论文部分内容阅读
目的了解小儿经外周静脉置入中心静脉导管(PICC)照护者对PICC自我护理知识的掌握情况及需求,为住院患儿及带管出院患儿的健康教育提供依据。方法选择2013年12月-2015年7月住院的162例留置PICC患儿,采用自设问卷对其照护者共364名进行调查,内容为照护者一般资料收集、已掌握护理知识内容调查、照护者现有护理知识获得途径等内容。结果留置PICC的小儿照护者主要以老年人居多,照护模式多为家庭核心成员轮流照护;由老年人照护为主的家庭有59户(36.42%),由患儿父母为主要照护者家庭21户(12.96%),为父母、老年人轮流照护82户(50.62%)。调查住院期间照护者的自我护理知识测试总分在5~29分,平均(11.37±5.68)分。带管出院家长19名,单独填写测带管出院注意事项,成绩在6~11分,平均(8.41±4.33)分。所有照护者均接受了来自于护士的口头指导(362例),其次是接受上一位陪护者的指导(313例,86.65%)。结论留置PICC的小儿照护者对PICC自我护理知识的知晓率普遍偏低,尤其是带管出院患儿。护理管理者应重视护士专科培训工作,提高护士对PICC健康教育知识点的掌握度,针对不同照护者人群特点采用不同形式的健康教育手段,不断改进健康教育模式,提高小儿PICC护理质量。
Objective To understand the situation and needs of PICC caregivers in PICC care and to provide basis for health education of hospitalized children and discharged children with PICC. Methods A total of 162 PICC children admitted to hospital from December 2013 to July 2015 were enrolled in this study. A total of 364 caregivers were investigated by self-designed questionnaire. The data were collected from general caregivers, Current access to nursing knowledge and other content. Results The PICC caregivers mainly used elderly caregivers and caregivers mostly took care of family members in turn. There were 59 households (36.42%) with caregivers for the elderly and 21 families with parents as their main caregivers (12.96%), take care of 82 households (50.62%) for parents and elders. The total score of self-care knowledge test of caregivers during hospitalization was 5-29, with an average of (11.37 ± 5.68) points. Parents with tube discharge 19, separate test tube discharge note, score 6 to 11 points, an average of (8.41 ± 4.33) points. All caregivers received verbal guidance from nurses (362 patients), followed by guidance from the previous caregiver (313 patients, 86.65%). Conclusion The awareness rate of PICC self-care knowledge is generally low in pediatric caregivers who have left PICC, especially in children discharged from hospital. Nursing managers should pay special attention to nurse training, improve nurses’ knowledge of PICC health education, adopt different forms of health education according to different caregivers, improve their health education mode, and improve the quality of pediatric PICC care.