中文摘要：

目的 调查应对方式、社会支持对化疗肿瘤患者PICC置管选择的影响,为临床采取相应措施,减少化疗药物性静脉炎的发生提供依据。方法 2015年11月—2016年2月对河北省保定市第二医院住院化疗的肿瘤患者298例,采用一般情况调查问卷、社会支持评定量表（SSRS）、医学应对方式问卷（MCMQ）进行调查。结果 调查的298例化疗肿瘤患者中有193例患者选择置入PICC导管,置管选择率为64.8%。男性选择置管的比例高于女性。参加医疗保险、家庭平均月收入高的患者选择置管的比例较高,由家至医院所需时间长的患者选择置管的比例较低,社会支持高的患者选择置管的比例较高,应对方式中患者面对得分较高者选择置管的比例较高,回避和屈服得分较高者选择置管比例较低,差异均有统计学意义（P〈0.05）。非条件Logistic回归分析结果：付费方式、面对、回避、屈服、病友的支持对患者置管选择有影响。结论 肿瘤化疗患者PICC导管置入率有待提高,应对方式影响患者对PICC置管的选择。

英文摘要：

Objective To investigate the impact of coping modes and social support on catheter selection in cancer patients with PICC in - chemotherapy ,and to provide a theoretical basis for reducing chemotherapy phlebitis incidence .Methods We used general questionnaire ,social support rating scale （SSRS） and medi‐cal coping modes questionnaire （MCMQ ） to investigate 298 cases of chemotherapy cancer patients in the second hospital of Baoding in HeBei province during November 2015 to February 2016 .Results In 298 ca‐ses of cancer chemotherapy patients ,193 cases chose PICC ,the rate of choosing PICC was 64 .8% .The proportion of choosing PICC was higher in males than female .The higher average household income and health insurance ,the more patients will choose PICC .The longer time take from home to hospital ,the lower proportion of patients choose catheter .The higher level of social support cancer patients have ,the higher proportion of chemotherapy cancer patients choosing PICC .Coping modes in patients who get higher score of confrontation means the higher proportion of catheter .The proportion of placing PICC in chemo‐therapy cancer patients who get higher average scores of avoidance and yield was lower .The difference was statistically significant （P〈0 .05） .Non - conditional logistic regression analysis showed that mode of med‐ical payment ,confrontation ,avoidance ,yield and support of other patients had an impact on catheter selec‐tion of chemotherapy cancer patients .Conclusion The rate of placing PICC of chemotherapy cancer pa‐tients needs to be improved ,coping modes affect the selection of chemotherapy cancer patients with PICC .