Effect of clinical care pathway on patients undergoing PICC catheterized tumor chemotherapy
临床护理路径对行PICC置管肿瘤化疗患者的护理效果

摘要

目的 分析在PICC置管肿瘤化疗患者的临床护理方案中应用临床护理路径护理模式的影响效力。方法 以动态随机法将2022年1月-2023年12月内就诊的80例肿瘤患者纳入试验研究，而后以同等随机法分40例对照组常规护理，40例观察组增加临床护理路径护理。在不同护理模式差异下，以ESCA自护能力、Champion健康信念评分、MCMQ医学应对方式评分等指标对比护理影响效力。以置管脱落、静脉血栓、感染、导管阻塞等不良事件对比并发症，以锻炼依从性对比两组功能锻炼情况。结果 未实施不同护理前，两组患者护理指标对比无统计学意义（P﹥0.05）。而实施不同护理后，观察组ESCA自护能力评分更高、Champion健康信念评分更高、MCMQ医学应对方式评分更优，护理指标对比有统计学意义（P﹤0.05）。同时观察组患者并发症概率低于对照组，置管后锻炼依从性高于对照组，对比有统计学意义（P﹤0.05）。结论 临床护理路径护理模式应用于肿瘤化疗患者，有积极的影响效力，可促进患者自护意识提高，健康信念增加，使其乐观积极的看待化疗，最终实现病并发症概率的降低以及锻炼依从性的提高，让患者受益更多。

Abstract

Objective To analyze the efficacy of the application of the clinical care pathway nursing model in the clinical care plan of patients with PICC catheterized tumor chemotherapy.
Methods A total of 80 cancer patients who visited the hospital from January 2022 to December 2023 were included in the pilot study by dynamic randomization method, and then 40 cases were divided into the control group for routine care and 40 cases in the observation group to increase clinical care pathway care. Under the differences of different nursing models, the effectiveness of nursing impact was compared with ESCA self-care ability, Champion health belief score, MCMQ medical coping style score and other indicators. Adverse events such as catheter dislodgement, venous thrombosis, infection, and catheter obstruction were compared with complications, and exercise compliance was used to compare the functional exercise of the two groups.
Results There was no significant comparison of nursing indicators between the two groups before the implementation of different nursing (P>0.05). After the implementation of different nursing, the ESCA self-care ability score, the Champion health belief score was higher, and the MCMQ medical coping style score was better, and the comparison of nursing indicators was statistically significant (P<0.05). At the same time, the probability of complications in the observation group was lower than that in the control group, and the exercise compliance after catheterization was higher than that in the control group, and the comparison was statistically significant(P<0.05).
Conclusion   The clinical nursing pathway nursing model applied to cancer chemotherapy patients has a positive effect, which can promote the improvement of patients' self-care awareness, increase their health beliefs, make them optimistic and positive about chemotherapy, and ultimately reduce the probability of disease complications and improve exercise compliance, so that patients can benefit more.