基于IMB模型,为内置外围插入中心导管的患者构建家庭自理计划
Jing Fu1, Lihong Jin2, Xuli Shang1
1The First Affiliated Hospital of Lishui University, Lishui People's Hospital, No.15 Dazhong Street, Lishui, Zhejiang, 323000, China.
BMC nursing
|April 17, 2025
概括
瘤患者现在可以在家中使用一个新的程序来管理他们外围插入的中央导管 (PICC). 这种基于证据的方法,利用信息-动机-行为技能模型,增强自我照顾,减少并发症.
科学领域:
- 瘤科 护理 护理专业
- 患者自我管理
- 卫生教育卫生教育教育
背景情况:
- 周边插入的中央导管 (PICC) 在循环瘤治疗中至关重要.
- 瘤学患者在家治疗PICC是不理想的,增加了并发症风险.
- 有效的PICC管理对于治疗坚持和患者的生活质量至关重要.
研究的目的:
- 为患有内存PICC的患者开发一个家庭自理计划.
- 通过使用信息-动机-行为技能 (IMB) 模型,改善PICC导管患者的自我管理.
主要方法:
- 文献审查和定性访谈为最初的计划草案提供了信息.
- 德尔菲专家咨询 (2轮) 精炼了项目项目.
- 萨蒂的分析层次过程 (AHP) 确定了物品的重量.
主要成果:
- 通过专家的共识 (18名专家) 完成了由3个初级,8个中等,34个高等项目组成的计划.
- 获得了高专家权威 (Cr=0.958-0.964) 和共识 (肯德尔的W=0.212-0.301).
- 在该计划中,行为技能获得了最高的权重 (0.393).
结论:
- 开发的程序证明了家庭PICC自我管理的高科学有效性和实用性.
- 该计划为患者提供了强有力的支持,并作为护士领导的教育的宝贵参考.
- 增强的自我管理可以改善瘤病患者的治疗结果,这些患者内存PICC.
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