摘要
目的:探讨互联网+护理模式在出院肿瘤病人经外周静脉穿刺中心静脉置管(PICC)导管维护中的应用.方法:选择PICC带管出院肿瘤病人100例,分为互联网+护理模式下的上门维护组和返院维护组各50例,返院维护组给予返院维护,上门维护组给予上门维护,比较2组病人PICC置管知识掌握情况评分、过敏性皮炎、导管脱出、导管堵塞、穿刺点感染、穿刺点出血等并发症发生率、非计划拔管发生率、PICC留置时间和护理满意度.结果:上门维护组定期维护人数明显优于返院维护组(P<0.01);PICC留置时间明显长于返院维护组(P<0.01);上门维护组总并发症的发生率也明显低于返院维护组(P<0.05),上门维护组病人及家属满意度高于返院维护组(P<0.01),非计划拔管发生率为4％低于返院维护组的20％(P<0.05).结论:互联网+护理模式在出院肿瘤病人PICC导管维护中应用的效果佳,值得推广.
Abstract
Objective:To explore the application of Internet+nursing model in PICC catheter maintenance of discharged tumor patients.Methods:One hundred patients with PICC were divided into on-site maintenance group under Internet+nursing model and return-to-hospital maintenance group,with 50 cases in each group.The return-to-hospital maintenance group received return-to-hospital maintenance,and the on-site maintenance group received on-site maintenance.The differences of PICC catheterization knowledge score,atopic dermatitis,catheter ejection,catheter blockage,puncture site infection,puncture site bleeding and other complications,PICC indenture time and nursing satisfaction were compared between the two groups.Results:There was no significant difference in the incidence of atopic dermatitis,catheter prolapse,catheter blockage,puncture site infection and puncture site bleeding between the two groups (P>0.05).The number of regular maintenance in the on-site maintenance group was significantly better than that in the return-to-hospital maintenance group (P<0.01),and the indwelling time of PICC was significantly longer than that of the return-to-hospital maintenance group (P<0.01).The incidence of complications in the on-site maintenance group was significantly lower than that in the return-to-hospital maintenance group (P<0.05).The satisfaction of patients and their families in the on-site maintenance group was 95％,higher than that in the return-to-hospital maintenance group (78％) (P<0.01).The incidence of unplanned extubation was 4％in the on-site maintenance group,lower than that of 20％ in the return-to-hospital group (P<0.05).Conclusions:Internet+nursing model has good effect in PICC catheter maintenance of discharged tumor patients,and it is worth promoting.
基金项目
上海市第八人民医院科研项目(SHBY201915)
维普
万方数据