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目的:探讨和研究规范PICC的临床管理规范,提高护理安全管理效果。方法:研究对象选取2013年1月~2014年1月的100例患者,随机分为观察组和对照组各50例。对照组采用常规管理措施,观察组成立PICC专项技术管理小组,通过制定PICC通用表、规范操作流程、落实安全管理制度、培训考核等方式加强PICC的临床技术管理,比较两组患者的一次性穿刺成功率、并发症发生率及患者满意度。结果:观察组患者一次性穿刺成功率为98.0%,显著高于对照组的86.0%(P<0.05);观察组并发症发生率为4.0%,显著低于对照组的16.0%(P<0.05);观察组的护理满意度为100.0%,显著高于对照组的92.0%(P<0.05)。结论:规范PICC的临床技术管理,能够有效提高医院的医疗安全和服务质量。
Objective: To explore and study the norms of clinical management of PICC to improve the effectiveness of nursing safety management. Methods: The study selected 100 patients from January 2013 to January 2014, were randomly divided into observation group and control group, 50 cases each. The control group adopted the conventional management measures. The observation group established the PICC special technical management group to strengthen the clinical technical management of PICC by making the PICC common table, standardizing the operational procedures, implementing the safety management system, training and examination, and comparing the two groups of patients with one-time puncture Success rate, complication rate and patient satisfaction. Results: The success rate of one-time puncture in the observation group was 98.0%, which was significantly higher than that in the control group (86.0%, P <0.05). The complication rate in the observation group was 4.0%, significantly lower than that in the control group (16.0%, P0.05 ). The nursing satisfaction of the observation group was 100.0%, which was significantly higher than that of the control group (92.0%, P <0.05). Conclusion: To standardize the clinical and technical management of PICC can effectively improve the medical safety and service quality in hospitals.