Wei Zhu1, Jin Liu2, Hong Qian3, Ying Wu1, Chong-Ming Xu1. 1. Department of Lymphoma, The 3rd Affiliated Teaching Hospital of Xinjiang Medical University (Affiliated Cancer Hospital) Xinjiang, China. 2. Department of Integrated Traditional Chinese Medicine & Western Medicine, The 3rd Affiliated Teaching Hospital of Xinjiang Medical University (Affiliated Cancer Hospital) Xinjiang, China. 3. Nursing Department, The 3rd Affiliated Teaching Hospital of Xinjiang Medical University (Affiliated Cancer Hospital) Xinjiang, China.
Abstract
OBJECTIVE: To explore the effect of continuous nursing service on the self-care agency score, catheter indwelling time, on-time maintenance ratio, and patients' complication rates with tumor chemotherapy PICC catheterization. METHODS: According to the nursing methods, a total of 90 cancer patients undergoing chemotherapy in our hospital from July 2018 to July 2020 were divided into an observation group (n=45) and a control group (n=45). The control group received conventional nursing care; which was also given to the observation group in addition to continuous nursing service. The ES-CA score, catheter indwelling time, on-time maintenance ratio, compliance, complication rate, and nursing satisfaction were compared after 3 months. RESULTS: Before care, there was no significant difference in self-care responsibility, self-concept, self-care skills, and health knowledge between the two groups (P>0.05), while these indexes of the observation group aftercare were significantly higher than in the control group (P<0.05). The catheter indwelling time of the observation group was longer, and its proportion of on-time maintenance was also significantly greater in comparison with the control group. The difference was statistically significant (P<0.05). The compliance rate Aftercare in the observation group was 95.6%, substantially higher than that of the control group (77.78%, P<0.05). The complication rate of the observation group was 6.67%, significantly lower than 26.67% in the control group, and the difference was statistically significant (P<0.05). The nursing satisfaction rate of the observation group was 97.78%, which was significantly higher than that of the control group (80.00%, P<0.05). CONCLUSION:Continuous nursing intervention for patients undergoing tumorchemotherapy with PICC catheterization can promote their self-management agency, prolong the PICC catheterization time, reduce the incidence of complications, improve treatment compliance and nursing satisfaction; therefore, it is worthy of promotion and application. AJTR
RCT Entities:
OBJECTIVE: To explore the effect of continuous nursing service on the self-care agency score, catheter indwelling time, on-time maintenance ratio, and patients' complication rates with tumor chemotherapy PICC catheterization. METHODS: According to the nursing methods, a total of 90 cancerpatients undergoing chemotherapy in our hospital from July 2018 to July 2020 were divided into an observation group (n=45) and a control group (n=45). The control group received conventional nursing care; which was also given to the observation group in addition to continuous nursing service. The ES-CA score, catheter indwelling time, on-time maintenance ratio, compliance, complication rate, and nursing satisfaction were compared after 3 months. RESULTS: Before care, there was no significant difference in self-care responsibility, self-concept, self-care skills, and health knowledge between the two groups (P>0.05), while these indexes of the observation group aftercare were significantly higher than in the control group (P<0.05). The catheter indwelling time of the observation group was longer, and its proportion of on-time maintenance was also significantly greater in comparison with the control group. The difference was statistically significant (P<0.05). The compliance rate Aftercare in the observation group was 95.6%, substantially higher than that of the control group (77.78%, P<0.05). The complication rate of the observation group was 6.67%, significantly lower than 26.67% in the control group, and the difference was statistically significant (P<0.05). The nursing satisfaction rate of the observation group was 97.78%, which was significantly higher than that of the control group (80.00%, P<0.05). CONCLUSION: Continuous nursing intervention for patients undergoing tumor chemotherapy with PICC catheterization can promote their self-management agency, prolong the PICC catheterization time, reduce the incidence of complications, improve treatment compliance and nursing satisfaction; therefore, it is worthy of promotion and application. AJTR
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