县级医院PICC延续护理方案的建立和效果评价

Establishment and effectiveness evaluation of PICC extended care programs in county hospitals

目的探寻一种适合县级医院的PICC延续护理方案,切实解决县级医院患者带管出院后维护难的问题。方法选择2013年6月至2014年12月携带PICC导管出院的肿瘤患者205例为研究对象,根据患者意愿将患者分为观察组119例和对照组86例。对照组患者按原来模式每周一次到原置管病区进行导管维护;实验组采取出院前一天、出院后每周主动干预并安排患者到相关维护网络进行维护。比较两组患者PICC导管按时维护依从性、相关并发症发生率和出院后维护满意度。结果患者PICC导管按时维护依从性提高(P<0.05);导管相关性并发症中穿刺点感染、堵管发生率下降(P<0.05);患者对维护方便性、信息获取及时性比较满意(P<0.01)。结论在县级医院对PICC带管出院患者实施延续护理方案,可有效解决患者出院后导管维护难的问题,保障了导管的安全。

Objective To explore a PICC extended care program suitable for county hospitals, so as to effectively solve the difficult care problems of patient with PICC after discharge. Method Totally,205 cancer patients with PICC discharged from June 2013 to December 2014 were recruited,and were divided into the experimental group with 119 cases and the control group with 86 cases. Patients in the control group came to original catheter ward for weekly catheter care, while patients in the experimental group took active intervention and were arranged to related care network for catheter care the day before discharge and weekly after discharged. The compliance of timely PICC catheter care, the occurrence rate of related complications, and patient satisfaction were compared between the two groups, l^eslflts The catheter compliance of timely PICC catheter care improved （ P 〈 0.05） , the occurrence rate of catheter related complications such as infection at the puncture site, blocking tubes decreased （ P 〈 0.05 ） , patients were more satisfied on convenient care and timely access to information （ P 〈 0.01 ）. Conclusion PICC extended care programs in county hospitals can effectively solve the difficult care problems of patient with PICC after discharge, and guarantee the safety of catheter.