目的：了解中山大学肿瘤医院门诊和住院 PICC 置管患者对 PICC 健康教育知识的知晓状况，分析其影响因素，为制定有效的 PICC 置管肿瘤患者的健康教育措施提供参考依据。方法：采用便利抽样的方法分别从门诊部和住院部 PICC 置管患者中抽取130例、120例作为研究样本；应用自行设计的 PICC 知识测评表评估肿瘤患者 PICC 健康教育知晓状况。结果：调查对象知晓度较低（66.32%），得分仅为（22.41±0.365）分；正确率较高的是“留置 PICC 可以减少反复穿刺的痛苦”（门诊88.5%、住院98.0%）；正确率最低的是“用 PICC 管输液时只要固定良好，可以随意活动”（门诊36.9%、住院43.9%）；多因素分析显示住院PICC 置管健康教育知识知晓度比门诊高（OR 值分别为2.917和1.38），导管留置时间长（OR 值分别为1.454和1.986）。住院患者、导管留置时间长者，知晓率较高。结论：目前肿瘤患者 PICC 健康教育知识知晓的状况不容乐观，应该加强门诊患者健康教育知识宣教力度；尤其应加强置管后运动方面的知识宣传；制定统一的 PICC 健康教育处方；提高患者对导管自我照护依从性，发挥患者的主观能动性；多渠道宣传 PICC 健康教育知识。%Objective:To investigate the status of awareness of PICC - related knowledge of hospitalized cancer patients and outpatients and analyze its influencing factors in order to provide reference for taking effective measures in health education. Methods:130 outpatients with caner and 120 hospitalized cancer patients were taken as the object of study. The self - designed evaluation form of PICC - related knowledge was used to evaluate the patientsˊ awareness of the knowledge. Results:The survey showed the patientsˊ awareness of the knowl-edge was low(66. 32% )and the scores were 22. 41 ± 0. 365 points;the multivariate analysis showed that the awareness of the hospitalized patients was better than the outpatients(OR ﹦ 2. 917 and 1. 38)and better in the patients with indwelling catheter a little longer(OR ﹦ 1. 454 and 1. 986). Conclusion:The status of awareness of PICC - related knowledge of cancer patients is not optimistic and we should strengthen the health education in outpatient department to improve the self - care compliance of the patients.
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