CAJ | 학술논문

目的：调查上海市四所三级甲等医院临床护士对PICC维护的相关知识和技能的掌握情况，并探讨其影响因素。方法采用系统抽样的方法，对四所开展PICC技术的三级甲等医院的护士进行问卷调查，共发放问卷205份，回收187份，有效问卷175份。结果三级医院护士的PICC维护知识已经具备一定的基础，平均（69．44±12．11）分，85．1％的护士得分在60分以上，但与质量要求尚有距离。回答正确率在90％以上的条目分别是：“导管脱出的处理”（98．29％）、“置管侧手臂可进行的操作”（94．86％）、“PICC携带者可从事的活动”（93．71％）、冲管液的用量（92．57％）、输液不畅的处理（92．00％）。回答正确率低于50％的条目是“封管液的用量”（21．14％）、“封管液的种类”（26．86％）、导管断裂后的处理（38．86％），以及导管相关感染的识别（42．29％）。86．9％的护士希望接受不脱产的PICC在职培训。结论护理人员有较高的PICC培训需求，尚需加强PICC知识和技能的针对性培训，对培训内容及方式需要进行进一步的探讨。需要采取相应的改进措施，以提高临床护士维护知识。
목적：조사상해시사소삼급갑등의원림상호사대PICC유호적상관지식화기능적장악정황，병탐토기영향인소。방법채용계통추양적방법，대사소개전PICC기술적삼급갑등의원적호사진행문권조사，공발방문권205빈，회수187빈，유효문권175빈。결과삼급의원호사적PICC유호지식이경구비일정적기출，평균（69．44±12．11）분，85．1％적호사득분재60분이상，단여질량요구상유거리。회답정학솔재90％이상적조목분별시：“도관탈출적처리”（98．29％）、“치관측수비가진행적조작”（94．86％）、“PICC휴대자가종사적활동”（93．71％）、충관액적용량（92．57％）、수액불창적처리（92．00％）。회답정학솔저우50％적조목시“봉관액적용량”（21．14％）、“봉관액적충류”（26．86％）、도관단렬후적처리（38．86％），이급도관상관감염적식별（42．29％）。86．9％적호사희망접수불탈산적PICC재직배훈。결론호리인원유교고적PICC배훈수구，상수가강PICC지식화기능적침대성배훈，대배훈내용급방식수요진행진일보적탐토。수요채취상응적개진조시，이제고림상호사유호지식。
Objective To descript the situation of mastery PICC maintenance-related knowledge and skills among clinical nurse in four hospitals in Shanghai ,and to study it's related effect factors .Method By systematic sampling , 187 nurses from four grade A hospital was surveyed for the PICC skills by questionnaire .Result Nurses in three hos-pital already have foundation knowledge of PICC maintenance .The average score was 69 .44 ± 12 .11 ,85 .1% of nurses'score was higher than 60 .The gap to quality requirements was still existed .The item with more than 90%correct answer was as following :“Catheter extrusion processing”(98 .29% ) ,“Catheter side arm can be operating”(94 .86% ) ,“PICC carriers may engage in activities”(93 .71% ) ,“washing pipe liquid dosage”(92 .57% ) and “Infu-sion poor handling”(92 .00% ) .The items with more than 50% correct answer was as following ::“ The amount of sealing solution” (21 .14% ) ,“Sealing solution types”26 .86 % ,“Catheter after fracture treatment”38 .86% ,“iden-tification of catheter-related infections”(42 .29% ) .86 .9% of nurses want to accept full-time PICC-job training .Con-clusion PICC nurses have higher training needs .The knowledge and skills of PICC need to be strengthen by targeted training .Training content and methods need to be further explored to improve the clinical nurse maintenance knowl-edge .