质量管理小组活动对PICC门诊患者治疗间歇期堵管率的影响  

Effect of QC group activity reducing plugging pipe rate in patients with PICC during treatemnt period

作　　者：龚海琴[1] 范爱飞[1] 贾宏[2] 张杰[1] 吴清香[3] 

机构地区：[1]北京大学深圳医院操作治疗区,518036 [2]北京大学深圳医院营养科,518036 [3]北京大学深圳医院门诊办公室,518036

出　　处：《中华现代护理杂志》2013年第18期2138-2140,共3页Chinese Journal of Modern Nursing

基　　金：2010年深圳市科技计划项目（医疗卫生类）（201003079）

摘　　要：目的探讨质量管理（QC）小组活动对PICC门诊患者治疗间歇期堵管率的影响，以寻求有效降低经外周中心静脉置管（PICC）患者治疗间歇期堵管的护理方法，确保导管使用的舒适安全。方法选取2010年1-9月PICC门诊就诊患者436例为对照组，2011年1-9月PICC门诊就诊患者459例为实验组。对照组定期到PICC门诊接受常规导管护理，实验组接受Qc小组的护理措施，即针对出院后治疗间歇期患者PICC导管堵塞的主要相关因素作出分析并进行护理干预；比较两组患者堵管发生率与并发症情况。结果对照组患者在PICC门诊就诊期间并发症发生率为20．41％，堵管发生率5．05％，因堵管提前拔管率为1．38％；实验组患者在PICC门诊就诊期间并发症发生率为14．81％，堵管发生率为2．40％，因堵管提前拔管率为0．22％，两组比较差异均有统计学意义（x^2值分别为4．844，4．420，3．866；P〈0．05）。结论QC护理活动可有效降低出院患者治疗间歇期PICC并发症的发生率，是提高护理质量的一种有效途径，有助于改善患者的生活质量。Objective To explored effective methods of care for outpatient with PICC intermittent treatment to reduce plugging risk of peripherally inserted central venous catheter （ PICC ） , and to ensure the patient comfort and safety in catheter use. Methods There were 436 cases with PICC between January and September in 2010 in the control group ,which received the routine nursing. And 459 cases between January and September in 2011as the study group, which received the nursing from Quality Control group. Quality Control （Qc） group analyzed the causes in catheter blockage of the outpatients with PICC on intermittent treatment and then made some nursing interventions for study group. Then, the incidence of complication and plugging pipe were observed and compared between the two groups. Results One year later, the complications of outpatients relating with PICC in study group were obviously decreased than that in control group （ 14.81% vs 20.41% ,X^2 = 4.844, P 〈 0.05 ）. In all of complications, catheter blockage rate 2.40% vs 5.05 %, and catheter pulling rate （0.22% vs 1.38% ） in study group were lower than that in control group, and the differences were statistically significant （ X2 = 4. 420,3. 866, respectively ; P 〈 0.05 ）. Conclusions QC care activities can notably reduce the complications of outpatients with PICC treatment on intermittent period, which will be an effective way to elevate the quality of care,and improve life quality of the patients.

关 键 词：PICC 并发症 堵管 质量管理小组 

分 类 号：R473.73[医药卫生—护理学]