护士主导的强化教育对 PICC 置管效果的影响

Effect of nurse leading intensive education program on the complications of peripherally inserted central catheter

目的：探讨护士主导的强化健康教育对PICC置管效果的影响。方法选取应用PICC置管行静脉输液的93例患者为研究对象，按照随机数字表法随机分为观察组47例和对照组46例，对照组给予常规护理，观察组给予护士主导的强化健康教育。结果观察组患者PICC置管一次性穿刺成功率为85．11％，对照组为60．87％，差异有统计学意义（χ2＝5．372，P＜0．01）；观察组患者PICC非计划拔管率为4．26％，对照组为26．09％，差异有统计学意义（χ2＝5．063，P＜0．01）；观察组患者PICC留置时间为（122．36±37．11）d，对照组为（67．12±23．03）d，差异有统计学意义（χ2＝6．814，P＜0．01）。观察组患者导管相关性感染等主要并发症发生率均较对照组下降，差异有统计学意义（χ2＝4．763～9．079，P＜0．05）。观察组患者总体满意度为97．87％，对照组为71．74％，差异有统计学意义（χ2＝5．037，P ＜0．05）。结论将护士主导的强化健康教育应用于PICC患者，可有效减少PICC置管相关并发症。

Objective To investigate the effects of nurse leading intensive education program on the complications of peripherally inserted central catheter （PICC）.Methods Totals of 93 cases who received the venous transfusion with the PICC catheter technique were selected and randomly divided into two groups .Totals of 47 cases in the observation group were treated with nurse leading intensive education program , while 46 cases in the control group were treated with routine care .Results Compared with the control group , PICC catheter disposable puncture success rate in the observation group was higher （85.11% vs 60.87%;χ2 =5.372,P〈0.01）, unplanned extubation was lower （4.26%vs 26.09%;χ2 =5.063,P〈0.01）, and PICC retention time was longer [（122.36 ±37.11）d vs （67.12 ±23.03）d; t=6.814,P〈0.01）] in the observation group,and the differences were statistically significant .The incidence of catheter-related infections and major complications in the observation group decreased significantly than those in the control group （ P 〈0.05 ） .And overall satisfaction of the observation group was significantly higher than that of the control group （ 97.87% vs 71.74%;χ2 =5.037,P〈0.05）.Conclusions The nurse leading intensive education program can effectively reduce the incidence of PICC-related complications ,which is worthy of wider promotion and application .