Practice and effect evaluation of"PICC fixed standard operation flow chart"in PICC fixed quality management
10.3760/cma.j.issn.1672-7088.2018.01.011
- VernacularTitle:《PICC固定标准操作流程图》在PICC固定质量管理中的实践与效果评价
- Author:
Zhong YUAN
1
;
Yongyi CHEN
;
Xuying LI
;
Qin LIN
;
Kaiping XIA
;
Tao WEI
Author Information
1. 湖南省肿瘤医院/中南大学湘雅医学院附属肿瘤医院血管通道中心
- Keywords:
Catheterization;
central venous;
SOP;
Fixed;
Unplanned extubation;
Specialist care
- From:
Chinese Journal of Practical Nursing
2018;34(1):42-47
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effects of"PICC fixed standard operation flow chart"in PICC fixed quality management. Methods Patients with PICC were admitted to the control group from January to June in 2014, given the routine PICC fixed method. PICC patients in the observation group who were enrolled from July to December 2014 were given new PICC fixed method that obey the"PICC fixed standard operation flow chart", which was established from relevant norms and guidelines and related literature. The incidence rate of medical adhesive related skin injury and unplanned extubation of PICC were compared with those of the two groups. Results The incidence rate of medical adhesive related skin injury was decreased from 35.20％(70034/198962) to 18.03％(37862/209955) (Z=-3.363, P<0.01) and PICC unplanned extubation decreased from 1.31‰(20/15384) to 0.37‰(7/18919) , the difference was statistically significant (χ2=6.940, P<0.05). Conclusions The PICC fixed standard operating flow chart can be used as a guide to implement the PICC fixation. Based on this, the quantitative management index is applied to the PICC fixed quality management, which can standardize the fixation of the PICC , reduce the related complications caused by the fixation of the catheter, prevent the occurrence of unplanned extubation of PICC , provide effective protection to ensure safe PICC long-term use and improve the patient's comfort.
