肝胆外科32例PICC置管的护理经济效益分析

Analysis of nursing economic benefits for 32 PICC cases in Department of Liver and Gallbladder Surgery

目的 探讨肝胆外科PICC置管的护理经济效益. 方法 采用经济学成本效益分析法对肝胆外科2013年7月—2014年2月32例PICC置管的护理经济效益进行分析. 结果 每例PICC置管的总成本为6 300. 46 元,其中直接成本5 581. 25 元,间接成本719. 21 元. 每例 PICC置管毛利润为-1 941. 55元,纯利润为-1 456. 16元∕例. 32例置管患者中,未发生静脉炎、导管相关性感染、血栓等并发症,发生1例意外拔管. 结论 肝胆外科PICC置管成本大于效益,未能体现PICC专业护士的劳动价值. 在平衡患者医疗负担与医院运行成本的杠杆中,如何体现PICC专业护士的劳动价值,是未来护理发展中值得深度思考和研究的话题.

Objective To explore nursing economic benefits of PICC in Department of Liver and Gallbladder Surgery. Methods A total of 32 PICC cases during July 2013 to February 2014 in Department of Liver and Gallbladder Surgery were analyzed with cost-benefit analysis method of economics. Results The total costs were 6 300. 46 RMB Per PICC cases; the direct costs were 5 581. 25 RMB; and the indirect costs were 719. 21RMB. The total gross profits were -1 941. 55RMB per PICC case while the net profits were -1 456. 16 RMB. There was no complications （ such as phlebitis, catheter related infections, thrombus, etl. ） occurred except one case of accidental extubation. Conclusions The total costs of PICC are higher than the profits in Department of Liver and Gallbladder Surgery that cannot reflect the labor values of PICC professional nurses. How to reflect labor values of PICC professional nurses between balanced patient medical burden and costs lever of hospital operation that is the worthy thinking and research topic in the future of nursing development.