首页|期刊导航|医药高职教育与现代护理|老年血液病患者PICC导管标准化护理质量管理方案的构建与应用

老年血液病患者PICC导管标准化护理质量管理方案的构建与应用OA

Development and application of a standardized nursing quality management protocol for PICC in elderly hematology patients

中文摘要英文摘要

目的 构建适用于老年血液病患者经外周静脉置入中心静脉导管(PICC)标准化护理质量管理方案,为提升老年血液病患者PICC专科护理服务水平提供循证支撑.方法 选取 2023 年 3 月至2025 年 2 月于中山市人民医院接受PICC置管的 100 例老年血液病患者为研究对象,采用随机数表法将其分为对照组与观察组,各 50 例.对照组实施常规PICC导管护理方法,观察组应用构建的PICC导管标准化护理质量管理方案.对比两组导管相关并发症发生率及患者护理服务满意度.结果 观察组导管相关并发症发生率低于对照组(4.0%vs.18.0%,χ2=5.005,P=0.025);观察组患者护理服务满意度高于对照组(98.0%vs.80.0%,χ2=8.274,P=0.004).结论 针对老年血液病患者构建的PICC导管标准化护理质量管理方案,可有效降低导管相关并发症风险,提升患者就医体验,具备一定的临床应用与推广价值.

Objective To develop a standardized nursing quality management protocol for peripherally inserted central catheters(PICC)in elderly hematology patients and to provide evidence-based support for enhancing specialized PICC care.Methods A total of 100 elderly hematology patients who underwent PICC insertion at Zhongshan People's Hospital between March 2023 and February 2025 were enrolled.Using a random number table,they were randomly assigned to a control group(n=50)and an observation group(n=50).The control group received routine PICC care,while the observation group received the newly developed standardized PICC nursing quality management protocol.Primary outcomes included catheter-related complication rates,and the patient satisfaction with nursing services were compared.Results The catheter-related complication rate in the observation group was significantly lower than that in the control group(4.0%vs.18.0%,χ2=5.005,P=0.025).The patient satisfaction was higher in the observation group than that in the control group(98.0%vs.80.0%,χ2=8.274,P=0.004).Conclusions The development and application of a standardized nursing quality management protocol for PICC tailored for elderly hematology patients effectively reduces the risk of catheter-related complications and enhances the patient experience,demonstrating clear clinical value and significance for broader implementation.

金雁;李宏伟;苏树娟;苏慧敏

528402 广东 中山,中山市人民医院 血液内科528402 广东 中山,中山市人民医院 血液内科528402 广东 中山,中山市人民医院 血液内科528402 广东 中山,中山市人民医院 血液内科

老年患者血液疾病经外周静脉置入中心静脉导管护理质量

Elderly patientsHematological diseasesPICC catheterizationNursing quality

《医药高职教育与现代护理》 2026 (2)

145-149,5

2023年度中山市第一批社会公益与基础研究项目(医疗卫生一般项目)(2023B1039)

10.3969/j.issn.2096-501X.2026.02.011

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