201211November,20121911BJournalofNursing(China)Vol.19No.11B【】PICC1,2,1,1,1,1(1.22,322100;2.,200042)[]PICC。,“PICC”,,:,,,。,。,60%85%。,PICC。[]PICC;;;,[]R471;C931.3[]A[]1008-9969(2012)11B-0027-03ImprovementofGuide-followingofCatheterMaintenanceforDischargedPatientswithPICCbyQualityControlCircleXUJing1,HUANGJian-feng2,LUShi-hua1,ZHANJing-jing1,CHENHong-juan1,XUHui-ping1(1.Ward22,DongyangPeople’sHospital,Dongang322100,China;2.KangchengHospitalManagement,Shanghai200042,China)Abstract:ObjectiveToimprovetheguide-followingrateofcathetermaintenancefordischargedpatientwithperipherallyinsertedcentralcatheter(PICC)byqualitycontrolcircle(QCC).MethodsAQCCgroupwasestablishedtoconductstatusquoinvestigationonhowtoimprovetheguide-followingrateofcathetermaintenancefordischargedpatientswithPICC.Aftertheanalysisoftherealcause,thetargetwasset,thenthecorrespondingcountermeasureswereimplemented.ResultsAfterthepracticeofcountermeasures,theguide-followingrateincreasedfrom60%to82%.ConclusionTheguide-followingrateofcathetermaintenancefordischargedpatientswithPICCiselevatedbyoperatingscientificmanagement.Keywords:peripherallyinsertedcentralcatheter(PICC);dischargedpatientwithPICC;qualitycontrolcircle;guide-followingrate,[1]。,,,。,,,。PICC、,PICC,、、,PICC[2],,,PICC。201011—20118“(peripherallyinsertedcentralcatheter,PICC)”。,,,。。1,“”,:,:,,,,,,6,,201011—20118,1,0.5~1h。1.2.1,,,、、、,[3]———PICC。:PICC,(),[4]。,,[]2012-03-21[](1978-),,,,。2012,19(11B),,、。PICCPICC,、、、,、、、[5]。[6]PICC。:=÷×100%。1.2.2。:PICC;;,。:PICC。:,。,,,。1.4.1PICC,,:PICC,、,PICC,。1.4.2。20101220—2011116PICC62,37,60%;2540%,1。,1、、380%,80/20[7],。[8]:=-(××)。,60%,40%,80%。68%,:=40%-(40%×68%×80%),18%,82%,PICC60%82%。,PICC[9],1、、3,、、、、、6。201121—28,64,40,24,,80/20,4:,,,。,,,、、,80/205。1.7.1。PICC,、。,。1.7.2,,。,,:————。,。1.7.3,,,。PICC,1PICC。:PICC10cm,、、、、,,。1.7.4。PICC,PPTPICC,。、,,,,,,[10],,。,,,。1.7.5PICC,,。、[11]:。1PICC(%)(%)193636728644168031292281002510011B:PICC,,,、、、。,、。PICC,PICC,、、,,PICC,,PICC。SPSS12.0,χ2,P0.05。2,201176—82PICC67,85%(57/67),60%(37/62)(χ2=10.505,P0.05)。、、、、、,3.88、3.63、3.50、2.25、3.13、2.75,:4.29、4.43、4.00、3.86、4.43、3.43,,。3,,,,,,,。PPT、、、、、,。,PICC,,。PICC,。、、、、,,[12]。,,、、、、、,,。,()、、,,,,。,,。,、3.86、3.43,,,,PPT,。[][1]EvansJR,LindsayWM.TheManagementandControlofQuality[M].7th.SouthernWestern:ThomsonPublishers,2008:848.[2],,.PICC[J].,2009,16(1A):20-24.[3],.“”[J].,2010,18(5):489-491.[4],.PICC[J].,2011,18(8A):15-18.[5],,.[M].:,2010:98-99.[6],,.[J].,2004,19(4):344-345.[7],,,.80/20[J].,2006,21(7):52.[8],,.[J].,2012,19(3B):33-35.[9].[J].,2004,11(12):60.[10].[M].:,2010:33.[11],,.PICC[J].,2010,8(23):127-128.[12],.[J].,2011,18(1B):27-28.[:]