PICC导管相关性皮肤损伤病人生活质量的发展轨迹及其影响因素

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AbstractObjectieToexploetevelopmetalraectorofqualityoflifeQOL）inpatietswithperiperallsertedctalter （PICC）-associatedskinimpaiment（CAS）andtanaleitsifluencigfactorsMethods：Atotalof62patientsithICCelatedCAI fromatertiarytumorhospitalinFujanprovinceereeolldGeneraliformationquestioaires，theContactDermatitisAesment Scale，andtheDermatologyLifeQualityIndex（DLQI）wereusedforlongiudinalassessmentsattreetimepoints：atteonsetofCASI （T1），onemonthpostonset（T2），andtwomonthspostonset（T3）.Alatentclassgrowthixturemodel（GM）ndultioiallgistic regression were employed toanalyze influencing factors.Results：The QOL scores of CASI patientsat T1，T2，and T3 were （10.08± （20 4.89）， （12.65±4.33） ，and （15.09±6.19） ，respectively.The developmental trajectories of QOL were categorized into three groups：moderate impact-stable （50.6% ），high impact-improving （7.4%） ，and moderate impact-worsening （42.0% ）.Regression analysis indicated that age， numberofunderlyingdiseases，delayed catheter maintenance，and contact dermatitis were significantinfluencing factors（ P<0.05 ） Conclusions：TheQOLofCASpatientsexibitseterogeneousdevelopmentalrajectoriesinfluencedbydiseaseprogressionHealtare providers should develop targeted nursing interventions based on these factors to improve patients' QOL.

Keywordsathesatedpt;alitifCdelotaleos;ttohel摘要目的：探讨经外周静脉置入中心静脉导管（PICC）相关性皮肤损伤（CASI）病人生活质量的发展轨迹，并分析其影响因素。（剩余10736字）