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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1. Grant AB,Veta H.Nursing leadership,management & research[M].Pennsylvania:Springhouse Corporation,1999:80-81.
2. 于卫华.中心静脉置管的临床应用与护理进展[J].护理研究,2004,19(1):21-23.
3. 胡静,雷军,王飚,等.经外周静脉置入中心静脉导管在危重患者中的常见并发症及护理[J].华西医学,2013,28(12):1914-1917.
4. 李霞,唐志红,田永明.弹力绷带在经外周静脉置入中心静脉导管置管中的固定作用及效果[J].华西医学,2013,28(6):915-916.
5. 叶昱,马灵,龚红霞,等.运用改良塞丁格技术经外周静脉置入中心静脉导管临床应用实践[J].华西医学,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. 郑艳,赵敏丽,蒋恽,等.对肿瘤患者实施PICC综合护理干预的效果观察[J].护理学报,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. 陶静楠,任虹.全程健康教育延长PICC留管时间的临床观察[J].昆明医学院学报,2008,9(2):207-208.
10. 刘春娟,刘丽容,刘建辉,等.经外周静脉置入中心静脉导管在肠外营养支持治疗胃肠肿瘤患者中的应用现状调查及效果分析[J].华西医学,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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