齐齐哈尔医学院学报
齊齊哈爾醫學院學報
제제합이의학원학보
JOURNAL OF QIQIHAR MEDICAL COLLEGE
2015年
1期
8-9
,共2页
一对一培训%新生儿%PICC%责护%准入制%非正常拔管
一對一培訓%新生兒%PICC%責護%準入製%非正常拔管
일대일배훈%신생인%PICC%책호%준입제%비정상발관
One-to-one-training%Newborn%PICC responsibility%Access system%Abnormal extubation
目的：探讨由具有PICC置管资质的主管护师及以上护士对不具备置管资质护士进行一对一式培训考核、安排考核合格具有科室PICC护理资质的护士担任此类患儿的责护对降低新生儿PICC非正常拔管率的效果。方法2013年9月以前我科实行全科护士均可担任PICC患儿责护，采取传统的集中培训模式培训PICC维护，选取新生儿科2012年5月至2013年9月期间的118例PICC置管患儿作为对照组；2013年9月起我科采用一对一培训模式培训PICC维护，通过考核护士获得科室PICC护理资质，担任PICC患儿的责任护士，选取我科2013年10月至2014年5月122例PICC置管患儿作为观察组，对比分析两组患儿PICC非正常拔管率之间的差异。结果新生儿PICC非正常拔管率由对照组的14．41％降低到观察组的3．28％。两组非正常拔管率有显著差异（ P＜0．05）。结论采用一对一培训模式联合PICC置管患儿责任护士准入制管理模式可以降低新生儿PICC非正常拔管率。
目的：探討由具有PICC置管資質的主管護師及以上護士對不具備置管資質護士進行一對一式培訓攷覈、安排攷覈閤格具有科室PICC護理資質的護士擔任此類患兒的責護對降低新生兒PICC非正常拔管率的效果。方法2013年9月以前我科實行全科護士均可擔任PICC患兒責護，採取傳統的集中培訓模式培訓PICC維護，選取新生兒科2012年5月至2013年9月期間的118例PICC置管患兒作為對照組；2013年9月起我科採用一對一培訓模式培訓PICC維護，通過攷覈護士穫得科室PICC護理資質，擔任PICC患兒的責任護士，選取我科2013年10月至2014年5月122例PICC置管患兒作為觀察組，對比分析兩組患兒PICC非正常拔管率之間的差異。結果新生兒PICC非正常拔管率由對照組的14．41％降低到觀察組的3．28％。兩組非正常拔管率有顯著差異（ P＜0．05）。結論採用一對一培訓模式聯閤PICC置管患兒責任護士準入製管理模式可以降低新生兒PICC非正常拔管率。
목적：탐토유구유PICC치관자질적주관호사급이상호사대불구비치관자질호사진행일대일식배훈고핵、안배고핵합격구유과실PICC호리자질적호사담임차류환인적책호대강저신생인PICC비정상발관솔적효과。방법2013년9월이전아과실행전과호사균가담임PICC환인책호，채취전통적집중배훈모식배훈PICC유호，선취신생인과2012년5월지2013년9월기간적118례PICC치관환인작위대조조；2013년9월기아과채용일대일배훈모식배훈PICC유호，통과고핵호사획득과실PICC호리자질，담임PICC환인적책임호사，선취아과2013년10월지2014년5월122례PICC치관환인작위관찰조，대비분석량조환인PICC비정상발관솔지간적차이。결과신생인PICC비정상발관솔유대조조적14．41％강저도관찰조적3．28％。량조비정상발관솔유현저차이（ P＜0．05）。결론채용일대일배훈모식연합PICC치관환인책임호사준입제관리모식가이강저신생인PICC비정상발관솔。
Objective Investigate the effect of responsibility nurse 's access system in reducingneonatal abnormal extubation rate .Methods All the nurses in our department can act as responsibility nursefor children with PICC tube before Sep 2013, and they were trained by using traditional centralized training model .118 cases of children with PICC catheter duringMay 2012 and Sep 2013 were enrolled as control group .However , this strategy was modified after Sep 2103,responsibility nursein our department received one -on-one training for PICC conducting , andonly the nurses who got PICC intelligence can provide nursing service for children with PICC catheter, totally 122 cases of children with PICC catheter in our hospitalduring Oct 2013 and May 2014 were chosen as observation group .Compared the occurrenceof neonatal abnormal extubation betweenthe two groups . Results PICC non-planned decannulation rate decreased of the control group was 14.41%, however, the rate of the observationgroup was 3.28%.There is significant difference between the two groups of non -planned decannulation rate (P<0.05).Conclusions One to one training combined with PICC catheter in children with responsibility nurse 's access system can reduce neonatal abnormal extubation rate .
