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目的探讨经外周静脉穿刺中心静脉置管(PICC)带管者的心理状态及存在的问题,以及护理对策。方法 60例行PICC导管维护的成人患者,根据症状自评量表(SCL-90)、焦虑自评量表(SAS)和抑郁自评量表(SDS)对患者进行心理状态的评定,并总结相应的护理对策。结果以SCL-90从心理学角度分析,PICC带管者心理状态主要与抑郁、焦虑、躯体化、强迫、偏执、精神病性等因素有关,并且焦虑和抑郁所占比重最大,分别为56.7%、46.7%。焦虑中有7例重度,25例中度,28例轻度;抑郁中有5例重度,22例中度,33例轻度。结论心理因素对PICC带管者的机体免疫功能有重要影响作用,采取相应的护理措施,积极地影响患者的心理状态,有利于提高PICC带管者的生活质量,更好地保障医疗安全。
Objective To investigate the psychological status, existing problems and nursing countermeasures of PICC catheterization by peripheral venous puncture. Methods Sixty adult adults undergoing PICC catheterization were assessed for psychological status based on the Self-rating Symptom Inventory (SCL-90), Self-rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) Corresponding nursing countermeasures. Results According to the psychology of SCL-90, the psychological status of PICC was mainly related to depression, anxiety, somatization, obsessive-compulsive disorder, paranoid psychosis and so on. And the proportion of anxiety and depression were the highest, 56.7% 46.7%. Among the anxiety cases, 7 were severe, 25 were moderate, and 28 were mild; 5 were severe in depression, 22 were moderate, and 33 were mild. Conclusion Psychological factors have an important influence on the immune function of PICC patients. Taking corresponding nursing measures can positively affect the psychological status of patients, improve the quality of life of PICC patients and better ensure the medical safety.