现代医药卫生
現代醫藥衛生
현대의약위생
MODERN MEDICINE HEALTH
2015年
12期
1770-1772
,共3页
导管插入术,中心静脉%医院,县%护理管理研究%感染%信息管理
導管插入術,中心靜脈%醫院,縣%護理管理研究%感染%信息管理
도관삽입술,중심정맥%의원,현%호리관리연구%감염%신식관리
Catheterization,central venous%Hospitals,county%Nursing administration research%Infection%Information management
目的：探讨建立经外周静脉置入中心静脉导管（PICC）维护信息平台对基层医院PICC置管后管理整体水平的影响。方法选择重庆市綦江区人民医院2012年1~12月（建立PICC维护信息平台前）在基层医院行PICC置管患者102例为对照组；2013年7月至2014年6月（建立PICC维护信息平台后）置管患者168例为观察组，比较两组PICC置管患者护理过程中并发症发生率、非计划性拔管发生率及导管平均留置时间，并分析原因。结果 PICC并发症发生率从平台建立前的32.4%（33/102）降低到建立后的11.3%（19/168）；导管平均留置时间从（68.5±19.2）d延长至（106.8±21.1）d；非计划拔管率从24.5%（25/102）降至6.5%（11/168），差异均有统计学意义（P<0.01）。结论建立基层医院PICC维护信息平台对PICC置管后护理管理整体水平有明显提高作用。
目的：探討建立經外週靜脈置入中心靜脈導管（PICC）維護信息平檯對基層醫院PICC置管後管理整體水平的影響。方法選擇重慶市綦江區人民醫院2012年1~12月（建立PICC維護信息平檯前）在基層醫院行PICC置管患者102例為對照組；2013年7月至2014年6月（建立PICC維護信息平檯後）置管患者168例為觀察組，比較兩組PICC置管患者護理過程中併髮癥髮生率、非計劃性拔管髮生率及導管平均留置時間，併分析原因。結果 PICC併髮癥髮生率從平檯建立前的32.4%（33/102）降低到建立後的11.3%（19/168）；導管平均留置時間從（68.5±19.2）d延長至（106.8±21.1）d；非計劃拔管率從24.5%（25/102）降至6.5%（11/168），差異均有統計學意義（P<0.01）。結論建立基層醫院PICC維護信息平檯對PICC置管後護理管理整體水平有明顯提高作用。
목적：탐토건립경외주정맥치입중심정맥도관（PICC）유호신식평태대기층의원PICC치관후관리정체수평적영향。방법선택중경시기강구인민의원2012년1~12월（건립PICC유호신식평태전）재기층의원행PICC치관환자102례위대조조；2013년7월지2014년6월（건립PICC유호신식평태후）치관환자168례위관찰조，비교량조PICC치관환자호리과정중병발증발생솔、비계화성발관발생솔급도관평균류치시간，병분석원인。결과 PICC병발증발생솔종평태건립전적32.4%（33/102）강저도건립후적11.3%（19/168）；도관평균류치시간종（68.5±19.2）d연장지（106.8±21.1）d；비계화발관솔종24.5%（25/102）강지6.5%（11/168），차이균유통계학의의（P<0.01）。결론건립기층의원PICC유호신식평태대PICC치관후호리관리정체수평유명현제고작용。
Objective To investigate the influence of establishing the peripherally inserted central catheter (PICC) main-tenance information platform on the overall management level after PICC in basic-level hospitals. Methods 102 cases under-going PIVCC in the Qijiang District People's Hospital during January-December 2012 (before establishing PICC maintenance in-formation platform) were selected as the control group;168 cases undergoing PICC from July 2013 to June 2014(after establishing PICC maintenance information platform) as the observation group. The occurrence rate of complications during nursing process, occurrence rate of unplanned extubation and average catheter indwelling time were compared between the two groups and their resons were analyzed. Results The occurrence rate of PICC complications in the observation group was decreased from 32.4%(33/102) to11.3%(19/168);the average catheter indwelling time was prolonged from(68.5±19.2)d to(106.8±21.1)d;the unplanned extubation rate was declined from 24.5%(25/102)to 6.5%(11/168),the differences were statistically significant(P<0.01). Con-clusion Establishing the basic-level hospital PICC maintenance information platform has the significant enhancing effect on the nursing management overall level after PICC.
