PICC带管患者对PICC维护网使用体验的质性研究

The user experience of patients with PICC catheter for PICC maintenance network： a qualitative research

目的探讨PICC带管患者对山东省PICC维护网的使用体验。方法采用现象学研究方法，对18例使用山东省PICC维护网并在其网点内多家医院进行维护的PICC带管患者进行半结构式访谈，采用Colaizzi现象学分析法对资料进行分析。结果PICC带管患者对山东省PICC维护网的体验包括正性和负性两方面。正性体验主要表现为就诊便捷、各级医院协作、基层医院的进步、服务热忱；负性体验主要表现为人员短缺、水平参差不齐、配套体系不完善。结论PICC带管患者对PICC维护网普遍存在正性体验，但仍需进一步增强PICC维护网可及性，推动专科化发展。同时，针对患者提出的问题，采取加强PICC规范化培训与质量控制，完善配套体系，推动延续护理模式在基层医院的实施等措施，以提高全省各级医院整体PICC维护水平，改善患者维护体验。

Objective To explore the real user experiences of patients with PICC catheter for PICC maintenance network in Shandong province. Methods Descriptive phenomenological methodology was adopted in this study. A semi-structured interview was conducted with 18 patients of PICC-line maintained in different hospitals from PICC maintenance network in Shandong province. We analysed the data by Colaizzi＇ s phenomenological research method. Results The experiences of patients with PICC catheter for PICC maintenance network in Shandong province contain positive and negative aspects. The positive aspects were convenient medical treatment, cooperation in various level hospitals, progress of basic hospitals, and enthusiastic services; the negative aspects were personnel shortage, different levels of nurses and imperfect supporting system. Conclusions Patients with PICC maintenance network possessed positive experience, but the accessibility of PICC maintenance network should be further enhanced, specialized development should be promoted. Meanwhile, for the questions proposed by patients, some measures should be taken to improve the overall PICC maintenance service from various level hospitals in Shandong province and make the experience of patients better. These measures include strengthening the standardized training and quality control of PICC, improving the supporting system, and promoting the implementation of continuous nursing mode in the primary hospitals.