基于医联体的经外周静脉置入中心静脉导管同质化维护模式的建立与应用  

Establishment and application of homogeneous maintenance mode of peripherally inserted central catheter based on medical alliance

作　　者：余菊[1,2] 张艳 解燕[1] YU Ju;ZHANG Yan;XIE Yan(Hematology Department,Subei People′s Hospital of Jiangsu Province,Yangzhou,Jiangsu,225001;School of Nursing of Yangzhou University,Yangzhou,Jiangsu,225001)

机构地区：[1]江苏省苏北人民医院血液科,江苏扬州225001 [2]扬州大学护理学院,江苏扬州225001

出　　处：《实用临床医药杂志》2021年第15期82-84,88,共4页Journal of Clinical Medicine in Practice

摘　　要：目的建立医联体成员单位的经外周静脉置入中心静脉导管(PICC)同质化维护模式并观察其应用效果。方法对医联体成员单位的29名护理人员进行同质化培训,考核合格后发放资质准入证书。建立医联体成员单位的PICC维护网络,对PICC带管患者实施出院后同质化维护。比较培训前后护理人员理论和技能成绩,并比较本院门诊维护患者与医联体维护患者的维护依从性和并发症发生率,评价医联体维护患者的满意度。结果培训后,护理人员的理论和技能成绩均高于培训前,差异有统计学意义(P<0.01);本院门诊维护患者的维护依从性、并发症发生率与医联体维护患者比较,差异无统计学意义(P>0.05);医联体维护患者的满意度高达98.41%。结论基于医联体的PICC同质化维护模式的建立与实施,能够为PICC带管出院患者提供同质化护理,有利于延续护理的开展,提升患者的护理满意度。Objective To explore establishment and application of homogeneous maintenance mode of peripherally inserted central catheter based on medical alliance,and to observe its application effect.Methods A total of 29 nursing staff from the member units of the medical alliance were trained in homogenization,and the qualification access certificates were issued after passing the examination.Homogeneous maintenance was implemented for patients with PICC.The theoretical and skill achievements of nursing staff,the maintenance compliance of discharged patients,the incidence of complications and the patients′satisfaction were compared before and after the training,and the patients′satisfaction was evaluated.Results After training,the scores of theory and skill of nurses were significantly higher after training(P<0.01).There were no significant differences in maintenance compliance and complication rate between patients in outpatient department and those in medical alliance(P>0.05),and satisfaction of patients in medical alliance reached 98.41%.Conclusion Establishment and application of homogeneous maintenance mode of PICC based on medical alliance can provide homogeneous care for patients discharged with PICC,which is conducive to the implementation of continuous care and improvement of patients′satisfaction.

关 键 词：医联体 经外周静脉置入中心静脉导管 维护 同质化 延续护理 

分 类 号：R473[医药卫生—护理学] R472[医药卫生—临床医学]