PICC维护技术在社区医院的推广应用  

Popularization and application of PICC maintenance technology in community hospitals

作　　者：谢建芳 余剑珍[2] Xie Jianfang;Yu Jianzhen(Science and Education Division,Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University,Shanghai 201700,China;Nursing Department,Shanghai University of Medicine ＆ Health Sciences,Shanghai 200237,China)

机构地区：[1]复旦大学附属中山医院青浦分院科教科,上海201700 [2]上海健康医学院护理系,200237

出　　处：《中华现代护理杂志》2018年第26期3197-3200,共4页Chinese Journal of Modern Nursing

基　　金：上海市青浦区卫生计生系统第三轮特色项目（WX2015-01）

摘　　要：目的 推广PICC导管维护技术进社区,为拓展社区护理服务空间提供依据.方法 采用＂政府为主导、专家为支撑、社区为依托＂的推广应用体系,对2016年1—9月上海市青浦区9家社区卫生服务中心社区医务人员及肿瘤置管维护患者进行PICC维护技术推广前后评估,以了解社区PICC维护技术的应用情况.结果 PICC维护技术在社区推广效益明显,90％社区卫生服务中心已开展PICC维护技术,24名社区护士获得PICC维护适任证书,并已成功为166例肿瘤置管维护患者服务1174例次,未发生导管相关性并发症,患者满意率100％.结论 PICC维护技术在社区推广应用是安全可行的,建议政府与上级医疗机构要开展多种形式积极推广应用PICC维护技术,以适应社区卫生服务综合改革的发展.Objective To promote peripherally inserted central catheter （PICC） maintenance technology in community, so as to provide the basis for expanding the community nursing service space. Methods A guideline of ＂government-led, expert-supported, community-based＂ was applied. From January to September 2016, the medical staff and patients from 9 community hospitals in Qingpu District of Shanghai were evaluated before and after the promotion of PICC maintenance technology, in order to have a better understanding of the application of maintenance technology in the community.Results The promotion of PICC maintenance technology had a significant effects in the community, and 90% of community health service centres developed PICC maintenance technology. Totally 24 community nurses obtained PICC certificate of competence, and successfully served 166 patients with tumor catheterizatoin and maintenance for 1174 times. No catheter-related complications occurred. The patient satisfaction rate was 100%.Conclusions It is safe and feasible to promote the application of PICC maintenance technology in the community. Moreover, the government and the higher medical institutions are recommended to carry out various forms of promotions to actively promote the use of PICC maintenance technology to meet the new round of comprehensive development of community health services reform.

关 键 词：肿瘤 社区 PICC 技术 推广 

分 类 号：R472[医药卫生—护理学]