CAJ | 학술논문

目的：探讨经外周静脉置入中心静脉导管( peripherally inserted center catheter,PICC)术前评估表在提高PICC护理质量中的应用效果。方法：对照组155例采用个人主观经验进行术前评估；观察组171例按照设计的PICC术前评估表进行书面、逐项评估,确定是否置管、置管方式、置管部位,比较两组患者1次穿刺成功、非计划拔管、静脉炎、导管异位、血栓等发生率。结果：两组患者1次穿刺成功、非计划拔管、静脉炎、导管异位、血栓发生率差异有统计学意义( P<0．05)。结论：运用PICC术前评估表进行评估可提高穿刺成功率,降低术后并发症,保证PICC导管安全有效留置。
목적：탐토경외주정맥치입중심정맥도관( peripherally inserted center catheter,PICC)술전평고표재제고PICC호리질량중적응용효과。방법：대조조155례채용개인주관경험진행술전평고；관찰조171례안조설계적PICC술전평고표진행서면、축항평고,학정시부치관、치관방식、치관부위,비교량조환자1차천자성공、비계화발관、정맥염、도관이위、혈전등발생솔。결과：량조환자1차천자성공、비계화발관、정맥염、도관이위、혈전발생솔차이유통계학의의( P<0．05)。결론：운용PICC술전평고표진행평고가제고천자성공솔,강저술후병발증,보증PICC도관안전유효류치。
Objective:To investigate the effect of pre-PICC( peripherally inserted center catheter) evaluation scale in improving the PICC nursing quality. Methods:Routine assessment in the control group was implemented through 155cases based on subjective experi-ence,while in the observation group written and successive terms of assessment,according to pre-PICC evaluation scale,was carried out in 171 cases to determine whether the tube indwelling,indwelling method,and location will be done or not. The once-puncture success-ful rate,unexpected decannulation rate,phlebitis,catheter ectopia,and thrombus were compared between the two groups. Results:Obvi-ous difference (P < 0. 05) was observed in once-puncture successful rate,unexpected decannulation rate,phlebitis,catheter ectopia, and thrombus. Conclusion:The application of pre-PICC evaluation scale can effectively increase the puncture successful rate,cut down the complications,and ensure PICC catheter indwelt safely.