Implementation and Effects of Continuous Quality Improvement in the Care of Peripherally Inserted Central Catheter_West China Medical Journal

Authors：

 FENGJu-hua

Department of Neurology, Central Hospital of Guangyuan City, Guangyuan, Sichuan 628000, P. R. China;

Corresponding?author：

Keywords：

Continuous quality improvement; Peripherally inserted central catheter; Nursing; Management

DOI：

10.7507/1002-0179.20140524

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Objective To evaluate the clinical effects of continuous quality improvement (CQI) in the care of peripherally inserted central catheter (PICC). Methods We retrospectively analyzed the clinical data of 40 patients who received PICC treatment in our hospital between January and December 2011, and then we found out the main problems of PICC catheter care, analyzed the related factors for complications of PICC, and formulated corresponding nursing countermeasures. PICC receivers between January and December 2012 were regarded as controls. Then, we compared the complication incidence and satisfaction of patients between the two groups before and after the implementation of CQI. Results After the implementation of CQI, complication incidence was significantly lower (P<0.05). The satisfaction degree of patients toward caring rose to 87.8%, which was statistically significant (P<0.05). Conclusion The implementation of CQI is beneficial to reduce complications of PICC treatment, and patients'satisfaction rate is also significantly increased.

Citation： FENGJu-hua. Implementation and Effects of Continuous Quality Improvement in the Care of Peripherally Inserted Central Catheter. West China Medical Journal, 2014, 29(9): 1720-1722. doi: 10.7507/1002-0179.20140524 Copy

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10.	劉春娟,劉麗容,劉建輝,等.經外周靜脈置入中心靜脈導管在腸外營養支持治療胃腸腫瘤患者中的應用現狀調查及效果分析[J].華西醫學,2014,29(4):763-764.

1. Grant AB,Veta H.Nursing leadership,management & research[M].Pennsylvania:Springhouse Corporation,1999:80-81.
2. 于衛華.中心靜脈置管的臨床應用與護理進展[J].護理研究,2004,19(1):21-23.
3. 胡靜,雷軍,王飚,等.經外周靜脈置入中心靜脈導管在危重患者中的常見并發癥及護理[J].華西醫學,2013,28(12):1914-1917.
4. 李霞,唐志紅,田永明.彈力繃帶在經外周靜脈置入中心靜脈導管置管中的固定作用及效果[J].華西醫學,2013,28(6):915-916.
5. 葉昱,馬靈,龔紅霞,等.運用改良塞丁格技術經外周靜脈置入中心靜脈導管臨床應用實踐[J].華西醫學,2012,27(12):1884-1885.
6. Haider G,Kumar S,Salam B,et al.Determination of complication rate of PICC lines in oncological patients[J].J Pak Med Asso,2012,59(10):663-667.
7. 鄭艷,趙敏麗,蔣惲,等.對腫瘤患者實施PICC綜合護理干預的效果觀察[J].護理學報,2011,18(7A):18-20.
8. Geng T,Yan Z,Li Q,et al.Efficacy of multifaceted interventions in reducing complications of peripherally inserted central catheter in adult oncology patients[J].Supp Care Cancer,2010,18(10):1293-1298.
9. 陶靜楠,任虹.全程健康教育延長PICC留管時間的臨床觀察[J].昆明醫學院學報,2008,9(2):207-208.
10. 劉春娟,劉麗容,劉建輝,等.經外周靜脈置入中心靜脈導管在腸外營養支持治療胃腸腫瘤患者中的應用現狀調查及效果分析[J].華西醫學,2014,29(4):763-764.

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West China Medical Journal

Implementation and Effects of Continuous Quality Improvement in the Care of Peripherally Inserted Central Catheter

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