Establishment and application of homogeneous maintenance mode of peripherally inserted central catheter based on medical alliance
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摘要:目的 建立医联体成员单位的经外周静脉置入中心静脉导管（PICC）同质化维护模式并观察其应用效果。方法 对医联体成员单位的29名护理人员进行同质化培训，考核合格后发放资质准入证书。建立医联体成员单位的PICC维护网络，对PICC带管患者实施出院后同质化维护。比较培训前后护理人员理论和技能成绩，并比较本院门诊维护患者与医联体维护患者的维护依从性和并发症发生率，评价医联体维护患者的满意度。结果 培训后，护理人员的理论和技能成绩均高于培训前，差异有统计学意义（P < 0.01）；本院门诊维护患者的维护依从性、并发症发生率与医联体维护患者比较，差异无统计学意义（P>0.05）；医联体维护患者的满意度高达98.41%。结论 基于医联体的PICC同质化维护模式的建立与实施，能够为PICC带管出院患者提供同质化护理，有利于延续护理的开展，提升患者的护理满意度。
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关键词:
- 医联体 /
- 经外周静脉置入中心静脉导管 /
- 维护 /
- 同质化 /
- 延续护理
Abstract:Objective To explore establishment and application of homogeneous maintenance mode of peripherally inserted central catheter based on medical alliance, and to observe its application effect.Methods A total of 29 nursing staff from the member units of the medical alliance were trained in homogenization, and the qualification access certificates were issued after passing the examination. Homogeneous maintenance was implemented for patients with PICC. The theoretical and skill achievements of nursing staff, the maintenance compliance of discharged patients, the incidence of complications and the patients'satisfaction were compared before and after the training, and the patients'satisfaction was evaluated.Results After training, the scores of theory and skill of nurses were significantly higher after training (P < 0.01). There were no significant differences in maintenance compliance and complication rate between patients in outpatient department and those in medical alliance (P>0.05), and satisfaction of patients in medical alliance reached 98.41%.Conclusion Establishment and application of homogeneous maintenance mode of PICC based on medical alliance can provide homogeneous care for patients discharged with PICC, which is conducive to the implementation of continuous care and improvement of patients'satisfaction. -
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表 1 PICC带管患者出院后维护依从性和并发症发生情况比较[n(%)]
组别 n 定期维护依从 并发症 静脉炎 导管相关血栓 堵管 穿刺点感染 导管相关血流感染 断管 本院门诊维护组 278 276(99.28) 10(3.60) 4(1.44) 3(1.08) 8(2.88) 0 0 医联体维护组 63 62(98.41) 3(4.76) 2(3.17) 1(1.59) 2(3.17) 0 0 
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