患者参与患者安全模式对PICC置管患者维护效果的影响  

Influence of patients′ participation in patient safety pattern on the maintenance of PICC catheter patients

作　　者：韩莲英[1] 程淑华[1] 倪丹[1] 刘方圆 濮琦琳[1] 郑春英[1] 刘珊[1] 梁娟[1] 

机构地区：[1]南昌大学第四附属医院护理部,江西南昌330003

出　　处：《中国当代医药》2017年第29期133-136,共4页China Modern Medicine

基　　金：江西省科技厅基金项目(20151BBG70203);江西省卫生计生委科技计划项目(20165325)

摘　　要：目的探讨患者参与患者安全模式对PICC置管患者维护效果的影响。方法选取2015年1~6月某三甲医院肿瘤科住院行PICC置管的50例患者作为对照组,选取2015年7~12月行PICC置管并有参与到导管维护意愿的50例患者作为实验组。对照组患者由静脉治疗专科护士进行PICC置管,其责任护士进行维护和管理,并建立维护档案;实验组在此基础上增加患者参与安全模式,提高患者主动参与的安全意识并配合导管维护。置管期间两组患者采用匿名问卷方式进行调查分析并观察两组患者的PICC并发症发生率。结果通过患者参与患者安全模式的应用,实验组患者的参与安全意愿明显提高,差异有统计学意义(P<0.01)。实验组的局部感染、血栓形成、导管破损发生率与对照组比较,差异无统计学意义(P>0.05)。实验组的静脉炎、导管堵塞、导管脱出发生率显著低于对照组,差异有统计学意义(P<0.05)。结论患者参与患者安全模式的应用能促进患者对PICC置管后参与导管维护的安全行为意愿,护患共同维护管路,可以有效减少PICC并发症的发生,降低临床非计划性拔管。Objective To investigate the effect of patients＇ participation in patient safety model on the maintenance of PICC catheter patients.Methods 50 PICC catheter patients who were hospitalized in Department of Oncology of a Grade m A Hospital from January to June in 2015 was selected as the control group,while,50 patients who underwent PICC catheter from July to December in 2015 with willingness to be involved in the maintenance of the catheter were selected as the experiment group.Patients in ＇the control group underwent PICC catheter by intravenous therapy nurse and the primary nurse undertook the responsibility of maintenance and management as well as establishment and maintenance of the archives;on the basis of the control group,patients＇ participation in patient safety model was added in the experiment group to improve patients＇ safety awareness of active participation and cooperate with medical staff for catheter maintenance.During intubation,anonymous questionnaire surveys were adopted in two groups to make investigation and analysis,and the incidence of PICC complications of the two groups was observed.Results Through the application of patients＇ participation in patient safety model,the patients＇ intention of participation in patient safety of the experiment group was significantly improved,with significant significance （P〈0.01）.There was no significsnt significance in PICC complications between the two groups,such as local infection,thrombosis and catheter breakage （P〉0.05）.Thc incidence of PICC complications of the experiment group,such as phlebitis,catheter blockage and catheter prolapse,was significantly lower than that of the control group,with significant difference （P〈0.05）.Conclusion Application of patients＇ participation in patient safety model can promote patients＇ intention of safety behavior in involvement in catheter maintenance after PICC catheterization.The nurse and patient work together for catheter maintenance can effectively reduce the incidence of PICC com

关 键 词：患者参与患者安全模式 PICC置管 管道维护 

分 类 号：R471[医药卫生—护理学]