标题：社区-家庭联动模式在PICC带管出院患者干预中的应用

      作者：张凤 1，周人凤 2，满孝敬 1    1.浦东新区沪东社区卫生服务中心护理部，上海 200129；2.浦东新区公利医院中医学部，上海 200135

      卷次： 2019年30卷10期

      【摘要】 目的 观察社区-家庭联动模式在PICC带管出院患者干预中的应用效果。方法 选取2017年1月到2018年10月期间在上海市浦东新区沪东社区卫生服务中心进行PICC管维护的患者80例，按照随机数表法分为联动模式组与常规组，每组40例。联动模式组患者实施社区-家庭联动模式的护理，常规组则仅给予一般的常规护理。两个月后，比较两组患者的护理满意度，患者的健康状况以及相关的并发症发生情况。结果 干预两个月后，联动模式组患者的护理满意度为95.00%，明显高于常规组的72.50%，差异具有统计学意义(P<0.05)；联动模式组患者的健康状况总评分为(566.68±86.77)分，明显高于常规组的(438.28±97.92)分，差异具有统计学意义(P<0.05)；联动模式组患者的穿刺点感染、静脉炎、穿刺点渗血等并发症的发生率为10.0%，明显低于常规组的35.0%，差异具有统计学意义(P<0.05)。结论 社区-家庭联动模式可显著提高PICC带管出院患者的护理满意度，改善患者的生活质量，减少PICC带管引起的并发症。
      【关键词】 社区-家庭联动模式；经外周静脉置入中心静脉导管；出院；维护；健康状况；并发症
      【中图分类号】 R472.9 【文献标识码】 A 【文章编号】 1003—6350（2019）10—1358—03

Application of community-family linkage mode in intervention of discharged patients with peripherally insertedcentral catheter.
ZHANG Feng 1, ZHOU Ren-feng 2, MAN Xiao-jing 1. 1. Nursing Department, the Hudong CommunityHealth Service Center of Shanghai Pudong New District, Shanghai 200129, CHINA; 2. Department of Traditional ChineseMedicine, the Public Interest Hospital of Shanghai Pudong New District, Shanghai 200135, CHINA
【Abstract】 Objective To observe the application effect of community-family linkage mode in the interventionof discharged patients with peripherally inserted central catheter (PICC). Methods Eighty patients who underwentPICC maintenance at the Hudong Community Health Service Center of Shanghai Pudong New District from January2017 to October 2018 were selected and assigned into the linkage mode group and the routine group according to the ran-dom number table method, with 40 patients in each group. Patients in the linkage mode group received care of communi-ty-family linkage mode, while patients in the routine group only received routine care. Two months later, the two groupsof patients' nursing satisfaction, patients' health status, and related complications were compared. Results After twomonths of intervention, the nursing satisfaction of patients in linkage mode group was 95.00%, significantly higher than72.50% in routine group (P<0.05). The total score of health status of patients in linkage mode group was 566.68±86.77,significantly higher than 438.28±97.92 in routine group (P<0.05). The incidence rate of complications such as puncturesite infection, phlebitis, and puncture site bleeding in linkage mode group was 10.0% , which was significantly lowerthan 35.0% in routine group (P<0.05). Conclusion Community-family linkage mode can significantly improve thenursing satisfaction of discharged patients with PICC, improve the quality of life of patients, and reduce complicationscaused by PICC.
      【Key words】 Community-family linkage mode; Peripherally inserted central catheter (PICC); Discharge; Mainte-nance; Health status; Complication·护理·doi:10.3969/j.issn.1003-6350.2019.10.040基金项目：上海市浦东新区卫生和计划生育委员会卫生科技项目(编号：PW2016C-20)；上海市浦东新区卫生系统优秀社区适宜人才培养项目(编号：PWRs2015-25)