论文部分内容阅读
目的观察并总结血液病患者使用PICC导管的经验教训,分析引发其发生风险的相关因素并制定有效地防范对策。方法回顾性分析2012年3月至2016年9月在我院就诊治疗的200例血液病患者的临床资料,并将2012年3月至2014年6月采用常规护理模式、未实行PICC导管风险管理护理模式的102例患者作为对照组,将2014年7月至2016年9月实行PICC导管风险管理护理模式后的98例患者作为观察组,比较两组患者在实施不同的护理干预模式下的护理投诉率、护理缺陷发生率、患者满意度以及不良事件的发生率的不同。结果实施不同的护理管理干预模式下,观察组患者的护理投诉率、护理缺陷发生率、患者满意度以及不良事件发生率分别为1.02%、2.04%、96.93%、9.18%,对照组患者的护理投诉率、护理缺陷发生率、患者满意度以及不良事件发生率分别为7.84%、10.78%、79.41%、48.04%,两组间相比较,差异具有统计学意义(P<0.05)。结论对于血液病使用PICC导管的患者采取有效的风险管理干预,能够极大地降低不良事件的发生,降低相关风险因素的影响,提高患者对于护理服务的满意程度,还有助于提高医疗工作的安全性和患者的生活质量。
Objective To observe and summarize the experiences and lessons of using PICC catheter in patients with hematological diseases, analyze the related factors that lead to its occurrence and make effective countermeasures. Methods The clinical data of 200 patients with hematological diseases treated in our hospital from March 2012 to September 2016 were analyzed retrospectively. The routine nursing mode was adopted from March 2012 to June 2014, and PICC catheter risk management was not implemented A total of 102 patients in the nursing mode as the control group were enrolled in the study. 98 patients were enrolled in the PICC catheterized risk management mode from July 2014 to September 2016. The patients in the two groups were compared under different modes of nursing intervention Complaint rate, incidence of nursing defects, patient satisfaction, and the incidence of adverse events. Results In different modes of nursing intervention, the rate of nursing complaints, the incidence of nursing defects, patient satisfaction and adverse events in the observation group were 1.02%, 2.04%, 96.93% and 9.18% respectively. The nursing of patients in the control group The incidence of complaints, nursing defects, patient satisfaction and adverse events were 7.84%, 10.78%, 79.41% and 48.04%, respectively. There was significant difference between the two groups (P <0.05). Conclusions Effective risk management interventions for patients with blood diseases who use PICC catheters can significantly reduce the incidence of adverse events, reduce the impact of associated risk factors, improve patient satisfaction with care services, and improve the safety of medical work Sexual and patient quality of life.