The Effects of Simulated Teaching on Prevention of Catheter Extrusion of Patients with PICC

摘要

Objective: To explore the effects of simulated teaching on avoidance of catheter extrusion in patients with PICC. Background Catheter extrusion is one of the most common complications after PICC catheterization. The incidence is 5% to 3l% in literature which have reported. Catheter prolapse not only directly affects the treatment of patients, but also increases the pain and financial burden of patients. The main causes of catheter prolapse are improper external fixation, traction of external force, excessive activity of patients and lack of self-protection catheter knowledge. Health education can promote patients who are the co-administrator of the catheter to form correct behaviors and concepts. Health education has become an important part of clinical nursing work. Methods: A total of 915 patients with PICC were recruited in the present study. Simulated teaching regarding prevention of catheter extrusion to get her with previous health education was carried out in the laboratory center. Participants were required to do re-demonstration after the critical skills were taught. The tests core was compared before and after the simulated teaching. Besides, the rate of catheter extrusion was also recorded and compared with those patient s who did not receive the simulated teaching before. Results: Compared with the test score before the simulated teaching, test score after the teaching was higher. Rate of catheter extrusion among those who received simulated teaching was lower than those who did not get the teaching (χ~2 = 23.701, P 0.001). Conclusion: Health education with simulated teaching can help patients with PICC know the key points that they should pay attention to. Such teaching method can significantly decrease the rate of catheter extrusion.