中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
15期
1823-1825
,共3页
安全管理%静脉治疗小组%系统化培训%PICC
安全管理%靜脈治療小組%繫統化培訓%PICC
안전관리%정맥치료소조%계통화배훈%PICC
Safety management%Ⅳ team%Systematic training%PICC
目的 探讨静脉治疗小组(Ⅳ Team)建立与系统化培训相结合在提高PICC护理安全管理中的应用效果.方法 随机抽取2010年10月至2011年9月培训前PICC置管患者150例为对照组,2011年10月至2012年9月培训后150例为研究组,比较两组患者在培训前后并发症及非计划性拔管等情况的发生率和患者的满意度.结果 研究组患者发生并发症者总计10例,其中导管感染2例,静脉炎3例,导管脱出1例,阻塞2例,非计划性拔管2例；对照组总计64例,其中导管感染10例,静脉炎15例,导管脱出9例,阻塞14例,非计划性拔管16例；两组并发症发生总例数比较差异有统计学意义(x2=52.30,P＜0.01).患者满意度对照组为88.33％,研究组为98.3％,差异有统计学意义(x2=4.82,P＜0.05).结论 Ⅳ Team成员在科室护理工作中起到技术带头和辐射作用,提高了中心静脉导管的护理安全管理水平,提升了医院护理的整体服务水平.
目的 探討靜脈治療小組(Ⅳ Team)建立與繫統化培訓相結閤在提高PICC護理安全管理中的應用效果.方法 隨機抽取2010年10月至2011年9月培訓前PICC置管患者150例為對照組,2011年10月至2012年9月培訓後150例為研究組,比較兩組患者在培訓前後併髮癥及非計劃性拔管等情況的髮生率和患者的滿意度.結果 研究組患者髮生併髮癥者總計10例,其中導管感染2例,靜脈炎3例,導管脫齣1例,阻塞2例,非計劃性拔管2例；對照組總計64例,其中導管感染10例,靜脈炎15例,導管脫齣9例,阻塞14例,非計劃性拔管16例；兩組併髮癥髮生總例數比較差異有統計學意義(x2=52.30,P＜0.01).患者滿意度對照組為88.33％,研究組為98.3％,差異有統計學意義(x2=4.82,P＜0.05).結論 Ⅳ Team成員在科室護理工作中起到技術帶頭和輻射作用,提高瞭中心靜脈導管的護理安全管理水平,提升瞭醫院護理的整體服務水平.
목적 탐토정맥치료소조(Ⅳ Team)건립여계통화배훈상결합재제고PICC호리안전관리중적응용효과.방법 수궤추취2010년10월지2011년9월배훈전PICC치관환자150례위대조조,2011년10월지2012년9월배훈후150례위연구조,비교량조환자재배훈전후병발증급비계화성발관등정황적발생솔화환자적만의도.결과 연구조환자발생병발증자총계10례,기중도관감염2례,정맥염3례,도관탈출1례,조새2례,비계화성발관2례；대조조총계64례,기중도관감염10례,정맥염15례,도관탈출9례,조새14례,비계화성발관16례；량조병발증발생총례수비교차이유통계학의의(x2=52.30,P＜0.01).환자만의도대조조위88.33％,연구조위98.3％,차이유통계학의의(x2=4.82,P＜0.05).결론 Ⅳ Team성원재과실호리공작중기도기술대두화복사작용,제고료중심정맥도관적호리안전관리수평,제승료의원호리적정체복무수평.
Objective To explore the effect of intravenous infusion team (Ⅳ team) combined with systematic training in safety management of peripherally inserted central catheter (PICC).Methods Totals of 150 PICC patients before training from October 2010 to September 2011 were the control group,and 150 PICC patients after training from October 2011 to September 2012 were the experimental group.Incidence rate of complication and unplanned extubation as well as patients' satisfaction rate were compared between two groups before and after training.Results There were total 10 cases of complication in the experimental group,including 2 cases of catheter infection,3 cases of phlebitis,1 case of catheter separation,2 cases of obstruction and 2 cases of unplanned extubation,while there were total 64 cases of complication in the control group,including 10 cases of catheter infection,15 cases of phlebitis,9 cases of catheter separation,14 cases of obstruction and 16 cases of unplanned extubation,and the difference was statistically significant (x2 =52.30,P ＜0.01).Patients' satisfaction rate was 88.33％ in the control group and 98.3％ in the experimental group,and the difference was statistically significant (x2 =4.82,P ＜ 0.05).Conclusions Ⅳ team plays a leading and radiation role in nursing,which can improve safety management of PICC nursing and the overall service level of hospital care.
