主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
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• 特别策划·静脉治疗管理 • 上一篇    下一篇

全国147家三级甲等医院PICC应用现状调查

李欣   

  1. 北京医院护理部
  • 出版日期:2016-06-25 发布日期:2016-06-25

The current status of Peripherally Inserted Central Catheter application among 147 tertiary Grade A hospitals in China

  • Online:2016-06-25 Published:2016-06-25

摘要: 目的:调查三级甲等医院PICC 应用现状。方法:采用中华护理学会静脉治疗护理专业委员会设计的“全国三级甲等医院静脉治疗护理现状调查问卷”,于2013 年3-5 月便利抽取全国27 个省份147 家三级甲等医院进行问卷调查。结果:① 146 家(99.3%)三级甲等医院已经开展了PICC 技术,分别有90 家(61.2%)、101家(68.7%)开展了塞丁格技术和超声引导下PICC 穿刺技术;89 家(60.5%)医院成立了PICC 门诊;②大多数医院目前使用的是进口(94.6%)、三向瓣膜(85.7%)、硅胶材质(72.8%)的导管;③ 104 家(70.7%)医院在PICC 穿刺时消毒范围以穿刺点为中心直径≥ 20cm ;④ 20.4% 的医院并没有规定在经PICC 输注药物前通过回抽血液确定导管在静脉内;⑤透明敷料、纱布敷料在147 家医院广泛应用。结论:PICC 置管患者的延续护理需求有待满足,感染控制有待进一步加强,操作技术有待进一步规范。同时,建议探索不同种类PICC 导管之间的差异,不同敷料的使用效果,以促进我国静脉治疗专科的健康发展。

Abstract: Objective: To investigate the current status of Peripherally Inserted Central Catheter (PICC) application among 147 tertiary Grade A hospitals in China. Methods: Totally 147 hospitals in 27 provinces (cities) were investigated from March to May, 2013 by a questionnaire designed by Chinese Nursing Society Intravenous Treatment Nursing Specialized Committee. Results: Among 147 hospitals, 146 (99.3%) have applied the technology of PICC. Ninety hospitals have applied the technology of Seldinger, and 101 hospitals have applied the technology of ultrasonic-guided Seldinger, accouting for 61.2% and 68.7%, respectively. However, only 89 hospitals set up PICC clinics. Imported, groshong and silicone catheter were used in 94.6%, 85.7% and 72.8% of the investigated hospitals, respectively. Totally 104 hospitals (70.7%)' disinfection scope was over 20cm. There was no regulation in 20.4% hospitals that blood return must be obtained to confirm that the PICC catheter was in the blood vessel before giving medication. Both of transparent semipermeable membrane (TSM)dressing and gause were widely used in 147 hospitals. Conclusions: More nursing needs should be met for the outpatients with PICC and the infection control should be stricter, and the method of confirming PICC catheter within the blood vessels is not standardized. Besides, differences between various catheters and the effects between different dressings should be explored in ordor to promote the development of infusion nursing.