循证干预在PICC置管期感染控制的影响分析

Analysis on effect of evidence-based intervention on infection control during PICC cathetering period

目的探究并分析循证干预在经外周静脉置入中心静脉导管(PICC)置管期应用及效果,指导改善PICC置管并发症发生率、提高患者满意度。方法选择医院2011年2月-2013年3月行PICC的100例患者为研究对象,随机抽取医院2011年2月-2012年2月50例患者为常规干预组,2012年3月-2013年3月50例患者为循证干预组,常规干预组给予PICC常规干预,循证干预组给予循证干预模式指导下的PICC循证干预,比较两组患者PICC置管并发症发生率、焦虑抑郁情绪和患者干预满意度。结果 PICC置管并发症循证干预组患者发生1例,发生率为2.00%,常规干预组患者发生7例,发生率为14.00%,循证干预组置管并发症发生率显著低于常规干预组;1个月后,循证干预组患者焦虑标准分降至(44.46±3.52)分,抑郁标准分为(44.26±3.16)分,显著低于常规干预组焦虑、抑郁标准分;循证干预组患者干预满意度为100.00%,高于常规干预组92.00%。结论循证干预能够显著降低患者PICC导管并发症发生率,使其焦虑状态得到明显改善,患者干预满意度提高。

OBJECTIVE To explore and analyze application of evidence-based intervention for peripherally inserted central catheter（PICC）and the effect of PICC catheter,so as to provide guidance to improve PICC complications and improve patient satisfaction.METHODS Totally 100 patients undergoing PICC in our hospital from Feb.2011 to Mar.2013 were selected as the research subjects,including 50 patients in our hospital from Feb.2011 to Feb.2012 as the routine intervention group,and 50 patients as the evidence-based intervention group.The routine intervention group was given PICC routine nursing care,while the evidence-based intervention group was given PICC nursing intervention under the guidance of evidence-based nursing model.The two groups were compared for PICC catheter complications,anxiety and depression and patient satisfaction.RESULTS PICC catheter complications occurred in 1case in the evidence-based intervention group（the incidence 2.00%）and 7cases in the conventional intervention group（14.00%）,indicating that the incidence of catheter complications in the evidencebased intervention group was significant lower than in the conventional intervention group.One months later,the anxiety standard score was reduced to（44.46±3.52）points and the depression standard score was（44.26±3.16）points,significantly lower than those in the conventional intervention group.The patient satisfaction was100.00% in the evidence-based intervention group,significantly higher than 92.00% in the conventional intervention group.CONCLUSION Evidence-based intervention can significantly reduce the incidence of complications in patients with PICC catheter,improve the anxiety state and patient satisfaction.