This study aimed to explore an effective nursing plan for peripherally inserted central catheter(PICC)placement guided by endocardial electrocardiogram(ECG)positioning technology and to analyze related nursing problem...This study aimed to explore an effective nursing plan for peripherally inserted central catheter(PICC)placement guided by endocardial electrocardiogram(ECG)positioning technology and to analyze related nursing problems and countermeasures.A total of 96 patients who underwent PICC placement using ECG-guided positioning technology in our hospital from January 2024 to December 2024 were selected and randomly divided into an experimental group(n=48)and a control group(n=48)using a random number table.The control group received routine basic nursing care,while the experimental group was provided with comprehensive high-quality nursing care.The results showed that the success rate of one-time catheter placement was significantly higher in the experimental group than in the control group(P<0.05),while the incidence of complications was notably lower in the experimental group(P<0.05).These findings suggest that comprehensive high-quality nursing care during PICC placement guided by ECG positioning technology can effectively enhance the success rate of catheter placement and reduce complications,indicating that this nursing approach is valuable for clinical promotion and application.展开更多
目的探讨规范化管理在外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)置管护理管理中的应用价值,以及对护理质量的影响。方法选取2023年6月—2024年6月高密市人民医院参与PICC置管护理的14名护理人员作为研究...目的探讨规范化管理在外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)置管护理管理中的应用价值,以及对护理质量的影响。方法选取2023年6月—2024年6月高密市人民医院参与PICC置管护理的14名护理人员作为研究对象,以2024年1月开始实施规范化管理为界点,分为管理前(2023年6—12月)和管理后(2024年1—6月)两组。比较管理前后的PICC置管知识掌握程度、操作技能水平与护理质量评分。结果管理后,护理人员的PICC置管知识理论考核、实操考核评分为(96.24±0.79)分、(95.86±1.03)分,均较管理前的(92.16±1.45)分、(90.41±1.27)分提高,差异均有统计学意义(t=9.245,12.471;P均<0.05);管理后,护理人员的PICC置管操作技能水平、护理质量评分均较管理前提高,差异均有统计学意义(P均<0.05);管理后,护理人员的PICC置管管路固定、管路评估、管路维护评分均较管理前提高,差异均有统计学意义(P均<0.05)。结论规范化管理在PICC置管管理中具有重要价值,能够有效提升护理人员的专业技能和护理质量,提高PICC导管维护质量。展开更多
目的探究温度干预对早产儿经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)疼痛及置管效果的影响。方法选取2023年1月至2023年12月于云南省昆明市某三级甲等儿童专科医院新生儿科住院的70例PICC置管且符合纳...目的探究温度干预对早产儿经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)疼痛及置管效果的影响。方法选取2023年1月至2023年12月于云南省昆明市某三级甲等儿童专科医院新生儿科住院的70例PICC置管且符合纳入标准的早产儿作为研究对象,运用随机数字表法分为对照组(n=35)和观察组(n=35)。对照组按常规PICC置管流程进行;观察组在对照组的基础上实施了温度干预措施,即使用加温至37℃的碘伏消毒、借助辐射台温度温暖操作者双手热敷置管部位、使用加温至37℃的生理盐水配合送管及皮肤清洁。比较两组早产儿PICC置管中消毒、穿刺、送管、清洁时早产儿疼痛评分量表(premature infant pain profile,PIPP)评分、血氧饱和度、心率、一次性穿刺和一次性送管成功率、并发症发生率、置管后低体温发生率。结果观察组在PICC置管中消毒、穿刺、送管、清洁的PIPP评分均低于对照组(P<0.05);置管中观察组血氧饱和度平均值高于对照组,差值低于对照组(P<0.05);置管中观察组心率差值和平均值均低于对照组(P<0.05);观察组PICC置管时一次性穿刺和一次性送管成功率、置管后低体温发生率均低于对照组(P<0.05),两组并发症发生率比较,差异无统计学意义(P>0.05)。结论早产儿PICC置管时实施温度干预可有效减轻患儿疼痛,维持生命体征稳定,提高一次性穿刺和送管成功率,有效预防低体温的发生率。展开更多
Objective:To explore the effect of intensive nursing on the incidence of thrombosis in patients undergoing PICC line placement.Methods:A total of 50 patients with tumor who underwent PICC line placement in Jiangsu Zhe...Objective:To explore the effect of intensive nursing on the incidence of thrombosis in patients undergoing PICC line placement.Methods:A total of 50 patients with tumor who underwent PICC line placement in Jiangsu Zhenjiang First People’s Hospital(from January 2019 to January 2020)were randomly selected for this research.According to the random number table method,they were divided into two groups:group A(25 cases)for routine nursing and group B(25 cases)for intensive nursing.The incidence of thrombosis,coagulation indices,quality of life,and nursing satisfaction were compared between the two groups.Results:The incidence of thrombosis of group B was lower than that of group A,and the coagulation indices,quality of life,as well as the nursing satisfaction of group B were higher than those of group A(P<0.05).Conclusion:Intensive nursing can effectively improve the coagulation,reduce thrombosis,and improve the quality of life of patients.The clinical application effect is remarkable,and it should be popularized.展开更多
