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牟倩倩, 陈林, 李俊英. 肿瘤患者PICC知信行现状及影响因素分析[J]. koko体育app 学报（医学版）, 2015, 46(6): 871-875.
引用本文: 牟倩倩, 陈林, 李俊英. 肺部肿瘤用户PICC知信行现实状况及影响到基本要素数据分析[J]. 云南大学专业学报（医疗版）, 2015, 46(6): 871-875.
MOU Qian-qian, CHEN Lin, LI Jun-ying. Knowledge-Attitude-Practice and Associated Factors of Cancer Patients with Peripherally Inserted Central Catheter[J]. Journal of Sichuan University (Medical Sciences), 2015, 46(6): 871-875.
Citation: MOU Qian-qian, CHEN Lin, LI Jun-ying. Knowledge-Attitude-Practice and Associated Factors of Cancer Patients with Peripherally Inserted Central Catheter[J]. Journal of Sichuan University (Medical Sciences), 2015, 46(6): 871-875.

肿瘤患者PICC知信行现状及影响因素分析

Knowledge-Attitude-Practice and Associated Factors of Cancer Patients with Peripherally Inserted Central Catheter

  • 摘要: 目的 了解肿瘤患者经外周静脉置入中心静脉导管（peripherally inserted central catheter, PICC）知信行现状并分析其影响因素。方法 对2014年4月至2015年3月在koko体育app 华西医院肿瘤中心住院并置入PICC的650例肿瘤患者进行PICC知信行问卷调查，分析其影响因素。结果 共发放650份问卷，其中有效问卷619份，其中男性258例，女性361例，年龄18～83岁，平均年龄为（51.4±12.2）岁。知信行各维度得分分别为：知识（9.28±2.04）分，态度（27.95±4.17）分，行为（25.67±4.00）分；单因素分析结果显示，有无合并其他慢性疾病（主要为糖尿病、高血压和冠心病）对患者置入PICC的态度有影响（ P=0.040）；性别（ P=0.015）和导管置入部位（ P=0.023）对患者PICC维护行为有影响。多元回归分析得出文化程度对PICC相关知识（标准偏回归系数=0.125， P=0.017）评分有影响，性别（标准偏回归系数=-0.097， P=0.024）对PICC维护行为评分有影响,即文化程度越高的患者在知识部分得分越高，女性较男性在行为部分的得分更高。结论 肿瘤患者PICC知信行的总体水平较高，但男性患者、文化程度低的患者的PICC知信行水平有待进一步提高。  
    Abstract: Objective To investigate the relationship between the damages of hand functions and the type of cerebral palsy (CP) in children with CP. Methods A total of 280 children aged 4-12 years old with CP in the 20 districts of Chengdu were included. The damages of hand functions were assessed with the Chinese Version of Manual Ability Classification System (MACS) and its relationship with the type of CP were analyzed. Results Among the 280 investigated children, there were 195 chidren with spastic CP, which accounted for the largest proportion (69.64%), wherein the spastic diplegia was most common (56.41%). The classification of MACS was level Ⅰ-Ⅱ in 65.13% children with spastic CP, whereas the classification of MACS was level Ⅲ-Ⅴ in 84.44% and 80.95% children with mixed and dyskinetic CP, respectively. With the increase of the degree of cognitive dysfunction in children with CP, the level of MACS was also increased. There was a difference between the classification of MACS and the different type of CP ( Pr=0.541, P<0.05). In most of the children with diplegia from spastic CP, the hand dysfunction was mild, whereas the children with quadriplegia from spastic CP were mostly middle and severe hand dysfunction. Conclusion There was a correlation between the MACS and the type of CP. which can be used to determine the damaged condition of hand functions and develop the program of rehabilitation and the measures of classification management for the chidren with CP.  
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