Continuing nursing mode based on theory of use and satisfaction in patients with PICC
10.3760/cma.j.cn115682-20190716-02533
- VernacularTitle:基于使用与满足理论的延续护理模式在PICC置管患者中的应用
- Author:
Shiyao LIANG
1
;
Xiufen ZHAO
;
Aiwei HUANG
;
Wenrui SUN
;
Haixia CHEN
;
Bin ZHANG
Author Information
1. 温州医科大学附属第一医院输液中心，温州 325015
- Keywords:
Catheterization, peripheral;
PICC;
Unplanned extubation;
Theory of use and satisfaction;
Continuing nursing
- From:
Chinese Journal of Modern Nursing
2020;26(11):1495-1499
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of continuing nursing mode based on theory of use and satisfaction in patients with peripherally inserted central catheter (PICC) .Methods:From August 2017 to June 2018, this study selected 400 patients with PICC as subjects in the First Affiliated Hospital of Wenzhou Medical University.All of patients were divided into control group and intervention group with the method of random number table, 200 cases in each group. Control group carried out the routine nursing. Intervention group analyzed the needs of patients for content and form of continuing nursing, and built the PICC continuing nursing intervention plan based on the theory of use and satisfaction. This study compared the incidence of catheter-related and unplanned extubation, self-management ability, nursing satisfaction of patients between two groups after intervention.Results:After intervention, the incidences of catheter-related complications and unplanned extubation of intervention group were 1.5% and 0 respectively lower than those (16.0% and 5.0%) of control group with statistical differences ( P<0.05) . In intervention group, the scores of the daily catheter observation, maintenance compliance, catheter management confidence, exception handling of catheter, information acquisition, motion with catheter, daily life with catheter and total score of self-management ability, and nursing satisfaction of patients were higher than those in control group with statistical differences ( P<0.05) . Conclusions:Continuing nursing mode based on theory of use and satisfaction can reduce the incidence of catheter-related and unplanned extubation in patients with PICC, improve patients' catheter self-management ability as well as nursing satisfaction which is worthy of being widely used in clinical application.
