家庭参与式小丑照护在肿瘤患儿PICC置管及维护中的应用
收稿日期: 2021-06-18
网络出版日期: 2022-01-19
基金资助
河南省医学教育研究课题(Wjlx2019088)
The effects of a family participatory clown care in children with tumor during PICC catheterization and maintenance
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
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 . DOI: 10.3761/j.issn.1672-9234.2022.01.013
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.
| [1] | 王啟瑶, 莫霖, 石林, 等. 恶性肿瘤患儿化疗间歇期PICC导管维护现状及对策研究[J]. 中国护理管理, 2017, 17(4):486-490. |
| [1] | Wang QY, Mo L, Shi L, et al. The current situation and influence factors of PICC care in children with cancer during intermittent chemotherapy[J]. Chin Nurs Manag, 2017, 17(4):486-490. |
| [2] | 余晓帆, 周艳, 罗小茜, 等. 住院学龄期患儿医疗恐惧护理干预的研究现状[J]. 现代临床护理, 2016, 15(2):71-75. |
| [2] | Yu XF, Zhou Y, Luo XQ, et al. Progress of nursing intervention medical fear for in hospitalized school-age children[J]. Mod Clin Nurs, 2016, 15(2):71-75. |
| [3] | 江延秋, 王志磊, 向美芹. 家庭参与护理模式在NICU早产儿中的应用研究[J]. 中华现代护理杂志, 2021, 27(5):669-672. |
| [3] | Jiang YQ, Wang ZL, Xiang MQ. Effects of family participation in nursing care in premature infants in neonatal intensive care units[J]. Chin J Mod Nurs, 2021, 27(5):669-672. |
| [4] | 丁永霞, 李军莉, 郭文俊, 等. 小丑照护在我国本土化的可行路径思考[J]. 护理学杂志, 2019, 34(21):99-103. |
| [4] | Ding YX, Li JL, Guo WJ, et al. On feasibility of introducing clown care to China[J]. J Nurs Sci, 2019, 34(21):99-103. |
| [5] | Spitzer P. The clown doctors[J]. Aust Fam Physician, 2001, 30(1):12-16. |
| [6] | 董微, 李菲, 刘延迪. 幽默疗法对老年人影响的研究进展[J]. 护理研究, 2018, 32(4):537-540. |
| [6] | Dong W, Li F, Liu YD. Research progress on influence of humor therapy on old people[J]. Chin Nurs Res, 2018, 32(4):537-540. |
| [7] | Garra G, Singer AJ, Taira BR, et al. Validation of the Wong-Baker FACES Pain Rating Scale in pediatric emergency depart-ment patients[J]. Acad Emerg Med, 2010, 17(1):50-54. |
| [8] | 刘新颖. 白血病患儿照顾者PICC知信行与照顾能力相关性研究[D]. 长沙:湖南中医药大学, 2019. |
| [8] | Liu XY. Correlation between caregiver’s PICC knowledge and care ability in patients with leukemia[D]. Changsha:Hunan Uni-versity of Chinese Medicine, 2019. |
| [9] | 李军莉, 张培莉, 丁永霞, 等. 小丑照护在学龄前儿童预防接种中的应用[J]. 护理研究, 2020, 34(10):1811-1815. |
| [9] | Li JL, Zhang PL, Ding YX, et al. Application of clown care in vaccination of preschool children[J]. Chin Nurs Res, 2020, 34(10):1811-1815. |
| [10] | 朱莹莹, 闫丽丽, 燕林, 等. 非药物干预在缓解患儿静脉穿刺急性疼痛中的应用[J]. 中华护理教育, 2019, 16(3):215-218. |
| [10] | Zhu YY, Yan LL, Yan L, et al. The effects of non-pharmacological interventions on relieving acute venipuncture pain in children[J]. Chin J Nurs Educ, 2019, 16(3):215-218. |
| [11] | Györfi A. The pharmacology of humour:a primer to quantum humourdynamics[J]. Orv Hetil, 2014, 155(32):1255-1258. |
| [12] | 黄华, 金婷, 李力. 医疗游戏辅导在肿瘤患儿PICC置管中的应用[J]. 齐鲁护理杂志, 2019, 25(3):17-19. |
| [12] | Huang H, Jin T, Li L. Application of medical game counselling in PICC catheter in children patients with tumor[J]. J Qilu Nurs, 2019, 25(3):17-19. |
| [13] | Öztürk Sahin Ö, Topan A. Investigation of the fear of 7-18-year-old hospitalized children for illness and hospital[J]. J Relig Health, 2019, 58(3):1011-1023. |
| [14] | 张伶俐, 胡小平, 万孝先, 等. 学龄前儿童心理行为问题与家长健康素养的关系[J]. 中国儿童保健杂志, 2020, 28(5):579-582. |
| [14] | Zhang LL, Hu XP, Wan XX, et al. Relationship between psychological behavior problems and parental health literacy in preschool children[J]. Chin J Child Heal Care, 2020, 28(5):579-582. |
| [15] | Mortamet G, Merckx A, Roumeliotis N, et al. Parental perceptions of clown care in paediatric intensive care units[J]. J Paediatr Child Health, 2017, 53(5):485-487. |
/
| 〈 |
|
〉 |