Catheter maintenance KAP and its influencing factors among primary
caregivers for 6-12 years old children with ALL undergoing PICC catheterization

doi:10.3760/cma.j.issn.1007-1245.2022.10.005

Abstract

Abstract: Objective　To analyze the catheter maintenance knowledge-attitude-practice (KAP) and its influencing factors in primary caregivers for 6-12 years old children who undergo perpherally inserted central catheter (PICC) chemotherapy for acute lymphoblastic leukemia (ALL). Methods　A total of 80 primary family caregivers for 6-12 years old children who received PICC chemotherapy for ALL in Children's Hospital Affiliated to Zhengzhou University from June 2019 to June 2021 were prospectively selected. There were 37 males and 43 females, aged (33.17±3.89) years. The general data questionnaire and PICC KAP questionnaire were investigated, and the level of KAP and its influencing factors were analyzed. Independent sample t test was used for comparison of the measurement data between the two groups, one-way AVONA was used for comparison among multiple groups, and LSD-t test was used for pairwise comparison. Results　The total score of KAP was (73.07±5.93) points, which was at the medium level as a whole. The KAP current status in the primary family caregivers was related to the caregivers' gender, educational level, residence, occupation, payment method of medical expenses, and monthly income and children's catheterization time and catheterization history (all P<0.05); multiple linear regression analysis showed that children's catheterization history and catheterization time and caregiver's gender, educational level, occupation, and monthly income were independent influencing factors of catheter maintenance KAP current status in the primary family caregivers (all P<0.05). Conclusions　The KAP current status in primary family caregivers for 6-12 years old children with ALL undergoing PICC catheterization chemotherapy is at a medium level, which is related to children's catheterization history and catheterization time and caregiver's gender, educational level, occupation, and monthly income. The intervention measures can be formulated according to the influencing factors to improve the KAP status.

Key words: PICC, Catheter maintenance, Primary family caregivers, Acute lymphoblastic leukemia, KAP, Influencing factors

摘要： 目的　分析6～12岁行经外周静脉置入中心静脉导管（PICC）化疗急性淋巴细胞白血病（ALL）患儿主要照顾者导管维护知信行（KAP）及影响因素。方法　前瞻性选取郑州大学附属儿童医院2019年6月至2021年6月6～12岁接受PICC置管化疗ALL患儿家庭主要照顾者80例，其中男37例、女43例，年龄（33.17±3.89）岁。通过一般资料调查表与PICC KAP调查表开展调查，分析KAP水平及影响因素。计量资料两组间比较采用独立样本t检验，多组间比较采用单因素方差分析，两两组间比较采用LSD-t检验。结果　KAP总分为（73.07±5.93）分，整体处于中等水平。家庭主要照顾者KAP现况与照顾者性别、文化程度、居住地、职业、医疗费用支付方法、月收入、患儿置管时间及患儿置管史等有关（均P<0.05）；经多元线性回归分析显示，患儿置管史、置管时间及照顾者性别、文化程度、职业、月收入为家庭主要照顾者维护PICC的KAP现况的独立影响因素（均P<0.05）。结论　6～12岁接受PICC置管化疗ALL患儿家庭主要照顾者导管维护KAP现况整体处于中等水平，并与患儿置管史、置管时间及照顾者性别、文化程度、职业、月收入有关，可针对影响因素制定干预措施以提高KAP现况。

关键词: PICC, 导管维护, 家庭主要照顾者, 急性淋巴细胞白血病, KAP, 影响因素

Zhang Xueli, Xu Yanjie, Ma Ping. Catheter maintenance KAP and its influencing factors among primary caregivers for 6-12 years old children with ALL undergoing PICC catheterization[J]. International Medicine and Health Guidance News, 2022, 28(10): 1352-1356.

张雪利, 许颜杰, 马平. 6～12岁行PICC置管ALL患儿主要照顾者导管维护KAP及影响因素[J]. 国际医药卫生导报, 2022, 28(10): 1352-1356.

References

[1] 杭海芳,唐勇,庄衍,等.中药血必净注射液对粒细胞缺乏伴发热急性髓系白血病患者止凝血功能的影响[J].世界临床药物,2019,40(1):34-38. DOI:10.13683/j.wph.2019. 01.007.

[2] 唐心悦,莫霖,余璐,等.不同干预方法对恶性肿瘤患儿生存质量改善的meta分析[J].重庆医学,2021,50(23):4091-4095. DOI:10.3969/j.issn.1671-8348.2021.23.029.

[3] Larson RA. Managing CNS disease in adults with acute lymphoblastic leukemia[J]. Leuk Lymphoma, 2018, 59(1):3-13. DOI: 10.1080/10428194.2017.1326597.

[4] Capria S, Molica M, Mohamed S, et al. A review of current induction strategies and emerging prognostic factors in the management of children and adolescents with acute lymphoblastic leukemia[J]. Expert Rev Hematol, 2020, 13(7):755-769. DOI: 10.1080/17474086.2020.1770591.

