基于使用与满足理论的延续护理模式在PICC置管患者中的应用  

Continuing nursing mode based on theory of use and satisfaction in patients with PICC

作　　者：梁世耀 赵秀芬[2] 黄爱微[3] 孙文瑞[4] 陈海霞[1] 张彬 Liang Shiyao;Zhao Xiufen;Huang Aiwei;Sun Wenrui;Chen Haixia;Zhang Bin(Infusion Center,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325015,China;Pancreatitis Diagnosis and Treatment Center,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325015,China;Department of Hepatobiliary Surgery,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325015,China;Department of Hematology,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325015,China)

机构地区：[1]温州医科大学附属第一医院输液中心,温州325015 [2]温州医科大学附属第一医院胰腺炎诊治中心,温州325015 [3]温州医科大学附属第一医院肝胆外科,温州325015 [4]温州医科大学附属第一医院血液内科,温州325015

出　　处：《中华现代护理杂志》2020年第11期1495-1499,共5页Chinese Journal of Modern Nursing

基　　金：浙江省温州市科技计划项目(Y20170470)。

摘　　要：目的探讨基于使用与满足理论的延续护理模式在PICC置管患者中的应用效果。方法选取2017年8月—2018年6月在温州医科大学附属第一医院行PICC置管的400例患者作为研究对象,采用随机数字表法分为对照组和干预组,各200例。对照组采用常规护理,干预组基于使用与满足理论分析患者对延续护理内容及形式的需求,构建PICC延续护理干预方案。比较干预后两组患者的导管并发症发生率、非计划性拔管率、自我管理能力、护理满意度。结果干预后,干预组的患者导管并发症发生率为1.5%,非计划性拔管发生率为0,均低于对照组的16.0%、5.0%,差异有统计学意义(P<0.05);干预组患者的日常导管观察、维护依从性、导管管理信心、导管异常情况处理、信息获取、带管运动、带管日常生活、导管自我管理能力总分及护理满意率均高于对照组,差异均有统计学意义(P<0.05)。结论基于使用与满足理论的延续护理可降低PICC置管患者的并发症发生率和非计划性拔管发生率,能够提高患者的导管自我管理能力和护理满意度,值得临床推广。Objective To explore the effects of continuing nursing mode based on theory of use and satisfaction in patients with peripherally inserted central catheter(PICC).Methods From August 2017 to June 2018,this study selected 400 patients with PICC as subjects in the First Affiliated Hospital of Wenzhou Medical University.All of patients were divided into control group and intervention group with the method of random number table,200 cases in each group.Control group carried out the routine nursing.Intervention group analyzed the needs of patients for content and form of continuing nursing,and built the PICC continuing nursing intervention plan based on the theory of use and satisfaction.This study compared the incidence of catheter-related and unplanned extubation,self-management ability,nursing satisfaction of patients between two groups after intervention.Results After intervention,the incidences of catheter-related complications and unplanned extubation of intervention group were 1.5% and 0 respectively lower than those(16.0% and 5.0%)of control group with statistical differences(P<0.05).In intervention group,the scores of the daily catheter observation,maintenance compliance,catheter management confidence,exception handling of catheter,information acquisition,motion with catheter,daily life with catheter and total score of self-management ability,and nursing satisfaction of patients were higher than those in control group with statistical differences(P<0.05).Conclusions Continuing nursing mode based on theory of use and satisfaction can reduce the incidence of catheter-related and unplanned extubation in patients with PICC,improve patients'catheter self-management ability as well as nursing satisfaction which is worthy of being widely used in clinical application.

关 键 词：导管插入术 外周 PICC 非计划性拔管 使用与满足理论 延续护理 

分 类 号：R47[医药卫生—护理学]