实施PICC小组管理对恶性骨肿瘤化疗患者置管护理质量的影响

Influence of Panel Management on PICC Nursing for Patients with Malignant Bone Tumors in Chemotherapy

目的探讨恶性骨肿瘤化疗患者PICC实施小组管理对置管护理质量的影响。方法于2009年7月设立由4名已获取PICC单独置管操作证书的护理人员组成PICC置管小组,由专人负责开展PICC置管及其维护的全程跟踪观察服务,按照时间先后选择2009年1—7月(小组成立前)住院的22例恶性骨肿瘤置管患者为对照组;2009年8月—2010年5月(小组成立后)住院的26例恶性骨肿瘤置管患者为观察组。记录并比较两组患者PICC置管时间、一次置管成功率、置管时出血量及置管后机械性静脉炎的发生率。结果观察组置管时间较对照组缩短,一次置管成功率明显高于对照组,观察组机械性静脉炎和置管时出血量均明显少于对照组,差异均有统计学意义(P<0.05)。结论成立PICC置管小组,可提高PICC穿刺技术水平和减少并发症,使患者化疗期间使用PICC更安全有效。

Objective To discuss the influence of panel management on PICC nursing for patients with malignant bone tumors in chemotherapy.Methods Control group included 22 patients admitted before the establishment of PICC panel consisting of 4 nurses with certificate while experimental group included 26 patients admitted after the establishment of the panel.Time and success rate of PICC,puncture bleeding and mechanical phlebitis were compared.Results Catheterization time in experimental group was less than that of control group,success rate in experiment group was significantly higher than that of control group,while blood loss and incidence of mechanical phlebitis in experiment group were less and lower than those of control group（P0.05）.Conclusion With the establishment of PICC panel,nurses＇ technical level improves greatly while complications of puncture reduce so that it is safer and more effective for patients to use PICC.