摘要
目的探讨静脉治疗小组（IVTeam）建立与系统化培训相结合在提高PICC护理安全管理中的应用效果。方法随机抽取2010年10月至2011年9月培训前PICC置管患者150例为对照组，2011年10月至2012年9月培训后150例为研究组，比较两组患者在培训前后并发症及非计划性拔管等情况的发生率和患者的满意度。结果研究组患者发生并发症者总计10例，其中导管感染2例，静脉炎3例，导管脱出1例，阻塞2例，非计划性拔管2例；对照组总计64例，其中导管感染10例，静脉炎15例，导管脱出9例，阻塞14例，非计划性拔管16例；两组并发症发生总例数比较差异有统计学意义（Х^2=52．30，P〈0．01）。患者满意度对照组为88．33％，研究组为98．3％，差异有统计学意义（Х^2=4．82，P〈0．05）。结论IVTeam成员在科室护理工作中起到技术带头和辐射作用，提高了中心静脉导管的护理安全管理水平，提升了医院护理的整体服务水平。
Objective To explore the effect of intravenous infusion team （IV team） combined with systematic training in safety management of peripherally inserted central catheter （PICC）. Methods Totals of 150 PICC patients before training from October 2010 to September 2011 were the control group, and 150 PICC patients after training from October 2011 to September 2012 were the experimental group. Incidence rate of complication and unplanned extubation as well as patients＇ satisfaction rate were compared between two groups before and after training. Results There were total 10 cases of complication in the experimental group, including 2 cases of catheter infection, 3 cases of phlebitis, 1 case of catheter separation, 2 cases of obstruction and 2 cases of unplanned extubation, while there were total 64 cases of complication in the control group, including 10 eases of catheter infection, 15 cases of phlebitis, 9 cases of catheter separation, 14 eases of obstruction and 16 cases of unplanned extubation, and the difference was statistically significant （Х^2 =52.30, P 〈 0. 01 ）. Patients＇ satisfaction rate was 88.33% in the control group and 98.3% in the experimental group, and the difference was statistically significant （ Х^2 = 4.82, P 〈 0. 05 ）. Conclusions IV team plays a leading and radiation role in nursing, which can improve safety management of PICC nursing and the overall service level of hospital care.
出处
《中华现代护理杂志》
2013年第15期1823-1825,共3页
Chinese Journal of Modern Nursing
