集束化护理干预ICU患者PICC非计划性拔管效果评价

Effect evaluation of unplanned extubation in ICU PICC patients with cluster nursing intervention

目的对比常规护理与集束化护理措施干预预防ICU患者经外周中心静脉置管(PICC)非计划性拔管的效果。方法对120例行PICC置管的ICU患者分别采用常规护理与集束化护理措施进行干预,对比2组的导管留置时间、PICC置管并发症和非计划性拔管发生率。结果经集束化护理干预后,患者PICC置管后的静脉炎、血栓、穿刺点异常、导管相关性血流感染等并发症以及非计划拔管率较对照组有明显降低,PICC置管留置天数较对照组明显延长(P<0.05)。结论集束化护理干预措施有助于提高护士PICC导管护理水平和导管留置时间,减少血栓、静脉炎等并发症和非计划性拔管发生率。

Objective To compare the effect of conventional nursing and cluster nursing intervention on unplanned extubation in ICU patients with PICC. Methods ICU patients with PICC catheter were treated with conventional nursing and cluster nursing intervention,and the catheter indwelling time,PICC catheter complications and unplanned extubation rate were compared between the two groups. Results Through the nursing intervention, patients with PICC after catheter phlebitis, thrombosis, puncture point abnormalities,catheter-related bloodstream infection and the complication of the unplanned extubation rate than the control group significantly decreased PICC days of indwelling catheter was longer than the control group. Conclusion The cluster nursing intervention can help improve the operation level of PICC and the catheter indwelling time, reduce the incidence of complications（ for example,thrombosis and phlebitis） and unplanned extubation.