导管巡查制度在PICC应用中的作用观察

目的：观察导管巡查制度在经外周静脉穿刺置入中心静脉导管（PICC）管理中的应用效果。方法：选取2012.5-2014.4月间我院符合条件并自愿参加实施PICC临床护理路径研究的患者232例,随机分为观察组119例,对照组113例,观察组实施导管巡查制度管理,对照组采用常规护理模式进行护理,对比两组患者PICC留置成功率、并发症发生率、患者依从性、患者满意度等指标进行效果评价。结果：观察组患者PICC留置时间显著高于对照组,留置期间并发症发生率显著低于对照组,组间比较差异有统计学意义（P〈0.05）;观察组患者依从性、患者满意度均显著高于对照组,组间比较差异有统计学意义（P〈0.05）。结论：导管巡查制度的实施,可显著增加PICC留置时间,降低留置期间并发症发生率,并可提高患者治疗依从性及满意度,对临床进行PICC的管理具有指导意义。

value of inspection system in application of PICC

Objective：To evaluate the value of inspection system in application of PICC.Methods：A total of 232 eligible patients that undergoing PICC were randomly divided into observation group（n=119）and control group（n=113）.The observation group was monitored with inspection system,while the control group was given conventional care model.Success rate of PICC procedure,incidence of complications,patients＇ compliance and satisfaction were evaluated and compared between the two groups.Results：Retaining time of the observation group was significant longer than that of the control group,incidence of complications was lower,compliance and satisfaction was better（Pall〈0.05）.Conclusion：PICC inspection system can increase the retaining time,decrease complication incidence,increase patients＇ compliance and satisfaction.It＇s valuable in clinical management of PICC.