隧道式经外周静脉置入中心静脉导管置管技术培训实施现状分析

Current status of training on catheterization technology for tunnel peripherally inserted central catheter

目的探讨静脉治疗专科护士隧道式经外周静脉置入中心静脉导管(PICC)置管技术培训现状,为推动该技术的应用、开展系统化专项培训提供参考。方法采用方便抽样法,于2023年5—6月选取24个省、自治区、直辖市的150家医院的279名静脉治疗专科护士为研究对象。自行设计调查问卷,并以电子问卷的形式对研究对象进行调查。结果本研究共发放问卷279份,回收有效问卷279份,问卷有效回收率为100.0%(279/279)。141名护士所在医院开展了隧道式PICC置管技术,其中93名护士在科室开展了该项技术;34名护士能独立完成该技术。113名护士接受过专项隧道式PICC培训,141名护士认为影响该技术实施和开展的首要因素是专科护士技术掌握程度;248名护士表示通过工作坊操作演练的方式可有效增强培训效果。结论隧道式PICC置管技术的培训及推广有待加强,亟须进一步增加静脉专科护士再认证等方式,完善专项培训的平台及培训的规范性,以提高静脉治疗的护理质量。

Objective To explore the current status of catheterization technology training for tunnel peripherally inserted central catheter(PICC)intravenous therapy specialist nurses,so as to provide reference for promoting the application of this technology and conducting systematic specialized training.Methods From May to June 2023,convenience sampling was used to select 279 intravenous therapy specialist nurses from 150 hospitals in 24 provinces,autonomous regions,and municipalities directly under the central government as the research subject.A self-designed questionnaire was used to survey the research subject in the form of an electronic questionnaire.Results A total of 279 questionnaires were distributed,and 279 valid questionnaires were collected,with an effective response rate of 100.0%(279/279).The hospitals where 141 nurses were located implemented tunnel PICC catheterization technology,of which 93 nurses implemented this technology in their departments,34 nurses were able to independently complete this technique.A total of 113 nurses received tunnel PICC training,and 141 nurses believed that the primary factor affecting the implementation and development of this technology was the level of technical mastery of specialist nurses,248 nurses expressed that training effectiveness could be effectively improved through workshops.Conclusions The training and promotion of tunnel PICC catheterization technology need to be strengthened.It is urgent to further increase the re-certification of intravenous therapy specialist nurses and perfect the platform and standardization of specialized training to improve the nursing quality of intravenous therapy.