家庭参与式小丑照护在肿瘤患儿PICC置管及维护中的应用

doi:10.3761/j.issn.1672-9234.2022.01.013

摘要/Abstract

摘要：

目的探讨家庭参与式小丑照护在肿瘤患儿PICC置管和维护过程中的应用效果。方法采用便利抽样,选取2020年12月—2021年2月在河南省人民医院就诊拟行PICC置管的肿瘤患儿为对照组,2021年3月—5月就诊患儿为试验组,各60例。对照组采用常规PICC置管和维护方法,试验组实施家庭参与式小丑照护。比较两组患儿置管时的疼痛水平、导管维护依从性、父母PICC知信行和护理满意度。结果试验组患儿置管疼痛程度低于对照组,患儿导管维护依从性、干预1个月后患儿父母PICC知信行水平及护理满意度高于对照组,差异均具有统计学意义(P<0.05)。结论家庭参与式小丑照护能够缓解患儿PICC置管疼痛度、提高导管维护依从性、增加患儿父母PICC知信行水平以及护理满意度。

关键词: 导管插入术,中心静脉, 儿童, 肿瘤, 家庭参与护理, 小丑照护

Abstract:

Objective To explore the effects of a family participatory clown care in children with tumor during PICC catheterization and maintenance. Methods A convenience sampling was used to recruit children with tumor who were to be treated for PICC in the Henan Provincial People’s Hospital from December 2020 to February 2021 and these children were assigned to the control group. Another group of children from March to May 2021 was assigned to the interventional group. There were 60 children in each group. Children in the control group received the routine PICC catheterization process and care. Children in the interventional group received a family-participatory clown care model based on routine care. The pain level,catheter maintenance compliance,parental PICC knowledge and behavior,and satisfaction were compared between the two groups. Results The pain degree of catheterization in the interventional group was lower than that of the control group(P<0.05). The compliance of catheter maintenance,the level of parental PICC knowledge and behavior,and satisfaction level in the interventional group were higher than those in the control group(P<0.05). Conclusion The family-participatory clown care model can alleviate the pain of PICC catheterization in children,improve the compliance of catheter maintenance,increase parents’ PICC knowledge,belief and behavior,and their satisfaction level.

Key words: Catheterization,Central Venous, Child, Neoplasms, Family participatory care, Clown care

李荣, 陈伟博, 王冉冉, 李娜, 鲍俊涛. 家庭参与式小丑照护在肿瘤患儿PICC置管及维护中的应用[J]. 中华护理教育, 2022, 19(1): 75-80.

LI Rong, CHEN Wei-bo, WANG Ran-ran, LI Na, BAO Jun-tao. The effects of a family participatory clown care in children with tumor during PICC catheterization and maintenance[J]. Chinese Journal of Nursing Education, 2022, 19(1): 75-80.

图/表 5

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