第六章结论
1.研究结论
1.1肿瘤患者PICC留置期间自我护理能力与性别、居住地、文化程度、职业、月收入、医疗付费方式、宗教信仰、子女个数、导管留置时间、是否出现并发症及KPS评分显着相关。
1.2肿瘤患者PICC留置期间自我护理能力处于高等水平,其中自我护理技能和健康知识得分水平相对较低,影响其自我护理能力的因素包括营养、心理一致感、居住地、支持利用度及宗教信仰。
2.研究建议
PICC是肿瘤患者静脉化疗最佳选择,患者PICC留置期间的自我护理能力与导管留置时间密切相关。因此,应针对肿瘤患者PICC留置期间实际情况,普及PICC正常使用及维护常识,提高患者自我责任感,做到发现导管异常情况及时处理;也可以根据患者不同体力状况及肿瘤类型进行有针对性的健康教育;迫切需要构建针对肿瘤患者留置PICC导管期间自我护理能力量表,以便更好地了解患者自我护理现状,提出具体措施,提高患者自我护理能力。
3.研究局限性
本次研究还存在一定的缺陷。第一,本研究采用的自我护理能力量表为普适性量表,针对PICC留置导管患者的自我护理能力的测量还缺乏特定性;第二,本研究为横断面研究,而患者自我护理能力可能随导管留置时间以及一些外在因素变化而改变;第三,方便取样,样本代表性可能不够好。因此,今后研究可以以纵向或其他角度更为全面地对可能影响患者自我护理能力的因素进行探讨。
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致谢
两年研究生生活转瞬即逝,此时,心中除了无限的感激,还有更多的感恩和留恋。
感谢导师高伟副教授对我课题选题、科研设计、资料收集、数据分析、论文撰写的耐心指导与大力支持,衷心感谢导师在这两年里对我学业和生活上的关心与帮助。导师不仅在学术上传授我科学的研究方法,在做人做事上也给予我很大的帮助,导师严谨的科研态度,严肃的工作作风,勇于探索创新的精神,宽容待人的人格魅力对我影响深远。本研究从选题到完成,不是特别顺利,每一次都是在导师的指导下完成的,这里面倾注了导师太多的心血,师恩难忘,在此我向我的导师高伟副教授表示深深的感谢和祝福!
感谢山东大学齐鲁医院各位导师在毕业论文开题报告时给予的建议,感谢研究所涉及科室护士长及护理人员在资料收集过程中给予的支持与帮助!感谢在调查研究时给予我支持和帮助的患者和他们的家属!
感谢护理学院各位领导、老师的谆谆教诲,让我不断成长!
感谢陪伴我走过研究生生活的同学和师姐、师妹,是你们的陪伴和支持、无私帮助,让我研究生生活不仅充实而且丰富多彩,谢谢你们!
感在我求学路上一致帮助我的家人、同学和朋友,是你们的帮助让我圆满毕业!
最后,感谢参与论文评审的各位专家,你们辛苦了 !
