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[经外周静脉穿刺中心静脉置管(PICC)和中线导管患者教育方法的设计、实施与评估]

[Design, implementation and evaluation of an educational approach for patients with PICC line and midline].

作者信息

Petit M, Dumont R, Huon J-F, Sellal O, Feldman D

机构信息

Pharmacie, CHU de Nantes, Nantes Université, 44000 Nantes, France.

Unité d'accès vasculaire, CHU de Nantes, Nantes Université, 44000 Nantes, France.

出版信息

Ann Pharm Fr. 2023 Sep;81(5):882-892. doi: 10.1016/j.pharma.2023.02.001. Epub 2023 Feb 14.

Abstract

OBJECTIVES

Design the competency framework and an interview guide for patients with PICC line or midline. Develop a patient satisfaction evaluation questionnaire.

METHODS

A multidisciplinary team has developed a reference system for the skills of patients with PICC line or midline. The skills are classified in three categories: knowledge, know-how and attitudes. An interview guide was written in order to transmit the priority skills, determined beforehand, to the patient. A second multidisciplinary team designed a questionnaire to evaluate patient satisfaction.

RESULTS

The competency framework includes nine competencies: four, knowledge-based; three, know-how-based and two, attitude-based. Among these competencies, five were considered to be priorities. The interview guide is a tool that allows care professionals to transmit the priority skills to patients. The satisfaction questionnaire explores the information received by the patient, the passage through the interventional technical platform, the end of the management before the return home, and the overall satisfaction of the patients with the course of the device placement. Over a 6-month period, 276 patients responded with a high satisfaction rate.

CONCLUSIONS

The PICC line or midline patient's competency framework has made it possible to list all the skills that patients should acquire. The interview guide serves as a support for the care teams in the patient education process. This work could be used by other establishments to develop the educational process around these vascular access devices.

摘要

目的

为经外周静脉穿刺中心静脉置管(PICC)或中线导管患者设计能力框架和访谈指南。编制患者满意度评估问卷。

方法

一个多学科团队开发了一个针对PICC或中线导管患者技能的参考系统。这些技能分为三类:知识、实践技能和态度。编写了一份访谈指南,以便将预先确定的优先技能传授给患者。另一个多学科团队设计了一份问卷来评估患者满意度。

结果

能力框架包括九项能力:四项基于知识;三项基于实践技能;两项基于态度。在这些能力中,有五项被视为优先事项。访谈指南是一种工具,使护理专业人员能够将优先技能传授给患者。满意度问卷探讨了患者收到的信息、通过介入技术平台的情况、回家前管理的结束情况以及患者对置管过程的总体满意度。在6个月的时间里,276名患者做出了回应,满意度很高。

结论

PICC或中线导管患者的能力框架使得列出患者应掌握的所有技能成为可能。访谈指南为护理团队在患者教育过程中提供了支持。这项工作可供其他机构用于围绕这些血管通路装置开展教育过程。

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