| Objective:The self-management education model of protective motivation theory was applied to hematological tumor patients with PICC catheterization for the first time to explore the influence of self-management education model of protective motivation theory on self-care ability,PICC self-management ability and the incidence of PICC-related complications of hematological tumor patients after PICC catheterization.In order to prolong the use time of PICC catheterization in patients with hematologic tumors,it provides reference and guidance for the formation of a unified self-management education mode for patients with hematologic tumors with PICC catheterization in hospitals in the future.Methods:This study is a quasi-experimental study,and According to the inclusion and exclusion criteria,134 patients with hematological tumor who underwent PICC catheterization for the first time and underwent catheter maintenance in a third-class A hospital in Nanchang City,Jiangxi Province from June 2020 to January 2021 were selected as the research subjects.The first and second blood areas were randomly divided into the intervention group and the control group by coin toss,and 67 patients in each group were selected as the research object by convenient sampling method.The control group received routine nursing and health education measures,and the intervention group received self-management education mode based on the theory of protective motivation on the basis of the control group.The duration of intervention in both groups was up to 4 weeks.Before intervention,the researchers used the self-designed general information questionnaire,self-care scale and PICC self-management ability scale to investigate the general information,self-care ability and PICC self-management ability of the two groups of patients.After the intervention,the self-care ability,PICC self-management ability and the incidence of PICC-related complications were compared between the two groups to see if there were significant differences.SPSS20.0 software was used for double entry and statistical analysis of the collected data.Before intervention,two independent samples t-test and chi-square test were used to conduct statistical analysis on the baseline data of the two groups of patients.Paired t test was used to compare the intra-group changes of self-care and PICC self-management ability between the two groups before and after intervention.After intervention,the results of self-care and PICC self-management ability were compared between the two groups using the method of two independent samples t-test.The incidence of PICC-related complications between the two groups after intervention was compared using the chi-square test or Fisher’s exact test.Results:(1)Baseline data of the two groups were compared.In this study,132 subjects completed the whole study process,of which 67 cases were included in the intervention group,67 cases in the control group,and 65 cases were included in the control group after 2 cases were lost due to vacation.The general demographic data,self-care ability and PICC self-management ability scores of patients in the two groups before intervention were compared,and the results showed that there was no statistical significance between the intervention group and the control group(P>0.05),which was comparable.(2)Intervention effect of self-management education based on protective motivation theory on self-care ability of patients with hematologic tumor PICC catheterization.(1)Statistical effect analysis of patients with hematologic tumor in the intervention group and the control group when comparing PICC self-care ability after intervention: After intervention,there were statistically significant differences in the total score of self-care ability,self-care skills and health knowledge level between the intervention group and the control group(P<0.05),while there were no statistically significant differences in the score of self-concept and self-responsibility dimension(P>0.05).(2)Statistical effect analysis of the intervention group and the control group in blood tumor patients before and after the self-care ability intervention for intra-group comparison:Before and after intervention,blood tumor patients in the control group had no statistical significance in self-care total score,self-concept,self-responsibility,self-care skills and health knowledge(P>0.05).However,in the intervention group,there were statistically significant differences in the scores of total self-care score,self-concept,self-responsibility,self-care skills and health knowledge level of blood tumor patients(P<0.05).(3)Intervention effect of self-management education based on protective motivation theory on self-management ability of patients with hematologic tumor PICC catheterization.(1)Statistical effect analysis of intervention group and control group in comparison of PICC self-management ability between groups after intervention: after intervention,the total score of self-management ability and scores of various dimensions of patients with hematologic tumor in the intervention group were significantly higher than those in the control group,the difference was statistically significant(P<0.05).(2)Statistical effect analysis of patients with hematologic tumor in the intervention group and the control group when comparing PICC self-management ability before and after intervention: There were no statistically significant differences in the total scores of self-management ability and scores of each dimension in blood tumor patients in the control group before and after intervention(P>0.05),while there were statistically significant differences in the total scores of self-management ability and scores of each dimension in blood tumor patients in the intervention group(P < 0.05).(4)The incidence of complications related to PICC was compared: The self-management education intervention program based on the theory of protective motivation was adopted and implemented.Twenty-five cases of PICC-related complications occurred in patients with hematologic tumor in the control group,with an incidence of 38%.The overall incidence of PICC-related complications and catheter propulence in patients with hematologic tumor in the intervention group were significantly lower than those in the control group,with statistical significance(P<0.05).There was no significant difference in the incidence of phlebitis,skin allergy,puncture site infection,catheter occlusion and thrombosis(P>0.05).Conclusions:The self-management education model based on the theory of protective motivation can improve patients’ self-care ability and PICC self-management ability as well as reduce the incidence of complications related to PICC,which has important reference significance to enrich the counter measure research and practical guidance of health education for patients with PICC catheterization in China. |
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