CAJ | 학술논문

目的：探讨PICC护理团队在临床中的应用及管理。方法选取2009年11月-2011年10月行PICC置管的257例患者为对照组，2011年11月-2013年2月行PICC置管的257例患者为研究组。对照组由1位护士置PICC导管，全体护士参与PICC导管维护。研究组实行PICC护理团队管理，由PICC护理团队成员进行PICC置管和维护。比较两组一次性置管成功率、导管相关并发症发生率及患者对护理工作满意度。结果对照组一次性置管成功率为71．6％，低于研究组的96．1％，两组比较差异有统计学意义（χ2＝57．01，P＜0．01）；对照组导管相关并发症发生率为20．6％，明显高于研究组的6．2％，两组比较差异有统计学意义（χ2＝22．92，P＜0．01）；对照组对护理工作满意度为74．7％，明显低于研究组的97．7％，两组比较差异有统计学意义（χ2＝20．72，P＜0．01）。结论 PICC护理团队的管理模式提高了PICC护理质量，降低了PICC导管相关并发症的发生率，促进了护理专业技术水平和护理服务满意度的提高。
목적：탐토PICC호리단대재림상중적응용급관리。방법선취2009년11월-2011년10월행PICC치관적257례환자위대조조，2011년11월-2013년2월행PICC치관적257례환자위연구조。대조조유1위호사치PICC도관，전체호사삼여PICC도관유호。연구조실행PICC호리단대관리，유PICC호리단대성원진행PICC치관화유호。비교량조일차성치관성공솔、도관상관병발증발생솔급환자대호리공작만의도。결과대조조일차성치관성공솔위71．6％，저우연구조적96．1％，량조비교차이유통계학의의（χ2＝57．01，P＜0．01）；대조조도관상관병발증발생솔위20．6％，명현고우연구조적6．2％，량조비교차이유통계학의의（χ2＝22．92，P＜0．01）；대조조대호리공작만의도위74．7％，명현저우연구조적97．7％，량조비교차이유통계학의의（χ2＝20．72，P＜0．01）。결론 PICC호리단대적관리모식제고료PICC호리질량，강저료PICC도관상관병발증적발생솔，촉진료호리전업기술수평화호리복무만의도적제고。
Objective To study the application and management of PICC nursing team in the clinic . Methods Totals of 257 patients who were carried out PICC from November 2009 to October 2011 were classified into control group without management of PICC nursing team .The other 257 patients who experienced both the PICC and management of PICC nursing team from November 2011 to February 2013 were classified into intervention group .In the control group , PICC maintenance was undertaken by all nurses but the implementation of PICC was operated by a fixed nurse .In the intervention group , both the implementation and maintenance of PICC were undertaken by PICC nursing team .To compare respectively one-time success rate of PICC , related complications and satisfaction of patients to nursing job of the two groups .Results One-time success rate of the control group (71.6%) was lower than that of the intervention group (96.1%), with a statistically significant difference(χ2 =57.01, P<0.01); The rate of PICC-related complications occurrence in the control group was 20.6%, which was much higher than 6.2% in the intervention group , with a statistically significant difference (χ2 =22.92, P<0.01);The satisfaction of patients in the control group was 74.7%, which was lower than 97.7%in the intervention group, with a statistically significant difference (χ2 =20.72,P <0.01).Conclusions The management mode of PICC nursing team can improve the nursing quality , significantly reduce PICC related complications and improve the level of the nursing professional technology and the satisfaction of patients .