超声引导下改良塞丁格技术置入PICC的培训与效果分析

摘要

Objective To investigate training of the ultrasound-guided modified Seldinger technique(MST)for cannulation of PICC.Method Twenty-nine nurses trained with the traditional training on ultrasound-guided MST during December 2009 to December 2011 were set as control group and another 29 nurses trained with the systematic training during December 2011 to December 2013 were as experiment group.The training effect were compared between the two groups after 2 months training.Results The theoretical knowledge in the experiment group was improved significantly compared with the control group. Moreover, the success rate of catheterization in the experiment group was 100.0%,significantly higher than that in the control group(both P<0.01).Conclusion Systematic training system is more effective than the traditional training.It can improve the nurses’technical and theoretical knowledge on ultrasound-guided MST for PICC.%目的：探讨超声引导下改良塞丁格技术（modified seldinger technique，MST）置入经外周静脉置入中心静脉导管（peripherally inserted central catheters，PICC）的系统化培训效果。方法将2009年12月～2011年12月在本院接受超声引导下MST置入PICC常规专科培训的护士29名设为对照组，将2011年12月～2013年12月在本院接受超声引导下MST置入PICC系统化专科培训的护士29名设为实验组。2个月后比较两组培训效果。结果带教老师认为实验组学员对理论知识掌握情况及操作技能一次成功率较对照组明显提高。两组学员理论知识及技能考核成绩比较，均P＜0.01，差异具有统计学意义，实验组考核成绩明显优于对照组。结论系统化培训教学模式优于常规培训教学模式，其能明显提高学员超声引导下MST置入PICC技术及理论知识。