Observation of clinical nursing pathway combined with peer education in lung cancer patients treated with PICC chemotherapy
临床护理路径结合同伴教育在经PICC化疗治疗肺癌患者中的观察

摘要

目的 探讨临床护理路径结合同伴教育在经PICC化疗治疗肺癌患者中的观察效果。方法 选取2022年3月至2024年3月在我院肿瘤科进行PICC化疗治疗的肺癌患者100例作为研究对象，采用随机数字表分为对照组和观察组，其中观察组和对照组各50例，分为对照组采用常规护理，观察组在对照组的基础上实施临床护理路径结合同伴教育，对比两组心理弹性评分、护理质量、生活质量。结果 观察组心理弹性评分[坚韧性（22.27±6.32）分，力量型（25.12±4.87）分，乐观性（12.73±2.17）分]高于对照组（P<0.05）；观察组护理质量[穿刺成功（7.34±1.03）分，穿刺效率（8.31±1.21）分，输液舒适度（8.79±1.07）分，护理态度（7.76±1.04）分]高于对照组（P<0.05）；观察组生活质量[躯体功能（78.32±7.23）分，角色功能（76.31±8.15）分，情绪功能（79.85±6.43）分，认知功能（82.82±9.58）分，社会功能（81.56±8.37）分]高于对照组（P<0.05）。差异有统计学意义。结论 临床护理路径结合同伴教育在经PICC化疗治疗肺癌患者中可有效提高患者心理弹性与所接受的护理质量，改善其生活质量，预后良好。

Abstract

Objective To explore the observation effect of clinical nursing pathway combined with peer education in patients with lung cancer treated with PICC chemotherapy.
Methods Selecting lung cancer patients who received PICC chemotherapy treatment in the hospital during a two-year period (sample inclusion time: March 2022 to March 2024; sample inclusion number: 100 cases) as the research subjects, using random grouping method as the grouping principle, they were divided into a control group (conventional nursing, n=50) and an observation group (clinical nursing pathway combined with peer education, n=50). Compare the psychological resilience scores, nursing quality, and quality of life between two groups.
Results The psychological resilience score of the observation group [resilience (22.27±6.32) points, strength type (25.12 ± 4.87) points, optimism (12.73 ± 2.17) points] was higher than that of the control group (P<0.05); The nursing quality of the observation group [successful puncture score (7.34 ± 1.03), puncture efficiency score (8.31 ± 1.21), infusion comfort score (8.79 ± 1.07), nursing attitude score (7.76 ± 1.04)] was higher than that of the control group (P<0.05); The quality of life of the observation group (78.32 ± 7.23 points for physical function, 76.31 ± 8.15 points for role function, 79.85 ± 6.43 points for emotional function, 82.82 ± 9.58 points for cognitive function, and 81.56 ± 8.37 points for social function) was higher than that of the control group (P<0.05).
Conclusion   The combination of clinical nursing pathway and peer education can effectively improve the psychological resilience and nursing quality of lung cancer patients treated with PICC chemotherapy, improve their quality of life, and have a good prognosis. It is worth widely promoting and applying.