电话随访对出院患者PICC的影响

Effect of telephone follow-up on PICC maintenance

目的探讨电话随访对出院患者经外周静脉穿刺中心静脉置管（peripherally inserted central cathter,PICC）的影响。方法将2010年1～12月本院收治的289例PICC患者设为对照组,出院时给予常规置管健康指导;将2011年1～12月本院收治的PICC置管患者305例设为观察组,在对照组基础上实施电话随访。比较两组患者置管期间按时维护导管、导管并发症、意外拔管及满意度情况。结果两组患者按时维护导管、导管并发症、意外拔管及满意度各项指标比较,均P〈0.05,差异具有统计学意义,观察组患者各项指标明显优于对照组。结论电话随访有助于提高出院患者对PICC维护依从性,有效控制PICC置管期间并发症,提高患者生活质量和满意度。

Objective To investigate the effect of telephone follow-up on peripherally inserted central cathter（PICC） maintenance.Methods Two hundred and eighty-nine patients with PICC in our hospital from January to December 2010 served as the control group,given conventional health education on intubation,another 305 patients with PICC from January to December 2011 were set as the observation group,where telephone call follow-up was done on the basis of conventional health education on intubation. The two groups were compared in terms of timely catheter maintenance,catheter-related complications,accidental extubation and satisfaction.Result The observation group was significantly better than the control group in terms of timely catheter maintenance, catheter-related complications,accidental extubation and satisfaction （allP〈0.05）.Conclusion Telephone follow-up helps to improve patients compliance with PICC catheter maintenance,effectively control the complications and improve the quality of life and satisfaction degree.