老年住院患者PICC认知状况的调查

Investigation of PICC cognition in hospitalized elderly patients

目的 研究老年住院患者对PICC的认知状况,为医护人员采取恰当方式提高老年患者对PICC的认知提供依据,也为已置管患者更好地进行PICC维护提供帮助.方法 采取自行设计的PICC调查问卷,对240例老年住院患者进行问卷调查,调查后对已置管患者与置管后现已拔除的患者进行数据分析.结果 47.50％患者了解置管后各种并发症所带来的不良反应,74.58％了解置管后自我维护管路,6.25％置管前医生护士均参与了知情同意的指导,20.42％患者置管前查阅过或咨询过PICC置管的相关信息,13.33％患者了解彩超引导下PICC置管术等.结论 老年患者对PICC置管的认知度不够,医护人员在PICC置管前后的人员参与、告知时间及方式方面有待加强.

Objective To investigate the cognition of peripherally inserted central catheter （PICC） among elderly patients, provide the evidence for nurses to improve the PICC cognition and supply the help to the PICC maintenance. Methods A self-designed questionnaire related to PICC knowledge was used in 240 elderly patients, and the data of these patients who had been inserted or removed catheters were analyzed after investigation. Results 47. 5% of patients know all adverse reaction induced by all kinds of complications related to PICC; 74. 58% of patients knew how to self-maintain access after PICC; 6. 25% of nurses participated in the explaining of consents to the patients before PICC ; 20. 42% of patients consulted the relevant materials about PICC before PICC; 13.33% of patients know the PICC operation navigated via ultrasound. Conclusions The elderly patients know little about PICC. There is urgent need for nurses to enhance the education related to PICC knowledge.