规范PICC置管护理路径管理在艾滋病合并新型隐球菌患者中的应用.docVIP

规范PICC置管护理路径管理在艾滋病合并新型隐球菌患者 中的应用 张春兰吕春容别晓丽张晓艳 （成都市公共卫生临床医疗屮心，四川610061） *2012年成都市第二批科技计划项R :12PPYB062SF-002 ［摘要］目的：对规范PICC置管护理路径管理在艾滋病（AIDS）合并新型隐球 菌患者屮的应用效果进行探讨。方法：选取我院2013年1月?2014年12月收 治的100例艾滋病合并新型隐球菌患者作为研究对彖，采用随机随机数字表法分 为观察组和对照组，每组各50例。对照组患者采用常规PICC置管护理措施，观 察组患者则采用规范PICC置管护理路径管理，对两组患者治疗期间置管时间、 并发症发生情况以及患者的依从性和满意度进行比较分析。结果：与对照组相比, 观察组患者置管保留时间明显延长，一次性置管操作成功率及患者依从性明显提 高，而PICC非计划拔管人数明显减少（P0.05）；治疗过程屮观察组患者局部 渗血及渗液、肿胀、管腔堵塞、静脉炎以及导管意外脱出的发生率明显低于对照 组（PV0.05）；治疗后观察组患者对置管技术、维护以及相关知识知晓率的满意 度明显高于对照组（P0.05）,差异均具有统计学意义。结论：规范PICC置管 护理路径管理可有效提高PICC置管操作人员的技术水平，提高PICC置管质量, 减少并发症的发生，并对提高患者满意度有积极的作用。 ［关键词］PICC置管；护理路径管理；艾滋病；新型隐形球菌 The application of PICC catheter nursing path standard management for AIDS patients with cryptococcus neoformans Zhang Chunlan，Lvchunrong,Wu Xiaoli, Zhang Xiaoyan Public health clinical medical center of Chengdu 610061 ［Abstract］ Objective: To discuss the application effect of PICC catheter nursing path standard management for AIDS patients with cryptococcus neoformans. Methods: To selected 100 cases of AIDS patients with cryptococcus neoformans in our hospital from January 2013 to December 2014 as the research objects, and were divided into observation group and control group by stochastic random number table method, each group was 50 cases. Control group were treated by routine PICC catheter nursing measures, observation group patients were used PICC catheter nursing path standard management, then observed and comparative analyzed catheter time, complication incidenee and the patients complianee and satisfaction during treatment of two groups. Results: Compared with control group, the observati on group of patie nts had Ion ger catheter rete ntion time, higher on e-time catheter operation success rate and higher patients complianee, and the less number of unplanned PICC extubation (P lt; 0.05); In the process of treatment, the incidenee rates of local bleeding and seepage, swelling, lumen blocking, phlebitis and catheter accidental out of observation group w