中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
25期
3217-3219
,共3页
PICC%并发症%满意度%护士主导%强化教育
PICC%併髮癥%滿意度%護士主導%彊化教育
PICC%병발증%만의도%호사주도%강화교육
PICC%Complications%Satisfaction%Nurse leading%Intensive educating
目的：探讨护士主导的强化健康教育对PICC置管效果的影响。方法选取应用PICC置管行静脉输液的93例患者为研究对象，按照随机数字表法随机分为观察组47例和对照组46例，对照组给予常规护理，观察组给予护士主导的强化健康教育。结果观察组患者PICC置管一次性穿刺成功率为85．11％，对照组为60．87％，差异有统计学意义（χ2＝5．372，P＜0．01）；观察组患者PICC非计划拔管率为4．26％，对照组为26．09％，差异有统计学意义（χ2＝5．063，P＜0．01）；观察组患者PICC留置时间为（122．36±37．11）d，对照组为（67．12±23．03）d，差异有统计学意义（χ2＝6．814，P＜0．01）。观察组患者导管相关性感染等主要并发症发生率均较对照组下降，差异有统计学意义（χ2＝4．763～9．079，P＜0．05）。观察组患者总体满意度为97．87％，对照组为71．74％，差异有统计学意义（χ2＝5．037，P ＜0．05）。结论将护士主导的强化健康教育应用于PICC患者，可有效减少PICC置管相关并发症。
目的：探討護士主導的彊化健康教育對PICC置管效果的影響。方法選取應用PICC置管行靜脈輸液的93例患者為研究對象，按照隨機數字錶法隨機分為觀察組47例和對照組46例，對照組給予常規護理，觀察組給予護士主導的彊化健康教育。結果觀察組患者PICC置管一次性穿刺成功率為85．11％，對照組為60．87％，差異有統計學意義（χ2＝5．372，P＜0．01）；觀察組患者PICC非計劃拔管率為4．26％，對照組為26．09％，差異有統計學意義（χ2＝5．063，P＜0．01）；觀察組患者PICC留置時間為（122．36±37．11）d，對照組為（67．12±23．03）d，差異有統計學意義（χ2＝6．814，P＜0．01）。觀察組患者導管相關性感染等主要併髮癥髮生率均較對照組下降，差異有統計學意義（χ2＝4．763～9．079，P＜0．05）。觀察組患者總體滿意度為97．87％，對照組為71．74％，差異有統計學意義（χ2＝5．037，P ＜0．05）。結論將護士主導的彊化健康教育應用于PICC患者，可有效減少PICC置管相關併髮癥。
목적：탐토호사주도적강화건강교육대PICC치관효과적영향。방법선취응용PICC치관행정맥수액적93례환자위연구대상，안조수궤수자표법수궤분위관찰조47례화대조조46례，대조조급여상규호리，관찰조급여호사주도적강화건강교육。결과관찰조환자PICC치관일차성천자성공솔위85．11％，대조조위60．87％，차이유통계학의의（χ2＝5．372，P＜0．01）；관찰조환자PICC비계화발관솔위4．26％，대조조위26．09％，차이유통계학의의（χ2＝5．063，P＜0．01）；관찰조환자PICC류치시간위（122．36±37．11）d，대조조위（67．12±23．03）d，차이유통계학의의（χ2＝6．814，P＜0．01）。관찰조환자도관상관성감염등주요병발증발생솔균교대조조하강，차이유통계학의의（χ2＝4．763～9．079，P＜0．05）。관찰조환자총체만의도위97．87％，대조조위71．74％，차이유통계학의의（χ2＝5．037，P ＜0．05）。결론장호사주도적강화건강교육응용우PICC환자，가유효감소PICC치관상관병발증。
Objective To investigate the effects of nurse leading intensive education program on the complications of peripherally inserted central catheter (PICC).Methods Totals of 93 cases who received the venous transfusion with the PICC catheter technique were selected and randomly divided into two groups .Totals of 47 cases in the observation group were treated with nurse leading intensive education program , while 46 cases in the control group were treated with routine care .Results Compared with the control group , PICC catheter disposable puncture success rate in the observation group was higher (85.11% vs 60.87%;χ2 =5.372,P<0.01), unplanned extubation was lower (4.26%vs 26.09%;χ2 =5.063,P<0.01), and PICC retention time was longer [(122.36 ±37.11)d vs (67.12 ±23.03)d; t=6.814,P<0.01)] in the observation group,and the differences were statistically significant .The incidence of catheter-related infections and major complications in the observation group decreased significantly than those in the control group ( P <0.05 ) .And overall satisfaction of the observation group was significantly higher than that of the control group ( 97.87% vs 71.74%;χ2 =5.037,P<0.05).Conclusions The nurse leading intensive education program can effectively reduce the incidence of PICC-related complications ,which is worthy of wider promotion and application .
