集束化干预降低神经外科PICC置管异位率的效果  

Effect of cluster intervention in reducing ectopic rate of PICC catheterization in department of neurosurgery

作　　者：赵玉桃 朱健[1] 成雪芹 ZHAO Yutao;ZHU J ia n;CHEN Xueqin(Department of Surgery,Taizhou Peoples Hospital in Jiangsu Province,Taizhou,Jiangsu,22530)

机构地区：[1]江苏省泰州市人民医院外科,江苏泰州225300

出　　处：《实用临床医药杂志》2018年第12期65-68,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨集束化干预在降低神经外科外周穿刺中心静脉导管(PICC)置管异位率中的应用效果。方法选取本院神经外科收治的100例患者作为研究对象,随机分为对照组和观察组各50例,对照组施行常规护理干预,观察组予以集束化护理干预,比较2组患者的置管异位情况、导管留置时间、住院时间、舒适度评分、生活质量评分、护理满意度。结果观察组的置管异位发生率低于对照组(P<0.05);观察组的导管留置时间长于对照组(P<0.05),其住院时间短于对照组(P<0.05);观察组的舒适度评分、生活质量评分均高于对照组(P<0.05);观察组的护理满意度为96%高于对照组的82%(P<0.05)。结论在神经外科患者接受PICC置管期间,对患者施行集束化护理干预,可有效减少置管异位,有利于缩短患者的住院时间,还可提高患者的舒适度,改善其生活质量,使患者对护理服务更加满意。Objective To study effect of cluster intervention in reducing ectopic rate of peripherally inserted central venous catheter（ PICC） in department of neurosurgery. Methods A total of 100 patients in our hospital were selected as research objects,and were randomly divided into two groups by random number table method,with 50 cases in each group. The control group was given routine nursing intervention,and the observation group was given cluster intervention,ectopic catheter,catheter indwelling time,hospitalization time,comfort score,life quality score,nursing satisfaction of two groups were compared. Results The observation group had lower catheter ectopic rate（ P〈0. 05）,longer catheter indwelling time（ P〈0. 05）,and shorter hospitalization time than that in the control group（ P〈0. 05）. Comfort scores,life quality scores were higher than that in the control group（ P〈0. 05）. Nursing satisfaction of observation group was significantly higher than that in the control group（ 96% vs. 82%,P〈0. 05）. Conclusion Cluster nursing intervention can effectively reduce ectopic catheter,shorten hospital stay,improve comfort and quality of life,and enhance nursing more satisfaction.

关 键 词：神经外科 PICC置管 置管异位 集束化干预 

分 类 号：R473.6[医药卫生—护理学]