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目的降低PICC导管的堵管率,促进护理质量持续改进。方法运用根本原因分析法对PICC导管发生堵管的根本原因进行分析并且提出和实施行之有效的护理干预措施,将干预前后的PICC导管的堵管率进行对比。结果实施根本原因分析法并且进行干预后,PICC导管堵管率明显下降,由干预前的35.0%下降至干预后的7.5%,P<0.05,差异有统计学意义。结论在PICC堵管中应用根本原因分析法对堵管发生的原因进行分析,并且据此实施相关干预措施,可以有效降低PICC导管的堵管率,使得护理质量得以提升。
Objective To reduce the rate of occlusion of PICC catheters and promote the continuous improvement of nursing quality. Methods The root causes of PICC catheter occlusion were analyzed by root cause analysis and effective nursing interventions were put forward and implemented. The PICC catheter occlusion rate was compared before and after intervention. Results After root-cause analysis and intervention, PICC catheter occlusion rate decreased significantly from 35.0% before intervention to 7.5% after intervention, P <0.05, the difference was statistically significant. Conclusions The root cause analysis of PICC occluder was used to analyze the causes of occlusion, and the implementation of related interventions could effectively reduce the blocking rate of PICC catheter and improve the quality of nursing.