CAJ | 학술논문

目的：探讨PICC分级管理模式的实施与效果。方法：建立三级管理模式，明确三级人员的岗位分工与职责，组织PICC三级培训与资格认证，实行专科准入、持证上岗，完善PICC质量控制体系，制定PICC三级质量控制及考核标准。结果：实行分级管理模式以来，共培养PICC专科护士22名，PICC维护专科护士160名，PICC专业化程度提高；维护合格率由分级管理前的70.08%上升到96.01%，并发症发生率由1.2%下降到0.6%，差异有统计学意义（P<0.01）。结论：分级管理应用于PICC的规范化管理，可减少并发症，提高护理质量和病人满意度，值得临床推广应用。
목적：탐토PICC분급관리모식적실시여효과。방법：건립삼급관리모식，명학삼급인원적강위분공여직책，조직PICC삼급배훈여자격인증，실행전과준입、지증상강，완선PICC질량공제체계，제정PICC삼급질량공제급고핵표준。결과：실행분급관리모식이래，공배양PICC전과호사22명，PICC유호전과호사160명，PICC전업화정도제고；유호합격솔유분급관리전적70.08%상승도96.01%，병발증발생솔유1.2%하강도0.6%，차이유통계학의의（P<0.01）。결론：분급관리응용우PICC적규범화관리，가감소병발증，제고호리질량화병인만의도，치득림상추엄응용。
Objective:To explore the effects of implementing PICC grading management. Methods:The authors set up the three-level management system (named PICC insertion, maintenance, and daily care management), clariifed the positions and job responsibilities of three-level staff, and organized training and qualiifcation authentication for PICC specialized nurse. They also improved quality control system of PICC program, and set up quality control and evaluation standards. Results:Since implementing PICC grading management system, they had trained 22 specialized PICC nurses and 160 specialized PICC maintaining nurses successfully. The maintaining qualiifed rate of PICC increased from 70.08%to 96.01%as compared with before, and the complication rate reduced from 1.2%to 0.6%(P<0.01). Conclusion:Grading management of PICC program could reduce the complications, improve care quality and patients' satisfaction, and it is worthy of clinical promotion.