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上海某二甲医院PICC带管出院患者导管维护知信行现状调查及影响因素分析
Knowledge-Attitude-Practice about PICC catheter in patients discharged with PICC of a Shanghai 2A hospital and its influencing factors

王艳梅 陆静 施蓉玲

Wang Yanmei, Lu Jing, Shi Rongling

【摘要】目的 调查上海某二甲医院PICC 化疗患者导管维护知信行现状及影响因素,为制定适合 PICC 导管维护的行为干预策略提供依据。方法 采用目的抽样法选取2016 年12 月—2017 年4 月上海 浦东新区公利医院160例PICC带管出院患者,采用导管维护知信行问卷进行调查,并用SPSS统计软件进 行导管维护行为影响因素的分层回归分析。结果 回收有效问卷150 份,问卷有效率为96.8%。150 例 调查问卷答对率68.54%,平均得分(68.54±7.85)分。单因素分析显示不同年龄、文化程度、婚姻状况、 职业的PICC 带管出院患者得分差异具有统计学意义(t/F值分别为30.140、139.010、10.301、8.632;P < 0.05),分层回归分析显示不同文化程度、职业、PICC相关知识水平和信念是患者PICC导管维护行为的 影响因素(β'值分别为0.290、0.230、0.295、0.302;P< 0.05)。结论 PICC 带管出院患者导管维护知信行 水平有待进一步提高,需要建立以PICC 专科护士为核心的医院-社区联动的干预策略,重视对PICC 带 管出院患者相关知识宣教,提高患者自我管理信心,以提高患者的导管自我管理能力。
【摘要】Objective To investigate the Knowledge-Attitude-Practice about PICC catheter in chemotherapy patients after being discharged from a Class Ⅱ Grade A hospital in Shanghai and its influencing factors, so as to provide reference for the establishment of behavior intervention strategy for PICC catheter maintenance. Methods From December 2016 to April 2017, a total of 160 patients who were discharged with PICC catheter from Gongli Hospital of Pudong New District of Shanghai were selected by purposive sampling method. A Knowledge-Attitude-Practice questionnaire about PICC maintenance was applied in the investigation, and SPSS statistic software was used for the analysis of the influencing factors. Results A total of 150 valid questionnaires were collected and the efficiency of the questionnaire was 96.8%. The right answer rate of 150 questionnaires was 68.54%, with the average score( 68.54±7.85). Single factor analysis showed statistical significance in patients' score difference in different age, education level, marital status and occupation (t/F=30.140, 139.010, 10.301, 8.632; P < 0.05). Stratified regression analysis showed that different levels of education, occupation, PICC related knowledge and belief were the factors influencing the maintenance behavior of PICC catheter in patients( β'=0.290, 0.230, 0.295, 0.302; P < 0.05).Conclusions The Knowledge-Attitude-Practice of PICC maintenance in discharged patients is at a low level, which needs to be further improved. It is necessary to establish the intervention strategy of hospital-community linkage with PICC specialist nurses as the core. In order to improve patients' self-management ability, it is suggested to pay more attention to the knowledge education of the patients who have been discharged with PICC and to improve the selfmanagement ability of the patients.

【关键词】导管插入术, 外周; 横断面研究; 知信行理论模式; 影响因素
【关键词】Catheterization, peripheral; Cross-sectional studies; Knowledge-Attitude-Practice model; Influencing factors