文章摘要

互动健康教育模式在儿童白血病经外周静脉置入中心静脉导管中的应用

作者: 1徐新
1 南京医科大学附属儿童医院血液肿瘤科,南京 210019
通讯: 徐新 Email: wangyyy112233@163.com
DOI: 10.3978/j.issn.2095-6959.2021.01.021
基金: 南京医科大学科技发展基金面上项目(2012NJMU050)。

摘要

目的:研究互动健康教育模式在儿童白血病经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)中的应用效果。方法:选择2018年1月至2019年10月在南京市儿童医院行PICC的儿童白血病患者84例,按照随机数余数分组方法将其分为研究组(互动健康教育模式)及对照组(传统健康教育),各42例。比较两组患者健康知识掌握情况、置管效果、依从性及并发症发生情况。结果:拔管后,研究组健康知识达标人数明显高于对照组。研究组首次穿刺成功率、24 h穿刺点未出血、置管依从性主动、置管前肘部血管保护及置管时体位配合主动的人数均明显高于对照组(P<0.05)。研究组并发症总发生率明显低于对照组(P<0.05)。结论:互动健康教育模式在儿童白血病PICC中应用效果良好,能够有效促进患儿家属对健康知识的掌握,提升患儿置管依从性及置管效果,降低并发症发生率。
关键词: 互动健康教育模式;儿童;白血病;经外周静脉置入中心静脉导管

Application of interactive health education model on peripherally inserted central catheter catheterization in children with leukemia

Authors: 1XU Xi
1 Department of Hematology and Oncology, Children’s Hospital of Nanjing Medical University, Nanjing 210019, China

CorrespondingAuthor: XU Xi Email: wangyyy112233@163.com

DOI: 10.3978/j.issn.2095-6959.2021.01.021

Foundation: This work was supported by the Nanjing Medical University Science and Technology Development Fund General Project, China (2012NJMU050).

Abstract

Objective: To study the effect of applying an interactive health education model on peripherally inserted central catheter (PICC) catheterization in children with leukemia. Methods: A total of 84 children patients with leukemia who were treated with PICC catheterization in Nanjing Children’s Hospital from January 2018 to October 2019 were selected and randomly divided into study group (interactive health education model) and control group (traditional health education), with 42 cases in each group. The mastery of health knowledge, effect of catheterization, compliance and occurrence of complications were compared between the two groups. Results: After extubation, the number of people who met the standard of health knowledge in study group was significantly larger than that in control group. The number of people who succeeded in the first puncture with no bleeding at 24 h, proactive tube compliance, elbow vascular protection before catheterization, and active position coordination during catheterization in study group was significantly larger than those in control group (P<0.05). The total incidence rate of complications in the study group was significantly lower than that in the control group (P<0.05). Conclusion: Interactive health education model has positive achievements in children with leukemia after PICC catheterization. It can effectively improve the mastery of health knowledge of children’ s family members, and the catheterization compliance and catheterization effects, and reduce the incidence rates of complications.
Keywords: interactive health education model; children; leukemia; peripherally inserted central catheter catheterization

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