社区-家庭联动模式在PICC带管出院患者干预中的应用
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摘要
目的观察社区-家庭联动模式在PICC带管出院患者干预中的应用效果。方法选取2017年1月到2018年10月期间在上海市浦东新区沪东社区卫生服务中心进行PICC管维护的患者80例,按照随机数表法分为联动模式组与常规组,每组40例。联动模式组患者实施社区-家庭联动模式的护理,常规组则仅给予一般的常规护理。两个月后,比较两组患者的护理满意度,患者的健康状况以及相关的并发症发生情况。结果干预两个月后,联动模式组患者的护理满意度为95.00%,明显高于常规组的72.50%,差异具有统计学意义(P<0.05);联动模式组患者的健康状况总评分为(566.68±86.77)分,明显高于常规组的(438.28±97.92)分,差异具有统计学意义(P<0.05);联动模式组患者的穿刺点感染、静脉炎、穿刺点渗血等并发症的发生率为10.0%,明显低于常规组的35.0%,差异具有统计学意义(P<0.05)。结论社区-家庭联动模式可显著提高PICC带管出院患者的护理满意度,改善患者的生活质量,减少PICC带管引起的并发症。
Objective To observe the application effect of community-family linkage mode in the intervention of discharged patients with peripherally inserted central catheter(PICC). Methods Eighty patients who underwent PICC maintenance at the Hudong Community Health Service Center of Shanghai Pudong New District from January2017 to October 2018 were selected and assigned into the linkage mode group and the routine group according to the random number table method, with 40 patients in each group. Patients in the linkage mode group received care of community-family linkage mode, while patients in the routine group only received routine care. Two months later, the two groups of patients' nursing satisfaction, patients' health status, and related complications were compared. Results After two months of intervention, the nursing satisfaction of patients in linkage mode group was 95.00%, significantly higher than72.50% in routine group(P<0.05). The total score of health status of patients in linkage mode group was 566.68±86.77,significantly higher than 438.28±97.92 in routine group(P<0.05). The incidence rate of complications such as puncture site infection, phlebitis, and puncture site bleeding in linkage mode group was 10.0%, which was significantly lower than 35.0% in routine group(P<0.05). Conclusion Community-family linkage mode can significantly improve the nursing satisfaction of discharged patients with PICC, improve the quality of life of patients, and reduce complications caused by PICC.
Objective To observe the application effect of community-family linkage mode in the intervention of discharged patients with peripherally inserted central catheter(PICC). Methods Eighty patients who underwent PICC maintenance at the Hudong Community Health Service Center of Shanghai Pudong New District from January2017 to October 2018 were selected and assigned into the linkage mode group and the routine group according to the random number table method, with 40 patients in each group. Patients in the linkage mode group received care of community-family linkage mode, while patients in the routine group only received routine care. Two months later, the two groups of patients' nursing satisfaction, patients' health status, and related complications were compared. Results After two months of intervention, the nursing satisfaction of patients in linkage mode group was 95.00%, significantly higher than72.50% in routine group(P<0.05). The total score of health status of patients in linkage mode group was 566.68±86.77,significantly higher than 438.28±97.92 in routine group(P<0.05). The incidence rate of complications such as puncture site infection, phlebitis, and puncture site bleeding in linkage mode group was 10.0%, which was significantly lower than 35.0% in routine group(P<0.05). Conclusion Community-family linkage mode can significantly improve the nursing satisfaction of discharged patients with PICC, improve the quality of life of patients, and reduce complications caused by PICC.
引文
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[2]刘芳宁,沈扬林,黄海燕.综合护理干预对PICC置管患者导管维护依从性及并发症的影响[J].海南医学, 2018, 29(5):739-740.
[3]王朋朋,应燕萍,吴林秀,等.居家维护模式在PICC带管肿瘤出院患者中的应用[J].广东医学, 2017, 38(17):2736-2743.
[4]蒋群花,程惠仙,沈丽,等.医院-社区-家庭护理模式对脊髓损伤患者康复的影响[J].上海护理, 2018, 18(4):28-31.
[5]袁修银,任俊翠,刘畅,等.医院-社区-家庭整体护理在脑卒中康复中的应用[J].中华全科医学, 2016, 14(3):491-493, 514.
[6]王艳梅,陆静,施蓉玲.上海某二甲医院PICC带管出院患者导管维护知信行现状调查及影响因素分析[J].中华现代护理杂志, 2018,24(14):1639-1643.
[7]肖淑宁,伍佳雯,陈永娟,等. PICC延续护理模式在基层医院的应用研究[J].护理管理杂志, 2017, 17(8):551-552.
[8]王冶楚,程娟芳,倪静燕,等.医院社区联动护理管理模式在肿瘤化疗患者PICC管理中的应用[J].中华现代护理杂志, 2015, 21(15):1802-1804.