恶性肿瘤患者PICC综合维护模式与病区维护模式的反应性评价比较  

Reactivity evaluation of PICC comprehensive maintenance model and ward maintenance model for malignant tumor patients

作　　者：林玉珍[1] 黄静[2] 梁素芳[3] 罗小燕[4] 谭美仲[5] 廖瑞梅[6] 谭凤秀 司徒雪华[7] 

机构地区：[1]中山大学附属江门医院外科门诊,529030 [2]中山大学附属江门医院护理部,529030 [3]中山大学附属江门医院神经内科一区,529030 [4]中山大学附属江门医院保健科,529030 [5]中山大学附属江门医院血液内科,529030 [6]中山大学附属江门医院肿瘤科二区,529030 [7]中山大学附属江门医院肿瘤科三区,529030

出　　处：《中华现代护理杂志》2016年第14期1997-2001,共5页Chinese Journal of Modern Nursing

基　　金：江门市科技计划项目（[2015]73号）

摘　　要：目的：通过对 PICC 综合维护模式和病区维护模式反应性的评价，比较两者之间反应性的差距，以选择具有优势的维护模式，提高 PICC 维护管理模式的服务水平。方法随机抽取 PICC 带管患者450例，340例患者接受综合维护模式，即 PICC 门诊为主结合网点进行维护；110例患者接受病区维护模式，即回病区进行维护，均统一发放 WHO 制定的卫生系统反应性调查表，并对有效问卷结果进行统计分析和比较。结果收集有效问卷429例，其中接受综合维护模式患者326例，病区维护模式103例。综合维护模式在保密、交流、自主权、及时性、基础设施及选择性维度的反应性评价明显高于病区维护模式，差异有统计学意义（P ＜0．05）；尊严和社会支持维度的反应性评价差异无统计学意义（P ＞0．05）。结论综合维护模式的卫生系统反应性水平的评价较高，能让患者享受及时、便捷的 PICC 维护服务，有效地满足患者的期望和需求。Objective The reactivity of the PICC comprehensive maintenance model and the ward maintenance model was evaluated.The differences between these two models were compared so that the better maintenance model could be chosen for improving the service of the PICC comprehensive maintenance model. Methods Four hundred and fifty patients with the PICC catheter were chosen randomly.Three hundred and forty patients received the PICC comprehensive maintenance model （mainly in the out-patient department and combined with the network maintenance ）.One hundred and ten patients received the ward maintenance model （mainly in the in-patient ward）.The WHO reactivity questionnaires of health system were provided.The results of the valid questionnaires were calculated and analyzed.Results Four hundred and twenty-nine questionnaires （326 for the comprehensive maintenance model and 1 03 for the ward maintenance model）were collected.The reactivity evaluation of confidentiality,communication,autonomy,timeliness,basic facilities and selective dimension in the comprehensive maintenance model were significantly higher than those in the ward maintenance model （P 〈0.05）.There were no significant differences in the reactivity evaluation of dignity and social support dimension between the two groups （P 〉0.05）.Conclusions The reactivity evaluation of healthy system in the comprehensive maintenance model is higher.It can provide timely and convenient PICC service and meet the expects and demands of patients.

关 键 词：PICC 综合维护模式 病区维护模式 卫生系统 反应性 

分 类 号：R473.73[医药卫生—护理学]