环节质量管理对提高肿瘤患者PICC置管后安全性的效果  

The Effect of Link Quality Management on Improving the Safety of Tumor Patients after PICC Catheterization

作　　者：陈春花[1] 柯娜[1] 廖瑞梅[1] 梁素芳[1] 李艳文 赵娜 CHEN Chunhua;KE Na;LIAO Ruimei(Jiangmen Central Hospital,Jiangmen 529000,China)

机构地区：[1]江门市中心医院,湖北江门529000

出　　处：《中外医学研究》2019年第11期175-177,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨环节质量管理对提高肿瘤患者经外周静脉置入中心静脉导管(PICC)置管后安全性的效果。方法:将2017年1-12月笔者所在医院行PICC置管的125例肿瘤患者作为研究对象,采用随机数字表法分为对照组(常规护理,62例)和观察组(环节质量管理,63例)。对比两组的安全性、相关观察指标。结果:观察组置管后并发症总发生率(6.35%)显著低于对照组(27.42%);观察组的一次置管成功率(82.54%)及微生物送检率(77.78%)显著高于对照组(64.52%、50.00%),差异均有统计学意义(P<0.05)。结论:环节质量管理能够有效提高肿瘤患者PICC置管的成功率,延长置管时间,并有效降低相关并发症的发生。Objective:To investigate the effect of link quality management on the safety of peripherally inserted central venous catheter(PICC) in tumor patients.Method:From January to December 2017,125 cases of tumor patients with PICC catheterization in our hospital were divided into the control group(control nursing,62 cases) and thr observation group(link quality management,63 cases) by random number table method.The safety and related observation indexes of the two groups were compared.Result:The total incidence of complications after catheterization in the observation group was 6.35%,which was significantly lower than that in the control group(27.42%).The success rate of one-time catheterization in the observation group(82.54%) and the microbial inspection rate(77.78%) were significantly higher than those in the control group(64.52% and 50.00%).The differences were statistically significant(P<0.05).Conclusion:Link quality management can effectively improve the success rate of PICC catheterization in tumor patients,prolong the catheterization time,and effectively reduce the incidence of related complications.

关 键 词：肿瘤 PICC置管 环节质量管理 安全性 

分 类 号：R473.73[医药卫生—护理学]