摘要
目的探讨前馈控制在行PICC置管白血病患儿中的应用方法及效果。方法将PICC置管患儿分为试验组和对照组各60倒。对照组运用传统模式进行PICC置管的相关教育;试验组运用前馈控制方案对患儿及家属进行相关教育。比较2组选择置管依从性、血管保护率、术中体位配合、置管成功率、24h穿刺点出血情况。结果试验组80%患儿家属主动选择PICC置管,术前血管保护率91.7%,术中能主动配合体位为86.7%,首次置管成功率为93.3%,90%患儿24h穿刺点无出血,各项指标试验组均优于对照组(P<0.01)。结论通过前馈控制方案,系统化地进行术前健康教育及心理支持能有效控制负性因素,充分调动患儿及家属共同参与的主动性,从而提高PICC置管成功率,改善24h穿刺点出血情况。
Objective To explore the methods and effects of feed-forward control in the leukemia children received PICC catheterization. Methods Totally 120 leukemia children receiving PICC catheterization were divided into experimental group and control group. The traditional model was used to educate the control group; feed-forward control scheme was used to educate the experimental group. The compliance,vascular protection rate,intraoperative posture cooperation,the success rate of catheterization and the situation of 24h puncture point bleeding were compared between the two groups. Results About 80% patients＇ parents in the experimental group were active to choose PICC catheterization; preoperative vascular protection rate was 91.7%; 86.7% patients were able to cooperate with the surgery position positively; the first success rate of catheterization was 93.3%,90% patients had no 24h puncture point bleeding, which was better than the control group（P〈0.01）. Conclusion The feed-forward control scheme,systematic preoperative health education and psychological support can effectively control the negative factors,and fully mobilize the initiative of patients and their family members to participate in the PICC catheterization,so as to improve the success rate of catheterization,and reduce the 24h puncture point bleeding.
出处
《中华护理教育》
2013年第6期263-264,共2页
Chinese Journal of Nursing Education
关键词
经外周留置的中心静脉导管
前馈控制
健康教育
Peripherally Inserted Central Catheter
Feed-forward Control
Heahh Education
