ADOPT护理干预对乳腺癌PICC置管患者心理状态、自护能力及生活质量的影响

Effect of ADOPT Nursing Intervention on Psychological Status, Self-Care Ability and Quality of Life of Breast Cancer Patients with PICC Catheterization

摘要: 目的：评估ADOPT护理干预在提升乳腺癌PICC置管患者自我护理能力方面的临床应用价值。方法：本研究选取博尔塔拉蒙古自治州人民医院的63名乳腺癌患者，患者均接受PICC置入术。研究样本的选取时间为2023年11月至2024年6月。参与者依据随机数字表法被随机分配至两组：对照组(31名患者)和研究组(32名患者)。对照组接受标准PICC护理程序，研究组则接受ADOPT护理干预措施。两组患者均接受为期三个月的护理干预。比较两组各项指标差异。结果：在进行护理干预后，研究组在HAMA、HAMD以及QLQ-BR 23评分(症状量表、单项条目)上显著低于对照组(P < 0.05)。此外，研究组在CPPSM、QLQ-BR 23评分(功能量表)以及护理满意度方面表现出更高的评分(P < 0.05)。结论：在乳腺癌患者中，通过实施ADOPT护理干预策略，可以有效提升其自我管理能力，进而改善其生活品质，缓解负面情绪，并提高对护理服务的满意度。

Abstract: Objective: To evaluate the clinical application value of ADOPT nursing intervention in improving the self-care ability of patients with breast cancer undergoing PICC catheterization. Methods: 63 patients with breast cancer in the People’s Hospital of Bortala Mongol Autonomous Prefecture were selected in this study. All patients received PICC implantation. The selection period for the research sample is from November 2023 to June 2024. Participants were randomly assigned to two groups using a random number table method: a control group (31 patients) and a study group (32 patients). The control group received standard PICC nursing procedures, while the study group received ADOPT nursing interventions. Both groups of patients received a three-month nursing intervention. The differences in various indicators between the two groups were compared. Results: After nursing intervention, the study group showed significantly lower HAMA, HAMD, and QLQ-BR 23 scores (symptom scale, single item) compared to the control group (P < 0.05). In addition, the research group showed higher scores in CPPSM, QLQ-BR 23 score (functional scale), and nursing satisfaction (P < 0.05). Conclusion: In breast cancer patients, the implementation of ADOPT nursing intervention strategy can effectively improve their self-management ability, thereby improving their quality of life, alleviating negative emotions, and improving their satisfaction with nursing services.