自然垂降生理盐水柱法经三向瓣膜式PICC引导腔内心电图的流程制订及应用

Design and application of flowchart for putting normal saline column by gravity drip via Groshong PICCs to guide intracavitary ECG

目的制订自然垂降生理盐水柱法经三向瓣膜式经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)引导腔内心电图的流程,探讨流程应用效果。方法制订自然垂降生理盐水柱法经三向瓣膜式PICC引导腔内心电图的流程,同时对操作护士进行考核培训;并根据此流程对30例患者行三向瓣膜式PICC置管。结果本组30例患者PICC导管尖端正常位置为93.3%(28/30),最佳位置为90.0%(27/30)。护士对操作流程评分为(4.8±0.4)分,为满意。结论制订规范化标准自然垂降生理盐水柱法经三向瓣膜式PICC引导腔内心电图的操作流程并将流程应于操作中,使护理操作有据可查,提高了操作的质量。

Objective To work out a flowchart for putting normal saline column by gravity drip via Groshong PICCs to guide intracavitary ECG and investigate the effect. Methods We developed the flowchart and trained the nurses to use it. Then the flowchart was used in catheteration of Groshong PICC to guide intracavitary ECG for 30 patients. Results The normal target rate was 93.3%（28 / 30） and the optimal tip target rate was 90.0%（27 / 30）. The score on the flowchart by the nurses was（4.8 ± 0.4）, indicating they were satisfied with it. Conclusion The flowchart for pushing normal saline column with gravity drip method via Groshong PICCs to guide intracavitary ECG provides an operational standard, enhancing the operational quality.