中华临床营养杂志
中華臨床營養雜誌
중화림상영양잡지
CHINESE JOURNAL OF CLINICAL NUTRITION
2014年
6期
376-380
,共5页
经外周静脉置入中心静脉导管%护理培训%社区护理%化疗间歇期
經外週靜脈置入中心靜脈導管%護理培訓%社區護理%化療間歇期
경외주정맥치입중심정맥도관%호리배훈%사구호리%화료간헐기
Peripherally inserted central catheter%Nurse training%Community nursing%Intermission of chemotherapy
目的 评价社区护士经外周静脉置入中心静脉导管(PICC)专项技能培训对提高化疗间歇期PICC维护质量的效果.方法 选取重庆医科大学附属第一医院胸心外科2011年9月至2013年3月留置PICC的220例食管癌或肺癌患者,其中男174例(79.1％)、女46例(20.9％),年龄为(61.1±9.0)岁.以社区护士参加PICC技能专项培训时间为界限,将患者分为培训前组(n=119)和培训后组(n=101).比较两组患者在化疗间歇期PICC相关并发症发生率和患者满意度.结果 社区护理期间PICC总并发症发生率为20.9％ (46/220),按照发生率高低依次为感染(7.2％,16/220)、静脉血栓(4.5％,10/220)、导管堵塞(3.6％,8/220)、导管脱落(2.7％,6/220)、渗出或损坏(2.7％,6/220).培训后组PICC相关并发症总发生率和感染发生率均显著低于培训前组(14.9％比26.1％,P=0.047; 3.0％比10.9％,P=0.035),而患者满意度(对PICC疑问的解答、对手臂上导管及其位置的感受、总体评价)显著优于培训前组(P =0.003、0.011、0.001).结论 实施社区护士PICC专项技能培训能够提高肿瘤患者化疗间歇期PICC护理效果和患者满意度.
目的 評價社區護士經外週靜脈置入中心靜脈導管(PICC)專項技能培訓對提高化療間歇期PICC維護質量的效果.方法 選取重慶醫科大學附屬第一醫院胸心外科2011年9月至2013年3月留置PICC的220例食管癌或肺癌患者,其中男174例(79.1％)、女46例(20.9％),年齡為(61.1±9.0)歲.以社區護士參加PICC技能專項培訓時間為界限,將患者分為培訓前組(n=119)和培訓後組(n=101).比較兩組患者在化療間歇期PICC相關併髮癥髮生率和患者滿意度.結果 社區護理期間PICC總併髮癥髮生率為20.9％ (46/220),按照髮生率高低依次為感染(7.2％,16/220)、靜脈血栓(4.5％,10/220)、導管堵塞(3.6％,8/220)、導管脫落(2.7％,6/220)、滲齣或損壞(2.7％,6/220).培訓後組PICC相關併髮癥總髮生率和感染髮生率均顯著低于培訓前組(14.9％比26.1％,P=0.047; 3.0％比10.9％,P=0.035),而患者滿意度(對PICC疑問的解答、對手臂上導管及其位置的感受、總體評價)顯著優于培訓前組(P =0.003、0.011、0.001).結論 實施社區護士PICC專項技能培訓能夠提高腫瘤患者化療間歇期PICC護理效果和患者滿意度.
목적 평개사구호사경외주정맥치입중심정맥도관(PICC)전항기능배훈대제고화료간헐기PICC유호질량적효과.방법 선취중경의과대학부속제일의원흉심외과2011년9월지2013년3월류치PICC적220례식관암혹폐암환자,기중남174례(79.1％)、녀46례(20.9％),년령위(61.1±9.0)세.이사구호사삼가PICC기능전항배훈시간위계한,장환자분위배훈전조(n=119)화배훈후조(n=101).비교량조환자재화료간헐기PICC상관병발증발생솔화환자만의도.결과 사구호리기간PICC총병발증발생솔위20.9％ (46/220),안조발생솔고저의차위감염(7.2％,16/220)、정맥혈전(4.5％,10/220)、도관도새(3.6％,8/220)、도관탈락(2.7％,6/220)、삼출혹손배(2.7％,6/220).배훈후조PICC상관병발증총발생솔화감염발생솔균현저저우배훈전조(14.9％비26.1％,P=0.047; 3.0％비10.9％,P=0.035),이환자만의도(대PICC의문적해답、대수비상도관급기위치적감수、총체평개)현저우우배훈전조(P =0.003、0.011、0.001).결론 실시사구호사PICC전항기능배훈능구제고종류환자화료간헐기PICC호리효과화환자만의도.
Objective To evaluate the effect of community nurse training in peripherally inserted central catheter (PICC) on community nursing quality of tumour patients with indwelled PICC during the intermission of chemotherapy.Methods A prospective study was performed with a total of 220 patients with esophageal or lung cancer enrolled from September 2011 to March 2013 in the Department of Cardiothoracic Surgery,the First Affiliated Hospital of Chongqing Medical University.The 220 patients included 174 males (79.1％) and 46 females (20.9％),at the age of (61.1 ±9.0) years.With the start of community nurse training as the cut-off line,the patients were divided into pre-training group (n =119) and post-training group (n =101).PICC-related complications and patient satisfaction were compared between the 2 groups.Results The overall PICC-related complication rate was 20.9％ (46/220) during community nursing,including,in the order of declining incidence,infection (7.2％,16/220),and venous thrombosis (4.5％,10/220),catheter occlusion (3.6％,8/220),catheter dropping (2.7％,6/220),and leaking/damage (2.7％,6/220).The total complication rate and incidence of infection in the post-training group were both significantly lower than those in the pre-training group (14.9％ vs.26.1％,P =0.047 ; 3.0％ vs.10.9％,P =0.035),and patient satisfaction (including satisfaction for answers to questions about PICC,feelings about PICC indwelling and PICC position,and overall satisfaction) was significantly higher than in the pre-training group (P =0.003,P =0.011,P =0.001).Conclusion Community nurse training programmes have positive effects on improving PICC-related nursing and patient satisfaction in cancer patients with PICC indwelling during intermissions of chemotherapy.
