完善出院健康教育对PICC长期置管患者的影响  

Effect of improved health education on discharging patients with long time PICC indwelling

作　　者：张玉珍[1] 苏迅[2] 任兴华[2] 张芳[1] 柳丽华[1] 

机构地区：[1]空军总医院肿瘤内科,北京100142 [2]空军总医院护理部,北京100142

出　　处：《中华现代护理杂志》2012年第1期33-34,共2页Chinese Journal of Modern Nursing

摘　　要：目的探讨完善出院健康教育对PICC长期置管患者的影响。方法选取PICC长期置管的出院患者160例为研究对象，随机分为观察组87例和对照组73例。对照组给予常规出院指导，观察组给予针对PICC置管安全性进行完善后的健康教育，比较两组置管保留时间、置管相关事件发生率及置管全程完成率。结果置管全程完成率观察组（87．4％）高于对照组（69．9％），发生置管相关事件观察组（5．7％）低于对照组（37．0％），置管保留时间〉121d的患者观察组（62．1％）高于对照组（39．7％），差异均有统计学意义（x^2分别为9．954，24．210，7．937；P〈0．05）。结论完善的、针对性强的出院健康教育对PICC长期置管患者的并发症预防以及降低护理风险都具有非常重要的意义。Objective To explore the effect of improved health education on discharging patients with long time PICC Indwelling. Methods Totals of 160 patients with long time PICC indwelling randomly divided into experiment group （87 eases ）which received improved discharge health education and control group （73 cases） which received traditional discharging health education . Compared indwelling time, occurrence of indwelling related events and the ratio of PICC indwelling finished with each group. Results The ratio of PICC indwelling finished in experiment group was 87.4% higher than 69. 9% in control group, occurrence of indwelling related events in experiment group was 5.7% lower than 37.0% in control group, indwelhng time of experiment group more than 121 days was 62.1% higher than 39.7% in control group,and the difference was statistically significant（ x^2 = 9. 954,24. 210,7. 937, respectively; P 〈 0. 05 ）. Conclusions Improved and targeted health education for discharging patients with long time PICC indwelling plays an important role in preventing complications and reduceing the nursing risk for patients.

关 键 词：健康教育 并发症 经外周置入中心静脉导管 护理风险 

分 类 号：R473.73[医药卫生—护理学]