PICC带管出院患者导管居家维护模式的可行性研究分析

Feasibility Study and Analysis of Home Maintenance Mode for PICC Discharged Patients with Catheters

目的 观察PICC带管出院患者导管居家维护模式的可行性。方法 将我院2021年1月至2022年12月收治的60例PICC带管肿瘤患者随机分为观察组30例,对照组30例。对照组(n=30)给予常规返院导管维护,观察组(n=30)给予导管居家维护,对比两组的单次维护费用及时间、平均留置时间、导管相关并发症发生情况及维护依存性。结果 观察组单次维护费用为(58.17±5.64)元,低于对照组的(132.78±9.85)元,两组单次维护费用比较,差异具有统计学意义(t=-36.004,P=0.000);观察组单次维护时间(81.13±7.62)min,较对照组的(203.34±15.67)min更短,差异具有统计学意义(t=-38.416,P=0.000)。观察组PICC平均留置时间为(141.82±13.56)d,对照组PICC平均留置时间为(137.43±14.08)d,两组PICC平均留置时间比较,差异未见统计学意义(t=1.230,P=0.224)。观察组导管相关并发症发生率36.67%,对照组26.67%,两组导管相关并发症比较,差异没有统计学意义﹙χ^(2)=0.693,P=0.405﹚。观察组能按时进行PICC导管维护者为28例,按时维护依存率为93.33%,高于对照组的70.00%,差异存在统计学意义﹙χ^(2)=5.455,P=0.020﹚。结论 PICC带管出院患者导管居家维护模式具有一定可行性,在不增加导管相关并发症及延长留置时间的前提下,可以有效地减少维护费用、缩短维护时间,提高患者维护依存性。

Objective This study aims to observe the feasibility of catheter home self-maintenance mode for discharged patients with PICC catheterization.Methods Sixty patients with PICC tumors treated in our hospital from January 2021 to December 2022 were randomly divided into an observation group of 30 cases and a control group of 30 cases.The control group(n=30)received routine catheter maintenance upon return to the hospital,while the observation group(n=30)received home catheter maintenance.The cost and time of single maintenance,average retention time,incidence of catheter related complication,and maintenance dependency were compared between the two groups.Results The single maintenance cost of the observation group was(58.17±5.64)yuan,significantly lower than(132.78±9.85)yuan in the control group.The difference in single maintenance costs between the two groups was statistically significant(t=-36.004,P=0.000);The single maintenance time in the observation gruoup was(81.13±7.62)minutes,which was shorter than(203.34±15.67)minutes in the control group,and the difference was statistically significant(t=-38.416,P=0.000).The average retention time in the observation group was(141.82±13.56)days,while the average retention time in the control group was(137.43±14.08)days.There was no statistically significant difference in the average retention time between the two groups(t=1.230,P=0.224).The incidence of catheter related complication in the observation group was 36.67%,while in the control group it was 26.67%.There was no statistically significant difference between the two groups in terms of catheter related complication(χ^(2)=0.693,P=0.405).There were 28 cases in the observation group who were able to perform PICC catheter maintenance on time,with a dependency rate of 93.33%,significantly higher than 70.00%in the control group,and the difference was statistically significant(χ^(2)=5.455,P=0.020).Conclusions The PICC catheter home self-maintenance model for discharged patients with catheters is feasible.It can effectively reduce maintenance costs,shorten maintenance time,and improve patient maintenance dependency without increasing catheter related complication and prolonging retention time.