Keywords
Orem theory
Graded extended care
Self-efficacy
Submitted : 2024-03-16
Accepted : 2024-03-31
Published : 2024-04-15
Abstract
Objective: To analyze the nursing effect of hierarchical extended nursing based on the guidance of Orem’s theory in patients with peripherally inserted central (PICC) catheterization. Methods: Ninety-one patients with PICC catheterization admitted to the hospital from May 2021 to May 2023 were selected and divided into a control group and an observation group, with 45 and 46 cases, respectively. The control group received routine nursing care, while the observation group received routine nursing care combined with hierarchical extended nursing based on the guidance of Orem’s theory for 3 months. Relevant indicators between the two groups were compared. Results: The improvement degree of various indicators in the observation group after nursing was better than that of the control group (P < 0.05). Conclusion: Graded extended nursing based on the guidance of Orem’s theory improved the knowledge, belief, behavior, and self-efficacy of patients with PICC catheterization, and relieved their anxiety, depression, and other negative emotions. The nursing effect was deemed to be significant.
References
Dou Q, Xu Y, Wu A, 2021, The Application Effect of Homogeneous Nursing Based on The Medical Alliance Model in Patients with PICC Catheterization in Community Hospitals. Journal of Nursing Education, 36(18): 1712–1715.
Liang S, Zhao X, Huang A, et al., 2020, Application of the Continuous Nursing Model Based on Uses and Gratification Theory in Patients with PICC Catheterization. Chinese Journal of Modern Nursing, 26(11): 1495–1499.
Xu H, Han Y, Wang C, et al., 2020, Evaluation of the Application Effect of The Wechat Platform in The Full Care of Patients with PICC Catheterization for Tumor Chemotherapy. China Digital Medicine, 15(3): 107–109.
Wang H, Li L, 2019, The Preventive Effect of Nursing Intervention Based on Risk Management on Complications of Central Venous Catheter Inserted Through Peripheral Veins in Breast Cancer Patients. Journal of Practical Clinical Medicine, 23(23): 120–122.
Peng J, Su J, Guo C, 2022, Application of ADOPT Mode in Patients with Breast Cancer PICC Catheterization. Chinese Journal of Modern Nursing, 28(9): 1233–1237.
Zhou Y, Li Y, Shen P, et al., 2023, Effects of Hierarchical Extended Nursing Intervention Guided by Orem Theory on The Maintenance and Self-Care Ability of Patients with Blood Diseases During the Intermittent Period of PICC Catheterization. Journal of North Sichuan Medical College, 38(6): 854–858.
Chi Y, 2021, Application of Extended Nursing Services Based on Network Interactive Platform in The Interval Period of PICC Catheterization in Patients with Malignant Lymphoma. Henan Medical Research, 30(1): 184–186.
Chen H, Cao Y, 2021, The Impact of Extended Nursing Services Based on The Analysis of Uses and Gratification Theory on PICC Catheter Maintenance Compliance and The Risk of Unplanned Extubation in Patients with Tumor Catheter Chemotherapy. Clinical Research, 29(10): 137–139.
Li C, Liu J, He M, 2019, Effect of PDCA Nursing Management on Complication Prevention and Nursing Satisfaction in Patients with PICC Catheterization. Chinese Journal of Preventive Medicine, 20(8): 753–756.