CAJ | 학술논문

目的：探讨电话随访对出院患者经外周静脉穿刺中心静脉置管（peripherally inserted central cathter，PICC）的影响。方法将2010年1～12月本院收治的289例PICC患者设为对照组，出院时给予常规置管健康指导；将2011年1～12月本院收治的PICC置管患者305例设为观察组，在对照组基础上实施电话随访。比较两组患者置管期间按时维护导管、导管并发症、意外拔管及满意度情况。结果两组患者按时维护导管、导管并发症、意外拔管及满意度各项指标比较，均P＜0.05，差异具有统计学意义，观察组患者各项指标明显优于对照组。结论电话随访有助于提高出院患者对PICC维护依从性，有效控制PICC置管期间并发症，提高患者生活质量和满意度。
목적：탐토전화수방대출원환자경외주정맥천자중심정맥치관（peripherally inserted central cathter，PICC）적영향。방법장2010년1～12월본원수치적289례PICC환자설위대조조，출원시급여상규치관건강지도；장2011년1～12월본원수치적PICC치관환자305례설위관찰조，재대조조기출상실시전화수방。비교량조환자치관기간안시유호도관、도관병발증、의외발관급만의도정황。결과량조환자안시유호도관、도관병발증、의외발관급만의도각항지표비교，균P＜0.05，차이구유통계학의의，관찰조환자각항지표명현우우대조조。결론전화수방유조우제고출원환자대PICC유호의종성，유효공제PICC치관기간병발증，제고환자생활질량화만의도。
Objective To investigate the effect of telephone follow-up on peripherally inserted central cathter(PICC) maintenance.Methods Two hundred and eighty-nine patients with PICC in our hospital from January to December 2010 served as the control group,given conventional health education on intubation,another 305 patients with PICC from January to December 2011 were set as the observation group,where telephone call follow-up was done on the basis of conventional health education on intubation. The two groups were compared in terms of timely catheter maintenance,catheter-related complications,accidental extubation and satisfaction.Result The observation group was significantly better than the control group in terms of timely catheter maintenance, catheter-related complications,accidental extubation and satisfaction (allP<0.05).Conclusion Telephone follow-up helps to improve patients compliance with PICC catheter maintenance,effectively control the complications and improve the quality of life and satisfaction degree.