流程化管理在重症患者PICC的应用效果

The application effect of process management in critical patients with PICC

目的探讨应用流程化管理在重症患者PICC置管的应用效果。方法将PICC置管的住院重症患者160例分为实验组和对照组各80例。实验组患者应用PICC流程管理,对照组患者采用常规护理。观察2组患者的一次性置管成功率、置管后60 d内导管相关性血栓、机械性静脉炎发生率、意外拔管率、护理服务满意率。结果 2组一次性置管成功率、置管后60 d内导管相关性血栓、机械性静脉炎发生率、意外拔管率、护理服务满意率的比较,差异有统计学意义。结论应用流程化管理可以提升一次性置管成功率,降低置管后60 d内导管相关性血栓、机械性静脉炎的发生率,减少意外拔管发生率,提升护理服务满意率。

Objective To explore the application effect of process management in critical patients with PICC. Methods A total of 160 critical patients with PICC were divided into experimental group（ 80 cases） and control group（ 80 cases）. The experimental group applied PICC process management and patients in the control group were given routine nursing. The one- time success rate of catheter indwelling,incidence of catheter related thrombosis and mechanical phlebitis on the 60 th day after placement,abnormal catheter removal,satisfaction rate of nursing were observed and recorded. Results The significant differences were found in two groups in one- time success rate of catheter,incidence of catheter related thrombosis and mechanical phlebitis,abnormal catheter removal and satisfaction rate of nursing. Conclusion The application of process management in critical patients with PICC can promote one- time success rate of catheter indwelling and satisfaction of nursing,lower incidence of catheter related thrombosis,mechanical phlebitis and abnormal catheter removal.