Application of self-management model in tumor patients with PICC

Abstract

Objective To observe the application and effects of self-management model in tumor patients with peripherally inserted central catheter (PICC).Methods Totals of 100 tumor patients with PICC were randomly divided into control group (n=50 ) which received routine care,and intervention group (n=50) which received the self-management model on the basis of routine care.The self-rating anxiety scale (SAS) and exercise of self-care ability scale ( ESCA ) score and the incidence of catheter-related complications were observed before intervention,10th days and 30th days after intervention,respectively.Results The SAS score after intervention (40.34±4.49 ) was significantly lower than that before intervention (46.32±7.71 ) in intervention group ( t=4.17,P＜0.01 ).Totals score of ESCA ( 103.06±16.22) and its four aspects including self-management skill ( 46.45±9.74 ),health knowledge level ( 47.43±8.66 ),self-care responsibility (16.61±3.20) and self-concept (19.06±4.06 ) in intervention group were all significantly higher that in control group (90.61±17.09,21.78±4.31,39.73±9.88,12.35±3.09,15.77±3.79,respectively ) ( t=2.830 2,3.386 0,2.860 5,1.983 4,1.677 6 ; P＜0.05).At 10th day,the incidence of catheter-related complications in intervention group (5 cases) and control group (7 cases),no significant difference was detected (t=0.334 2,P＞0.05 ).While at 30th day,the incidence of catheter-related complications in intervention group was 4.0％,which was significantly lower than 19.6％ in control group (t=7.1324,P＜0.01).Conclusions Self-management model can effectively improve the self-nursing ability,relieve the anxiety and prevent the catheter-related complications for tumor patients with PICC. Key words: Tumor patient; Self-management model; PICC