CAJ | 학술논문

目的探索PICC维护网络的构建方法与效果，为PICC带管出院患者提供规范的导管维护。方法借助湖北省PICC专科护士和肿瘤专科护士培训基地的平台，建立PICC维护网络，并实施PICC维护网络管理。结果 PICC维护网络已覆盖荆州市16所县级医院、12所乡镇卫生院和6个社区门诊，参与PICC维护的护士162名。患者带管出院期间PICC并发症的发生率和非计划拔管率均下降（P﹤0.01）。结论 PICC维护网络的建立，满足了带管出院患者的维护需求，提高了患者PICC维护的依从性，促进了PICC专科的发展。
목적탐색PICC유호망락적구건방법여효과，위PICC대관출원환자제공규범적도관유호。방법차조호북성PICC전과호사화종류전과호사배훈기지적평태，건립PICC유호망락，병실시PICC유호망락관리。결과 PICC유호망락이복개형주시16소현급의원、12소향진위생원화6개사구문진，삼여PICC유호적호사162명。환자대관출원기간PICC병발증적발생솔화비계화발관솔균하강（P﹤0.01）。결론 PICC유호망락적건립，만족료대관출원환자적유호수구，제고료환자PICC유호적의종성，촉진료PICC전과적발전。
Objective To explore the construction effects of PICC maintenance network,and provide standard maintenance for PICC patients. Methods On the basis of the platform of PICC and oncology nurse specialist training base in Hubei Province,the Maintaining network of PICC has been con-structed,and implemented PICC mainting network mangement. Results Sixteen county-level hospitals,12 township central hospitals,and 6 community health service centers have been invovled in this maintaining network. The number of nurses trained for PICC maintenance reached 162. The rates of unexpected extuba-tion and PICC complication during discharged were decreased(P﹤ 0. 01). Conclusion PICC maintaining network not only satisfies the needs of patients with PICC,but also improves the compliance of patients. And it still promotes the development of PICC.