三级监控模式对减少儿科PICC并发症及提高置管患儿护理质量的效果评价

目的探讨三级监控模式在减少儿科PICC并发症及提高置管患儿护理质量中的应用效果。方法将我院2009年9月至2011年8月应用三级监控模式护理的64例HCC患儿设为实验组，将2007年9月至2009年8月采用常规护理的67例患儿设为对照组，观察2组患儿置管并发症发生率、一次置管穿刺成功率及带管时间。结果实验组共发生并发症9例占14．06％，对照组共发生并发症25例占37．31％；实验组穿刺成功率为89．06％，对照组为79．10％；实验组平均带管时间显著长于对照组。结论三级监控模式对减少儿科PICC置管并发症及提高置管患儿护理质量具有明显的效果，可提高一次穿刺成功率及带管时间。

Effect evaluation of three-level monitoring mode on reducing complications of PICC and improvingthe quality of care for children patients in pediatric department

Objective To study the effect of three-level monitoring mode in reducing complications of pediatric PICC catheter tube and improving the quality of care for children. Methods 64 cases of children with PICC catheter in our hospital from September 2009 to August 2011 receiving three-level monitoring modes were set as the experimental group. 67 patients with conventional care from September 2007 to August 2009 were set as the control group. The incidence of catheter complications in children, success rate of catheter puncture and tube indwelling time for the two groups were observed. Results The complications occurred in 9 cases, accounting for 14.06% in the experimental group. The complications occurred in 25 cases in the control group, accounting for 37.31%. The puncture success rate was 89.06% in the experimental group, and the control group was 79.10%. The average time of tube indwelling in the ex- perimental group was higher than the control group. The difference was significant. Conclusions The ef- fect of three-level monitoring modes to reduce pediatric PICC catheter complications and improve quality of care in children with catheter is significant, it can increase the success rate of puncture and prolong tube in-dwelling time.