激励式心理护理在肿瘤患者行PICC术中的应用效果

毛德莲 陈晓梅 李萃兴

【关键词】肿瘤患者;激励式心理护理;PICC术

【中图分类号】R473.6 【文献标识码】B 【文章编号】1002-8714（2020）05-0238-02

【Abstract】Objective To observe the clinical effect of incentive psychological nursing in patients with tumor undergoing PICC. Methods 56 cancer patients were randomly selected from our hospital from August 2016 to August 2019. All of them underwent PICC. According to the time of admission， the patients were divided into two groups. The control group received routine nursing and the incentive group received incentive psychological nursing. The clinical indexes of the two groups were analyzed. Results the scores of anxiety and depression in the incentive group were significantly lower than those in the control group （P < 0.05）. The success rate and complications of one-time puncture in the stimulation group were significantly better than those in the control group （P < 0.05）. Conclusion the patients psychological state can be significantly improved and better puncture effect can be achieved after the application of encouraging psychological nursing inPICC

【Key words】 tumor patients; incentive psychological care; PICC

PICC术在临床上可称为经外周静脉穿刺中心静脉置管术[1]，在肿瘤患者的化疗中应用范围非常广泛。通过此种术式的实施，可以避免化疗药物与患者手臂处静脉的直接接触，不仅有效降低药物对血管的刺激，同时也可以防止药物被血液所稀释[2]。而患者在置管时，极易出现一定的心理负面情绪，对治疗的依从性不高。本文旨在观察肿瘤患者在行PICC术中应用激励式心理护理的临床效果，现报道如下。

1 资料与方法

1.1一般资料

随机于我院2016年8月-2019年8月间收治的肿瘤患者中选取56例为研究对象，其均为行PICC术。按照患者入院时间的先后分为两组，即对照组（n=28）与激励组（n=28）。对照组中女12例、男16例。年龄32-71岁，平均年龄（46.34±3.08）岁。肿瘤类型：10例胃癌、9例食道癌、其他肿瘤9例。激励组中女15例、男13例。年龄30-70岁，平均年龄（45.20±3.28）岁。肿瘤类型：8例胃癌、10例食道癌、其他肿瘤10例。对比两组病历资料，P>0.05，差异无意义，有可比性。

1.2方法

对照组施行常规护理，按照PICC术的术前准备完成常规性护理。激励组施予激励式心理护理，可分为：（1）在置管前评估患者的心理状况，并向患者详细告知置管的相关知识。通过心理安慰、音乐疗法来缓解患者的焦虑症状。（2）在置管时也需引导患者进行深呼吸，保持全身心的放松，并通过肢体语言来分散患者的注意力。（3）在完成置管后，也需每天积极与患者进行沟通。解答患者存在的疑问，提高患者的治疗信心。