[5] 吴雅雯,邹天韵.白血病骨髓移植患者治疗期间营养状况及影响因素[J].中国临床研究,2021,34(6):799-801. DOI:10.13429/j.cnki.cjcr.2021.06.018.

[6] 谭文敏,黄芬,李国雄,等.急性淋巴细胞白血病患儿miR-146a和STAT1表达水平与临床特征相关性分析[J].中国实验血液学杂志,2020,28(3):821-827. DOI:10.19746/j.cnki.issn1009-2137.2020.03.017.

[7] 丛珊,孟令伶,王艳,等.不同PICC置管时间对急性淋巴细胞白血病患儿生活质量的影响[J].癌症进展,2020,18(2):206-209. DOI:10.11877/j.issn.1672-1535.2020.18.02.26.

[8] 陈晓敏,唐柳,刘洋,等.成人急性淋巴细胞白血病患者化疗期间院内感染的病原菌分布和耐药情况、危险因素分析[J].山东医药,2020,60(6):58-61. DOI:10.3969/j.issn.1002-266X.2020.06.014.

[9] 吕鹏,石凤芹,潘一鸣,等.难治性急性白血病化疗联合复方浙贝颗粒疗效及药物安全性的临床研究[J].现代中医临床,2020,27(3):27-32. DOI:10.3969/j.issn.2095-6606.2020. 03.007.

[10] 梅桔,邢香芹.急性白血病病人经外周静脉中心静脉置管相关性感染的危险因素分析[J].蚌埠医学院学报,2019,44(3):393-395. DOI:10.13898/j.cnki.issn.1000-2200. 2019.03.032.

[11] 汪君,任广立.急性白血病患儿经外周置入中心静脉导管相关静脉血栓栓塞的影响因素分析[J].中华生物医学工程杂志,2021,27(3):288-293. DOI:10.3760/cma.j.cn115668- 20210320-00054.

[12] 赵卿,党丹,骆建,等.以家庭为中心的赋权模式在PICC化疗患者中的应用[J].护理学杂志,2021,36(2):80-83. DOI:10.3870/j.issn.1001-4152.2021.02.080.

[13] 孙琛,李艳,郑玮,等.急性白血病患者PICC导管感染的病原学特点及影响因素研究[J].中华医院感染学杂志,2019,29(7):1053-1055,1068.

[14] 孙舒君,刘元昉,叶雅静.急性淋巴细胞白血病化疗患者经外周静脉穿刺的中心静脉导管相关性感染影响因素的Logistic回归分析[J].癌症进展,2020,18(7):718-720,747. DOI:10.11877/j.issn.1672-1535.2020.18.07.19.

[15] 臧昕昭,李维,赵微,等.人性化护理对经外周静脉置入中心静脉导管置管白血病化疗患者的应用效果[J].血栓与止血学,2020,26(2):307-308,311. DOI:10.3969/j.issn.1009- 6213.2020.02.055.

[16] 张华甫.留置PICC导管肿瘤患者生活质量与自我管理能力水平的相关性研究[J].护士进修杂志,2021,36(21):1983-1986,1996. DOI:10.16821/j.cnki.hsjx.2021.21.014.

[17] 包满珍,任娟,钱金平,等.护理专业性社会支持在白血病PICC置管患儿照顾者中的应用[J].中国临床护理,2020,12(5):454-455,458. DOI:10.3969/j.issn.1674-3768. 2020.05.022.

[18] 中国临床肿瘤学会(CSCO),中华医学会血液学分会(CHS)白血病·淋巴瘤学组,中华医学会儿科血液学分会(CCHS),等.培门冬酶治疗急性淋巴细胞白血病和恶性淋巴瘤中国专家共识[J].中国肿瘤临床,2015,42(24):1149-1159. DOI:10.3969/j.issn.1000-8179.2015.24.289.

[19] 王啟瑶,莫霖,石林,等.恶性肿瘤患儿化疗间歇期PICC导管维护现状及对策研究[J].中国护理管理,2017,17(4):486-490. DOI:10.3969/j.issn.1672-1756.2017.04.012.

[20] 韩如慧,金美娟,乔美珍,等.血液肿瘤患者经外周静脉置入中心静脉导管相关血流感染的影响因素分析[J].中国感染与化疗杂志,2018,18(2):150-155. DOI:10.16718/j.1009- 7708.2018.02.005.

[21] 许歌,娄小平,程艺,等.失效模式和效果分析模式应用于PICC置管白血病化疗患儿导管维护效果分析[J].中国实用护理杂志,2020,36(14):1073-1077. DOI:10.3760/cma.j.cn211501-20190624-01756.

