Volume 21 Issue 1
Jan.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(1): 167-171
ZHENG Xia, MOU Jing, LIAO Lei. Construction of VTE nursing training system based on post competence and its application in the prevention of PICC-related venous thrombosis in patients with lung cancer[J]. Chinese Journal of General Practice, 2023, 21(1): 167-171. doi: 10.16766/j.cnki.issn.1674-4152.002837
Citation: ZHENG Xia, MOU Jing, LIAO Lei. Construction of VTE nursing training system based on post competence and its application in the prevention of PICC-related venous thrombosis in patients with lung cancer[J]. Chinese Journal of General Practice, 2023, 21(1): 167-171. doi: 10.16766/j.cnki.issn.1674-4152.002837
shu

Construction of VTE nursing training system based on post competence and its application in the prevention of PICC-related venous thrombosis in patients with lung cancer

doi: 10.16766/j.cnki.issn.1674-4152.002837

  • Department of Respiratory and Critical Care Medicine, the Third People' s Hospital of Chengdu, Affiliated Hospital of Southwest Jiaotong University, Chengdu, Sichuan 610031, China

Funds:

 2019HR39

  • Received Date: 2022-06-11
    Available Online: 2023-04-07
    Abstract
  •   Objective   This study aims to explore the construction of post competency-based VET nursing training system and its application effect on nursing team construction and PICC-associated venous thrombosis in patients with lung cancer.  Methods   A total of 132 patients with lung cancer and 36 nursing staff admitted to the Department of Surgery in the Third People' s Hospital of Chengdu, Affiliated Hospital of Southwest Jiaotong University from April 2019 to April 2020 were selected as the research objects. All patients and nursing staff were divided into the control group and observation group using the random number table method. Nursing staff in the control group received routine VTE training. The nursing staff in the observation group received VTE training based on post competency. The clinical symptoms in the two groups of patients were observed; the blood indexes were recorded, and the VTE awareness rate of the nursing staff and VTE monitoring indexes of the hospital were evaluated.  Results   After training and nursing, the incidence of deep vein thrombosis, pulmonary thromboembolism and PICC-related venous thrombosis in the observation group was significantly lower than that in the control group (all P < 0.05). The levels of D-dimer, fibrinogen degradation products and endogenous creatinine clearance in the observation group were significantly lower than those in the control group, whereas the levels of albumin were significantly higher than those in the control group, with statistical significance (all P < 0.05). The assessment accuracy, prevention accuracy, basic prevention rate, physical prevention rate and drug prevention rate of VTE in the observation group were higher than those in the control group (all P < 0.05). The assessment score and knowledge score of nursing staff in the observation group were significantly higher than those in the control group [(83.48±7.39) points, (82.48±7.42) points vs. (67.92±5.03) points, (67.46±6.38) points, t=7.385, 6.512, both P < 0.001].  Conclusion   The construction of the VTE nursing training system based on post competency is conducive to improving the risk quality management ability of hospitals, reducing the incidence of PICC-associated VTE events, improving the comprehensive quality of medical staff, broadening their scope of knowledge and bringing favourable conditions for the improvement of clinical symptoms and the recovery of blood function in patients with lung cancer.

     

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