CAJ | 학술논문

目的：探讨应用流程化管理在重症患者 PICC 置管的应用效果。方法将 PICC 置管的住院重症患者160例分为实验组和对照组各80例。实验组患者应用 PICC 流程管理，对照组患者采用常规护理。观察2组患者的一次性置管成功率、置管后60 d 内导管相关性血栓、机械性静脉炎发生率、意外拔管率、护理服务满意率。结果2组一次性置管成功率、置管后60 d 内导管相关性血栓、机械性静脉炎发生率、意外拔管率、护理服务满意率的比较，差异有统计学意义。结论应用流程化管理可以提升一次性置管成功率，降低置管后60 d 内导管相关性血栓、机械性静脉炎的发生率，减少意外拔管发生率，提升护理服务满意率。
목적：탐토응용류정화관리재중증환자 PICC 치관적응용효과。방법장 PICC 치관적주원중증환자160례분위실험조화대조조각80례。실험조환자응용 PICC 류정관리，대조조환자채용상규호리。관찰2조환자적일차성치관성공솔、치관후60 d 내도관상관성혈전、궤계성정맥염발생솔、의외발관솔、호리복무만의솔。결과2조일차성치관성공솔、치관후60 d 내도관상관성혈전、궤계성정맥염발생솔、의외발관솔、호리복무만의솔적비교，차이유통계학의의。결론응용류정화관리가이제승일차성치관성공솔，강저치관후60 d 내도관상관성혈전、궤계성정맥염적발생솔，감소의외발관발생솔，제승호리복무만의솔。
Objective To explore the application effect of process management in critical patients with PICC.Methods A total of 160 critical patients with PICC were divided into experi-mental group (80 cases)and control group (80 cases).The experimental group applied PICC pro-cess management and patients in the control group were given routine nursing.The one-time suc-cess rate of catheter indwelling,incidence of catheter related thrombosis and mechanical phlebitis on the 60th day after placement,abnormal catheter removal,satisfaction rate of nursing were ob-served and recorded.Results The significant differences were found in two groups in one-time success rate of catheter,incidence of catheter related thrombosis and mechanical phlebitis,abnor-mal catheter removal and satisfaction rate of nursing.Conclusion The application of process man-agement in critical patients with PICC can promote one-time success rate of catheter indwelling and satisfaction of nursing,lower incidence of catheter related thrombosis,mechanical phlebitis and abnormal catheter removal.