PowerPICC导管全程集束化护理管理在神经外科重症监护病房中的应用

Application of PowerPICC catheter whole-process cluster nursing management in neurosurgery intensive care unit

目的探讨PowerPICC全程集束化护理管理在神经外科重症监护病房中的应用效果。方法选取2021年8月—2022年11月医院收治的神经外科重症监护病房的住院患者120例为研究对象,根据组间基本资料具有可比性的原则将患者分为对照组65例和观察组55例。对照组患者接受常规护理;观察组患者接受PowerPICC导管全程集束化护理管理。干预结束后,对比两组患者的穿刺次数、一次性穿刺到位率、一次性置管成功率、导管留置时间、治疗过程中不良事件(导管堵塞、机械性静脉炎、导管相关性血流感染、非计划性拔管)发生率、患者出院时对护理服务、环境设施、住院舒适的满意度评分以及综合满意度评分。结果观察组患者的平均穿刺次数低于对照组,一次性穿刺到位率、一次性置管成功率、导管留置时间均高于对照组,差异有统计学意义(P<0.05)。患者对护理服务、环境设施、住院舒适的满意度以及综合满意度评分均高于对照组,差异有统计学意义(P<0.05)。治疗期间观察组患者的不良事件(导管堵塞、机械性静脉炎、导管相关性血流感染、非计划性拔管)与对照组比较组间差异无统计学意义(P>0.05)。结论PowerPICC全程集束化护理管理能够提高一次性成功置管率,延长导管留置时间,提升了患者对医疗服务的满意度。

Objective To investigate the application effect of PowerPICC catheter whole-process cluster nursing management in neurosurgery intensive care unit.Methods To select 120 inpatients in the neurosurgery intensive care unit admitted to the hospital from August 2021 to November 2022 was as the research subjects,the patients were divided into a control group of 65 cases and an observation group of 55 cases based on the principle of comparability of basic information between groups.Patients in the control group received routine care;patients in the observation group received whole-process cluster nursing management of PowerPICC catheters.After the intervention,the number of punctures,one-time puncture placement rate,onetime catheterization success rate,catheter retention time,and the incidence of adverse events(catheter obstruction,mechanical phlebitis,catheter-related bloodstream infection,unplanned extubation)during treatment were compared between the two groups of patients,patient satisfaction scores with nursing services,environmental facilities,hospital comfort at discharge,and overall satisfaction scores.Results The average number of punctures in the observation group was lower than that in the control group,the one-time puncture placement rate,one-time catheterization success rate,catheter retention time were higher than those in the control group,the differences were statistically significant(P<0.05).The observation group patients'satisfaction with nursing services,environmental facilities,hospitalization comfort,and overall satisfaction scores were higher than those in the control group,the differences were statistically significant(P<0.05).During the treatment period,there was no statistically significant in the incidence of adverse events(catheter obstruction,mechanical phlebitis,catheter-related bloodstream infection,unplanned extubation)between the two groups(P>0.05).Conclusion PowerPICC whole-process cluster nursing management can improve the one-time successful catheterization rate,extend catheter indwelling time and improve patient satisfaction with medical services.