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ÀÓ»óÀü¹®°£È£»ç ÁÖµµÀÇ PICC(Peripherally Inserted Central Catheter)ÇÁ·Î±×·¥ ¿î¿µ¿¡ ´ëÇÑ Æò°¡ ¿¬±¸

A Clinical Nurse Specialist-led PICC(Peripherally Inserted Central Catheter) Program in an Affiliated Hospital

ÀÓ»ó°£È£¿¬±¸ 2004³â 10±Ç 2È£ p.103 ~ 114
KMID : 1004620040100020103
¹ÚÁ¤À± ( Park Jeong-Yun ) - ¼­¿ï¾Æ»êº´¿ø

¹é¹Ì°æ ( Baek Mi-Kyung ) - ¼­¿ï¾Æ»êº´¿ø
±ÇÇý¸® ( Kwon Hye-Li ) - ¼­¿ï¾Æ»êº´¿ø
±è¼¼¶ó ( Kim Se-Ra ) - ¼­¿ï¾Æ»êº´¿ø
¾ç¼öÁø ( Yang Su-Ji ) - ¼­¿ï¾Æ»êº´¿ø
¹Ú±¤¿Á ( Park Kwang-Ok ) - ¼­¿ï¾Æ»êº´¿ø

Abstract

Purpose:The goal of this study was to introduce the PICC program for patients with ¥³ therapy and to present the nursing standard and the complication related to PICC.

Method:These outcomes of PICC program were collected during the period from November 2001 to April 2004.

Result:A total of 457 PICCs were inserted into 349 patients by the ¥³ CNS. The cases continuously increased and various patients units were referred. PICC program was extended to outpatient as well as inpatient. The mean duration of catheter use was 23 days; dwelltime ranged form less than 1 day to 247 days. The 457 catheters were in place for a total of 7,659 days. The reasons for removal were completed therapy in 123 cases(36.9%), patient death in 84 cases(25.2%), and mechanical or functional PICC problem in 70cases(21.0%). The 103 PICCs removed for presumed infection, phlebitis, edema(30.9%). The infection rate was calculated at accounted for 0.09% per 7,659 catheter days.

Conclusion:PICCs are safe and effective ways of delivering a variety of medical therapies via the central venous system. Therefore PICC program is rapidly growing popularity and required an extended course of ¥³ therapy.
KeyWords
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Peripherally inserted central catheter(PICC), Clinical nurse specialist(CNS)
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ÇмúÁøÈïÀç´Ü(KCI)