三级医院门诊PICC专职岗位设置效果评价

Evaluation on the effect of PICC full-time post setting in outpatient department of tertiary hospital

目的:探讨三级医院门诊设置经外周静脉置入中心静脉导管(PICC)专职岗位的效果。方法:上海市某三级医院于2015年12月起在PICC门诊设置专职岗位,比较岗位设置前后PICC门诊病人就诊人次以及PICC并发症发生率、病人满意度和质量控制考核评分结果,探讨护士PICC专职岗位设立效果。结果:设置PICC专职岗位后,门诊量增加25.72%,就诊病人PICC并发症总体发生率由8.21%下降到7.84%,差异有统计学意义(χ^2=39.53,P<0.01);质量控制考核评分均分由(99.42±1.14)分提高到(99.98±0.10)分,差异有统计学意义(t′=2.24,P<0.05);病人满意度虽有所提高,但满意度评分较设置PICC专职岗位前差异无统计学意义(P>0.05)。结论:三级医院设置PICC专职护士可以加强PICC导管管理,满足病人出院后PICC导管维护和健康教育需求,提高病人满意度。

Objective:To investigate the effects of setting peripherally inserted central catheter(PICC)full-time post in outpatient department of tertiary hospital.Methods:The full-time post was set up in PICC outpatient department in a tertiary hospital of Shanghai from December 2015.The number of outpatients,incidence rate of PICC complications,patient satisfaction and quality control score between before and after the setting of PICC post were compared to investigate the effects of nurse PICC full-time post setting.Results:After the setting of full-time nurse PICC post,the number of outpatients increased 25.72%,the overall incidence of PICC complications decreased from 8.21%to 7.84%,and the difference of which was statistically significant(P<0.01).The average score of quality control examination increased from(99.42±1.14)to(99.98±0.10),and the difference of which was statistically significant(P<0.05).The average score of satisfaction of patients increased,and the difference of which between before and after post setting was not statistically significant(P>0.05).Conclusions:The setting of PICC full-time nurse can strengthen the management of PICC,meet the needs of PICC maintenance and health education of patients,and improve patient′s satisfaction.