Effect of QC group activity reducing plugging pipe rate in patients with PICC during treatemnt period

Abstract

Objective To explored effective methods of care for outpatient with PICC intermittent treatment to reduce plugging risk of peripherally inserted central venous catheter (PICC),and to ensure the patient comfort and safety in catheter use.Methods There were 436 cases with PICC between January and September in 2010 in the control group,which received the routine nursing.And 459 cases between January and September in 2011 as the study group,which received the nursing from Quality Control group.Quality Control (QC) group analyzed the causes in catheter blockage of the outpatients with PICC on intermittent treatment and then made some nursing interventions for study group.Then,the incidence of complication and plugging pipe were observed and compared between the two groups.Results One year later,the complications of outpatients relating with PICC in study group were obviously decreased than that in control group (14.81％ vs 20.41％,x2 =4.844,P ＜ 0.05).In all of complications,catheter blockage rate 2.40％ vs 5.05％,and catheter pulling rate (0.22％ vs 1.38％) in study group were lower than that in control group,and the differences were statistically significant (x2 =4.420,3.866,respectively; P ＜ 0.05).Conclusions QC care activities can notably reduce the complications of outpatients with PICC treatment on intermittent period,which will be an effective way to elevate the quality of care,and improve life quality of the patients. Key words: PICC ; Complication; Catheter blockage; Quality control group