[22] 文萍,白永旗,罗敏,等.延续护理在出院后诱导期PICC置管急性白血病患儿中的应用效果[J].现代临床护理,2018,17(3):38-43. DOI:10.3969/j.issn.1671-8283.2018.03.09.

[23] 秦月兰,石小毛,何育兰,等.互联网+居家照护平台在肿瘤患者PICC导管延续护理中的应用[J].中华现代护理杂志,2019,25(8):986-990. DOI:10.3760/cma.j.issn.1674-2907. 2019.08.015.

[24] 武晓,侯晓丽,李瑞英.基于PDCA的护理管理模式对急性白血病化疗患者PICC后不良反应及生活质量的影响[J].山西医药杂志,2020,48(11):1459-1461. DOI:10.3969/j.issn.0253-9926.2020.11.060.

[25] 卢喜玲,杨孟丽,陈春晓,等.基于PDCA的护理管理模式在急性白血病化疗患者中的应用[J].中华现代护理杂志,2018,24(36):4428-4432. DOI:10.3760/cma.j.issn.1674-2907. 2018.36.022.

[26] 陈勇莲.肿瘤患者对PICC居家护理需求的调查分析[J].江西医药,2021,56(11):1979-1980,1999. DOI:10.3969/j.issn.1006-2238.2021.11.047.

[27] 潘海燕,袁惠萍,张维珍,等.舟山地区PICC置管患者及家属对导管周围血栓认知的调查与分析[J].护理与康复,2018,17(1):18-20,23. DOI:10.3969/j.issn.1671-9875. 2018. 01.005.

[28] 王艳梅,陆静,施蓉玲.上海某二甲医院PICC带管出院患者导管维护知信行现状调查及影响因素分析[J].中华现代护理杂志,2018,24(14):1639-1643. DOI:10.3760/cma.j.issn.1674-2907.2018.14.008.

[29] 张华甫.留置PICC导管肿瘤患者生活质量与自我管理能力水平的相关性研究[J].护士进修杂志,2021,36(21):1983-1986,1996. DOI:10.16821/j.cnki.hsjx.2021.21.014.

[30] 赵淑盼,李海燕,钱火红.经外周静脉置入中心静脉导管患者对相关知识掌握程度和行为的调查[J].解放军护理杂志,2019,36(1):6-10. DOI:10.3969/j.issn.1008-9993. 2019. 01.00.

Catheter maintenance KAP and its influencing factors among primary caregivers for 6-12 years old children with ALL undergoing PICC catheterization

6～12岁行PICC置管ALL患儿主要照顾者导管维护KAP及影响因素

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 9

Recommended Articles

Metrics

[1]	Xie Xiaobo, Yu Dexian, Liu Wenyi, Yang Yang. Immunogenicity and influencing factors of measles-mumps-rubella combined vaccine and cognition of vaccination in recruits [J]. International Medicine and Health Guidance News, 2022, 28(8): 1093-1098.
[2]	Zhang Na, Wei Wei, Xu Xinke, Chen Cheng, Sun Guifang, Tan Yonghong. Risk factors of intraoperative massive hemorrhage in children undergoing brain tumor removal [J]. International Medicine and Health Guidance News, 2022, 28(8): 1099-1103.
[3]	Zhao Yang, Zhou Jie, Geng Zhaohui. Research progress on evaluation and risk factors of cognitive frailty in hypertensive patients [J]. International Medicine and Health Guidance News, 2022, 28(6): 748-752.
[4]	Xie Sumei, Chen Hui, Chen Zhongying, Wen Qi, Liu Ting, Li Kun, Wang Tong. A mixed study on current status of sexual health needs of spinal cord injury patients based on an anthropological perspective and influencing factors [J]. International Medicine and Health Guidance News, 2022, 28(5): 651-655.
[5]	Xu Wanzhu, Luo Zebin, Chen Chujun, Wang Peiru, Hong Lichun. Status and influencing factors of discharge readiness in cancer patients [J]. International Medicine and Health Guidance News, 2022, 28(5): 734-739.
[6]	Li Kexin, Huang Meiling, Jiang Ziyan, Cai Yixiang. Investigation and analysis of current situation of high-risk early warning assessment ability for midwives in Guangzhou [J]. International Medicine and Health Guidance News, 2022, 28(4): 500-504.
[7]	Song Dan. Analysis of risk factors of deep venous thrombosis in ≥60 years old inpatients undergoing PICC catheterization [J]. International Medicine and Health Guidance News, 2022, 28(4): 552-555.
[8]	Jiang Baoe, Jiang Wenting. Analysis of influencing factors and improvement measures of "missing the optimal time window for thrombolysis" in patients with acute ischemic stroke [J]. International Medicine and Health Guidance News, 2021, 27(6): 897-900.
[9]	Ma Weiwei. Analysis of humanistic care needs and influencing factors of elderly patients with primary liver cancer undergoing interventional therapy [J]. International Medicine and Health Guidance News, 2021, 27(6): 901-904.