Chinese Journal of Nursing Education >
Training and effectiveness of PICC maintenance in Guangdong Province
Objective To describe the methods and explore the effect of basic venous catheter maintenance training in primary nurses in Guangdong Province. Methods From 2018 to 2020,Intravenous Therapy Professional Committee of Guangdong Nursing Society has constructed a three-level linkage support structure of “provincial-city-local”,which integrated the teaching and training resources of static therapy specialty of municipal institutes and local hospitals. Training of venous catheter maintenance was carried out among 2 139 primary nurses in Guangdong Province. Before and after the training,the nurses who participated in the training were evaluated in theory and operation. After training,nurses’ satisfaction with training was investigated. The PICC-related complications and patients’ transportation costs were surveyed within one year after training. Results After training,the level of theoretical knowledge and operational skills of primary nurses improved compared with that before training(P<0.05),and more than 97% of the nurses were satisfied with training. One year after the training,the overall incidence of PICC-related complications reported by 12 county-level people’s hospitals decreased from 4.08% to 1.98%(χ2=9.206,P=0.002). The average transportation cost of primary patients with catheter to and from hospital for catheter maintenance decreased from(380.00±16.35) yuan to(180.00±10.18) yuan(t=214.479,P<0.001),and their satisfaction rate with maintenance service was above 95%. Conclusion The three-level linkage promoted PICC maintenance training for primary nurses,and improved the theory,operation level and clinical service level of primary nurses on PICC.
Lifen CHEN , Jinyan LI , Yuhong YANG , Xuemei ZHOU , Haiying WANG . Training and effectiveness of PICC maintenance in Guangdong Province[J]. Chinese Journal of Nursing Education, 2023 , 20(2) : 194 -198 . DOI: 10.3761/j.issn.1672-9234.2023.02.012
| [1] | Institute for Safe Medication Practices. Safe practice guidelines for adult IV push medications[EB/OL]. (2015-07-23). https://www.ismp.org/guidelines/iv-push. |
| [2] | 孙红, 王蕾, 聂圣肖. 中国静脉治疗的现状与发展[J]. 中华现代护理杂志, 2019, 25(29):3710-3713. |
| [2] | Sun H, Wang L, Nie SX. Current status and research progress of intravenous therapy in China[J]. Chin J Mod Nurs, 2019, 25(29):3710-3713. |
| [3] | 中华护理学会静脉输液治疗专业委员会. 临床静脉导管维护操作专家共识[J]. 中华护理杂志, 2019, 54(9):1334-1342. |
| [3] | Intravenous Therapy Committee of Chinese Nursing Association. Expert consensus on venous catheter maintenance[J]. Chin J Nurs, 2019, 54(9):1334-1342. |
| [4] | 中共中央国务院印发《“健康中国2030”规划纲要》[J]. 国务院公报, 2016(32):5-20. |
| [5] | 国家卫生计生委.国家卫生计生委关于印发全国护理事业发展规划(2016-2020年)的通知[EB/OL]. (2016-11-18). http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=92b2e8f8cc644a899e9d0fd572aefef3. |
| [6] | The 2016 infusion therapy standards of practice[J]. Home Healthc Now, 2017, 35(1):E1-E2. |
| [7] | 陈利芬, 徐朝艳. 静脉治疗专科护理手册(基础篇)[M]. 广州: 中山大学出版社, 2019. |
| [8] | 李滔, 王秀峰. 健康中国的内涵与实现路径[J]. 卫生经济研究, 2016(1):4-9. |
| [8] | Li T, Wang XF. Connotation and realizing route of Healthy China[J]. Health Econ Res, 2016(1):4-9. |
| [9] | 刘泽周. 广东省委省政府出台加强新时期科协工作的意见[J]. 科协论坛, 2013(3):21. |
| [9] | Liu ZZ. Guangdong Provincial Party Committee and Government issued opinions on strengthening the work of the Association for Science and Technology in the new period[J]. Sci Technol Assoc Forum, 2013(3):21. |
| [10] | 张敏, 聂雷霞, 胡帆, 等. 湖北省某地区基层医院静脉治疗专业化培训管理现状调查与分析[J]. 护理管理杂志, 2016, 16(9):630-631,640. |
| [10] | Zhang M, Nie LX, Hu F, et al. Investigation and analysis of intravenous therapy professional training management in primary hospitals of an area in Hubei Province[J]. J Nurs Adm, 2016, 16(9):630-631,640. |
| [11] | 徐彬斌, 张京慧, 侯剑媚, 等. 湖南省基层医院护士PICC维护知识现状及影响因素分析[J]. 中国护理管理, 2018, 18(10):1357-1361. |
| [11] | Xu BB, Zhang JH, Hou JM, et al. The current status of PICC maintenance knowledge and its influencing factors among nurses of primary hospitals in Hunan Province[J]. Chin Nurs Manag, 2018, 18(10):1357-1361. |
| [12] | 黄琼珊, 蔡莹莹, 陈梦云, 等. 医联体内护士PICC维护知识掌握现况及其影响因素分析[J]. 现代临床护理, 2020, 19(8):1-6. |
| [12] | Huang QS, Cai YY, Chen MY, et al. Influencing factors of peripherally inserted central catheter maintenance knowledge of nurses with the medical alliance[J]. Mod Clin Nurs, 2020, 19(8):1-6. |
/
| 〈 |
|
〉 |