目的 探讨医联体内护士经外周静脉穿刺中心静脉置管（peripherally inserted central venous catheters,PICC）维护同质化培训的设计及实施效果。 方法 牵头医院通过对医联体内护士PICC维护知识与技能水平的分析,将培训设计为专业理论知识、应用能力、操作表现、真实工作中的实际表现4个阶段,选取医联体内其他医院36名护士为培训对象,培训后测评其理论知识、操作技能水平、满意度,并将其培训后的成绩与牵头医院的36名护士成绩进行比较。 结果 实施同质化培训后,医联体内其他医院护士的理论知识、操作技能较培训前有所提高（P<0.001）;对培训的满意度高达95.7%;与牵头医院护士成绩相比,差异均无统计学意义（P>0.05）。 结论 医联体内护士PICC维护知识与技能同质化培训能有效提高医联体内其他医院护士的理论知识水平、实践技能,且达到牵头医院护士PICC维护能力的同质化标准,护士认可度较高,值得临床推广和应用。

Objective To explore the effects of PICC training on knowledge and compatible skills of nurses within the medical partnerships. Methods The training was developed into 4 parts including theoretical knowledge,practical ability,skill performance,and real work performance according to results of previous analysis. Thirty-six nurses were recruited from the medical partnerships. After the training,their knowledge,skills,and satisfaction with the training were compared with another 36 nurses of the tertiary hospitals. Results The score of basic knowledge and skill after the training were significantly higher than those before the training（P<0.001）. The training satisfaction rate reached 95.7%. There were no significant differences regarding the knowledge,skills,and satisfaction with the training between nurses from the medical partnerships and their counterparts（P>0.05）. Conclusion The PICC training of nurses can effectively improve the score of basic knowledge,skill,the training satisfaction of nurses from the medical partnerships. The training can help these nurses achieve the same level of nurses from tertiary hospitals.