目的对国内外PICC置管体外测量方法的研究进行系统评价,分析并评鉴文献中报道的PICC体外测量方法的实施内容、可行性及其效果。方法运用循证护理的方法学,制定PICOD原则,检索Cochrane图书馆、JBI循证卫生保健国际合作中心图书馆、EMbase...目的对国内外PICC置管体外测量方法的研究进行系统评价,分析并评鉴文献中报道的PICC体外测量方法的实施内容、可行性及其效果。方法运用循证护理的方法学,制定PICOD原则,检索Cochrane图书馆、JBI循证卫生保健国际合作中心图书馆、EMbase、Elsevier、Web of Knowledge、Ovid、CBM、CNKI和万方数据库中关于PICC置管体外测量方法的随机对照试验、半随机对照试验和临床对照试验文献。由2位研究者对文献质量进行严格评价和资料提取。结果共纳入文献7篇,均为中文文献,由于各研究间的干预措施异质性较大,故未进行Meta分析,而是对纳入的研究进行描述性分析。7条文献报道了6种改良测量方法,各研究的评价指标和结果差异性较大。结论国外文献提示有关PICC置管体外测量在指南中已有认证的方法,但中文文献的研究显示有多种改良的测量方法,干预措施间的差异性较大,这与研究者PICC导管头端最佳位置的标准不一致有关。因此,国内研究者及PICC置管实践操作者对导管头端最佳位置的标准亟待统一,以便更准确地预估PICC体外测量的长度。展开更多
文摘This study aimed to explore an effective nursing plan for peripherally inserted central catheter(PICC)placement guided by endocardial electrocardiogram(ECG)positioning technology and to analyze related nursing problems and countermeasures.A total of 96 patients who underwent PICC placement using ECG-guided positioning technology in our hospital from January 2024 to December 2024 were selected and randomly divided into an experimental group(n=48)and a control group(n=48)using a random number table.The control group received routine basic nursing care,while the experimental group was provided with comprehensive high-quality nursing care.The results showed that the success rate of one-time catheter placement was significantly higher in the experimental group than in the control group(P<0.05),while the incidence of complications was notably lower in the experimental group(P<0.05).These findings suggest that comprehensive high-quality nursing care during PICC placement guided by ECG positioning technology can effectively enhance the success rate of catheter placement and reduce complications,indicating that this nursing approach is valuable for clinical promotion and application.
文摘目的探讨规范化管理在外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)置管护理管理中的应用价值,以及对护理质量的影响。方法选取2023年6月—2024年6月高密市人民医院参与PICC置管护理的14名护理人员作为研究对象,以2024年1月开始实施规范化管理为界点,分为管理前(2023年6—12月)和管理后(2024年1—6月)两组。比较管理前后的PICC置管知识掌握程度、操作技能水平与护理质量评分。结果管理后,护理人员的PICC置管知识理论考核、实操考核评分为(96.24±0.79)分、(95.86±1.03)分,均较管理前的(92.16±1.45)分、(90.41±1.27)分提高,差异均有统计学意义(t=9.245,12.471;P均<0.05);管理后,护理人员的PICC置管操作技能水平、护理质量评分均较管理前提高,差异均有统计学意义(P均<0.05);管理后,护理人员的PICC置管管路固定、管路评估、管路维护评分均较管理前提高,差异均有统计学意义(P均<0.05)。结论规范化管理在PICC置管管理中具有重要价值,能够有效提升护理人员的专业技能和护理质量,提高PICC导管维护质量。
文摘Objective:To explore the effect of intensive nursing on the incidence of thrombosis in patients undergoing PICC line placement.Methods:A total of 50 patients with tumor who underwent PICC line placement in Jiangsu Zhenjiang First People’s Hospital(from January 2019 to January 2020)were randomly selected for this research.According to the random number table method,they were divided into two groups:group A(25 cases)for routine nursing and group B(25 cases)for intensive nursing.The incidence of thrombosis,coagulation indices,quality of life,and nursing satisfaction were compared between the two groups.Results:The incidence of thrombosis of group B was lower than that of group A,and the coagulation indices,quality of life,as well as the nursing satisfaction of group B were higher than those of group A(P<0.05).Conclusion:Intensive nursing can effectively improve the coagulation,reduce thrombosis,and improve the quality of life of patients.The clinical application effect is remarkable,and it should be popularized.
文摘目的对国内外PICC置管体外测量方法的研究进行系统评价,分析并评鉴文献中报道的PICC体外测量方法的实施内容、可行性及其效果。方法运用循证护理的方法学,制定PICOD原则,检索Cochrane图书馆、JBI循证卫生保健国际合作中心图书馆、EMbase、Elsevier、Web of Knowledge、Ovid、CBM、CNKI和万方数据库中关于PICC置管体外测量方法的随机对照试验、半随机对照试验和临床对照试验文献。由2位研究者对文献质量进行严格评价和资料提取。结果共纳入文献7篇,均为中文文献,由于各研究间的干预措施异质性较大,故未进行Meta分析,而是对纳入的研究进行描述性分析。7条文献报道了6种改良测量方法,各研究的评价指标和结果差异性较大。结论国外文献提示有关PICC置管体外测量在指南中已有认证的方法,但中文文献的研究显示有多种改良的测量方法,干预措施间的差异性较大,这与研究者PICC导管头端最佳位置的标准不一致有关。因此,国内研究者及PICC置管实践操作者对导管头端最佳位置的标准亟待统一,以便更准确地预估PICC体外测量的长度。
