目的 分析乳腺癌术后经外周置入中心静脉导管（peripherally inserted central venous catheter PICC）带管患者上肢功能锻炼的需求，为构建针对性的乳腺癌术后PICC带管患者上肢功能锻炼方案提供理论参考。方法 对15例乳腺癌术后PICC带管患者进行半结构式访谈，获取关于PICC带管患者上肢功能锻炼的需求，对需求归纳总结形成36条Q陈述集。另选取13名乳腺癌术后PICC带管患者对所得的36条语句进行排序，进行因子分析，以明确乳腺癌术后PICC带管患者关于上肢功能锻炼的需求类型。结果 乳腺癌术后PICC带管患者上肢功能锻炼的需求有3种类型：信息支持需求型、全周期管理需求型、情感支持需求型。结论 乳腺癌术后PICC带管患者需求具有多样性、动态性和异质性等特点，提示医护人员应根据患者需求特征，针对性地制订护理措施和干预方案。

Objective To analyze the requirements for upper limb functional exercise in postoperative breast cancer patients with indwelling Peripherally Inserted Central Venous Catheters (PICC)，and to provide theoretical reference for developing targeted exercise programs for these patients.Methods Semi-structured interviews were conducted with 15 such patients to gather information on their needs for upper limb functional exercise，which were summarized to form a set of 36 Q-statements.Another group of 13 such patients was selected to rank these statements.Factor analysis was then performed to identify the types of such needs.Results The requirements for upper limb functional exercise of such patients were categorized into 3 types：informational support needs，full-cycle management needs，and emotional support needs.Conclusions These requirements are characterized by the features of diversity，dynamism，and heterogeneity，suggesting that healthcare providers should develop nursing measures and intervention plans tailored to the specific needs of such patients.

R473.73

新疆护理学会科研项目（2022XH03）；克拉玛依市中心医院院内项目（20240411）