摘要
目的:调查沪东社区居家PICC置管患者的维护现状。方法:采用自制问卷调查社区居家PICC置管患者76例的维护现状。结果:94.74%的患者选择至穿刺医院维护;5.26%的患者选择社区卫生服务中心维护;78.95%的患者知晓换药及冲管时间;21.05%的患者认为化疗结束无需维护;72.37%的患者接受PICC相关知识的能力有限;92%的家属或照顾者对相关知识的理解仅停留在知晓层面,缺乏实践能力;26.31%患者家庭经济条件较差,延长维护时间;11.84%患者居住地离置管医院较远,半个月维护1次;44.74%的患者体力限制出行,不方便维护;50%的患者不信任社区护士,34.21%的患者对社区护士的能力持怀疑态度,不愿意在社区医院维护。结论:向患者及家属传播PICC导管维护的相关知识和熟知带管期间不良反应的症状,让患者享受到从医院到社区的延续护理,同时使PICC置管患者出院后在社区能得到及时、安全、便捷、规范的服务,从而减少社区PICC导管维护患者的相关并发症。
Objective:To investigate the maintenance status of PICC patients in Hudong community.Methods:A self-designedquestionnaire was used to investigate the status quo of maintenance of76patients with PICC in the community.Results:94.74%ofthe patients were selected to the puncture hospital for maintenance,5.26%of patients chose community health service centermaintenance.78.95%of patients knew dressing change and flushing time.21.05%of patients believed that after chemotherapy,there was no need to maintain.72.37%of the patients had limited ability to receive PICC related knowledge,and92%of the familymembers or caregivers understood the relevant knowledge only at the level of awareness and lack of practical ability.26.31%patients had poor family economic condition and extended maintenance time.11.84%of patients stayed away from the tubehospital,and maintain1times in half a month.44.74%of the patients were physically limited to travel and inconvenient tomaintain.50%of the patients did not trust community nurses,and34.21%of the patients were suspicious of community nurses'ability and were reluctant to maintain in community hospitals.Conclusion:To patients and their families to disseminate knowledgeof PICC catheter maintenance and familiar with the symptoms of adverse reactions during the tube,let patients enjoy thecontinuous care from the hospital to the community,at the same time,the PICC catheter patients will be able to receive timely,safe,convenient and standard services in the community after their discharge from hospital,thus reducing the complications associatedwith community PICC catheter maintenance.
作者
张凤
赵纯红
张怡
Zhang Feng;Zhao Chunhong;Zhang Yi(Hudong Community Health Service Center of Pudong New Area,Shanghai City 200129)
出处
《中国社区医师》
2017年第20期128-129,共2页
Chinese Community Doctors
基金
上海市浦东新区卫生和计划生育委员会卫生科技项目(PW2016C-20)~~
关键词
PICC置管
维护
患者
导管
PICC catheterization
Maintenance
Patients
Catheters
