The Application Research Of Health Management In Patients With PICC During Tumor Chemotherapy Intermittent Based On Network Medical Platform

Object:(1)To discuss medical health management platform based on network in the application of PICC tumor chemotherapy patients with intermittent period,for clinical application in patients with PICC health management to provide scientific theory evidence and basis.(2) To analyse the factors of the application based on the network medical platform health management to hospital and support theory evidence and basis for the diversification of health management way.Methods:This study apply the method of clinical randomized controlled trials. The patients in tumor chemotherapy intermission used the ultrasound guided combine the technique of improved plug dingle PICC catheter first time were brought into the study in a certain level of first-class comprehensive hospital in Xinjiang. 138 cases of patients were up to standard. According to random number table patients were randomly divided into group and control group.In trial group,69 cases of web-based medical health management platform, 69 cases of the control group received regular pattern of health management.Patients before health management and health management after 3 months,respectively,to collect baseline data and terminal, statistics of two groups of patients with catheter adverse events,catheter complications and unscheduled decannulation rate,compared two groups of patients themselves and between the two groups before and after PICC catheter self-management ability,self-care ability and level of health behavior score and the score of the quantitative indicators, medical intervention of health management platform to network effect evaluation,and analyzed the influence factors of network health care management intervention methods.Results:(1)Health management after 3 months,the experimental group patients with phlebitis,catheter blockage, catheter broken,hernia of catheter,unscheduled decannulation rate is lower than the control group,the difference is statistically significant(P<0.05),Catheter complications incidence of phlebitis and catheter adverse events of catheter jam, catheter broken and incidence of catheter prolapse of experimental group is lower than the control group, the difference is statistically significant(P<0.05).The incidence of catheter infection,thrombosis,lower than the control group,there is no statistical significance(P>0.05)difference comparing.(2)Health management after 3 months, the experimental group and the control group patients with PICC catheter self-management ability, self-care ability, health behavior score and each dimension final score are higher than baseline score,the score of PICC catheter self-management ability,self-care ability is higher than the control group.the difference is statistically significant(P<0.05).(3)Between the two groups of PICC catheter self-management ability,self-care ability and health behavior score and each dimension scores are increased.the score of PICC catheter self-management ability, self-care ability is higher than the control group. the difference is statistically significant(P< 0.05)Patient’s health behavior scores and interpersonal relationships, pressure control, nutrition, mental health dimension score group is higher than the control group, but there was no statistically significant difference. Physical activity dimension group is higher than the control group, the difference was statistically significant; Catheter in patients with self management ability, self-care ability after the intervention and intervention before scoring differential d experimental group is higher than the control group, the difference had statistical significance(P < 0.05); the score difference of two groups,but comparative differences are no statistically significant(P > 0.05).(4)Patients of test group for the single factor analysis of variance,self-management ability and health behavior in age, occupation, cultural degree difference is statistically significant(P<0.05);Self-care ability in age, occupation, living conditions, cultural degree, medical payment methods on the difference is statistically significant(P< 0.05).(5)Using multiple linear regression analysis: PICC catheter in patients with self-management ability score. The factors for change: occupation age, culture level, the influencing factors of self-care ability to change the quantity as follows: occupation,age, cultural level; The influencing factors of health behavior score change quantity as follows:cultural level, cultural level and age.Discussion:(1)Medical platform based on network health management can reduce the rate of tube phlebitis,catheter infection, thrombosis, hernia of catheter jam, catheter broken, catheter tube, catheter complications and unplanned extubation of patients with intermittent usm with tube in tumor chemotherapy.(2)Health management can improve patients with PICC catheter self management ability, self-care ability and health level.(3)Network medical health management effect is superior to the conventional model of health management, suggestions on promoting health management network at the same time complementary with regular pattern of health management implementation management scientific,diversified and personalized.(4)Break cancer chemotherapy patients with PICC health platform based on Internet are many influence factors of health management, PICC tip gap to tumor chemotherapy patients should be targeted health management measures.