、健康知识评分均高于对照组，差异有统计学意义(P<0.05)。结论 知-信-行健康教育模式可提高PICC置管肿瘤患者自我护理能力，提升患者的健康知识水平，促进了临床护理质量的提升，具有重要的临床价值。
关键词：知-信-行健康教育模式；PICC置管；肿瘤；自我护理能力
中图分类号：R473.73 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.11.056
, 百拇医药
文章编号：1006-1959(2018)11-0170-02
Effect of Knowledge-belief-behavioral Health Education Model on the Self-care Ability of Patients with Cancer in PICC Catheterization
WANG Jing，LIU Mei，JIAO Ju-feng
(Oncology Hospital，Second Affiliated Hospital of Xi'an Jiao Tong University，Xi'an 710004，Shaanxi，China)
Abstract：Objective To explore the effect of knowledge-belief-behavioral health education model on self care ability of patients with PICC catheterization.Methods We retrospectively analyzed the clinical data of 140 patients undergoing chemotherapy for PICC from October 2016 to December 2017 in our hospital.The clinical data were randomly divided into control group and observation group，70 cases in each group.The control group used routine health education.The observation group used the knowledge-belief-behavioral health education model to observe and compare the self-care ability of the two groups of patients.Results The score of PICC in the observation group was higher than that of the control group，the difference was statistically significant(P<0.05)，and the self-care skills， self-care responsibility，self-concept and health knowledge score of the observation group were higher than those in the control group， and the difference was statistically significant(P<0.05).Conclusion The knowledge-belief-behavioral health education model can improve PICC self-care ability of cancer patients， improve their health knowledge，and promote the improvement of clinical nursing quality.It has important clinical value.
, 百拇医药
Key words：Knowledge-belief-behavioral health education model；PICC catheterization；Tumor；Self-care ability
近年來，PICC置管在临床广泛应用，具有危险性小、并发症少、留置时间长等优点，备受临床医护人员和患者的认可[1]。尤其是肿瘤患者需要进行周期较长的化疗治疗，临床应用经PICC置管可避免化疗药物对外周静脉的刺激，减少局部组织坏死等不良反应。随着现代护理模式的发展，“知-信-行”健康教育模式是一种较为成熟的教育理论模式，通过对患者的干预，可提高患者的健康信念，进而促使患者采取健康行为。本研究对知-信-行健康教育模式对PICC置管肿瘤患者自我护理能力的影响，现报告如下。
1资料与方法
1.1一般资料 回顾分析2016年10月～2017年12月西安交通大学第二附属医院进行肿瘤化疗PICC置管治疗的140例患者临床资料，本次研究经医院伦理委员会批准。纳入标准：①均能够以语言交流，精神认知正常，能够独立完成日常生活活动；②所有患者均签署知情同意书。排除标准：①血常规检查异常；②PICC置管禁忌证；③重度心、脑、肾并发症的患者；④患有精神病患者。按数字随机法分为对照组和观察组，每组70例。对照组男性38例，女性32例；年龄48～73岁，平均年龄(61.20±1.43)岁。观察组男性40例，女性30例；年龄50～72岁，平均年龄(60.97±1.55)岁。两组患者在年龄、性别等基础资料，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(王静 刘梅 焦菊凤)
关键词：知-信-行健康教育模式；PICC置管；肿瘤；自我护理能力
中图分类号：R473.73 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.11.056
, 百拇医药
文章编号：1006-1959(2018)11-0170-02
Effect of Knowledge-belief-behavioral Health Education Model on the Self-care Ability of Patients with Cancer in PICC Catheterization
WANG Jing，LIU Mei，JIAO Ju-feng
(Oncology Hospital，Second Affiliated Hospital of Xi'an Jiao Tong University，Xi'an 710004，Shaanxi，China)
Abstract：Objective To explore the effect of knowledge-belief-behavioral health education model on self care ability of patients with PICC catheterization.Methods We retrospectively analyzed the clinical data of 140 patients undergoing chemotherapy for PICC from October 2016 to December 2017 in our hospital.The clinical data were randomly divided into control group and observation group，70 cases in each group.The control group used routine health education.The observation group used the knowledge-belief-behavioral health education model to observe and compare the self-care ability of the two groups of patients.Results The score of PICC in the observation group was higher than that of the control group，the difference was statistically significant(P<0.05)，and the self-care skills， self-care responsibility，self-concept and health knowledge score of the observation group were higher than those in the control group， and the difference was statistically significant(P<0.05).Conclusion The knowledge-belief-behavioral health education model can improve PICC self-care ability of cancer patients， improve their health knowledge，and promote the improvement of clinical nursing quality.It has important clinical value.
, 百拇医药
Key words：Knowledge-belief-behavioral health education model；PICC catheterization；Tumor；Self-care ability
近年來，PICC置管在临床广泛应用，具有危险性小、并发症少、留置时间长等优点，备受临床医护人员和患者的认可[1]。尤其是肿瘤患者需要进行周期较长的化疗治疗，临床应用经PICC置管可避免化疗药物对外周静脉的刺激，减少局部组织坏死等不良反应。随着现代护理模式的发展，“知-信-行”健康教育模式是一种较为成熟的教育理论模式，通过对患者的干预，可提高患者的健康信念，进而促使患者采取健康行为。本研究对知-信-行健康教育模式对PICC置管肿瘤患者自我护理能力的影响，现报告如下。
1资料与方法
1.1一般资料 回顾分析2016年10月～2017年12月西安交通大学第二附属医院进行肿瘤化疗PICC置管治疗的140例患者临床资料，本次研究经医院伦理委员会批准。纳入标准：①均能够以语言交流，精神认知正常，能够独立完成日常生活活动；②所有患者均签署知情同意书。排除标准：①血常规检查异常；②PICC置管禁忌证；③重度心、脑、肾并发症的患者；④患有精神病患者。按数字随机法分为对照组和观察组，每组70例。对照组男性38例，女性32例；年龄48～73岁，平均年龄(61.20±1.43)岁。观察组男性40例，女性30例；年龄50～72岁，平均年龄(60.97±1.55)岁。两组患者在年龄、性别等基础资料，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(王静 刘梅 焦菊凤)