中心静脉导管堵塞风险分级预控方案的构建与应用
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女,本科,副主任护师,护士长

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中华医学会杂志社2021-2022年护理学科研究课题(CMAPH-NRD2021059)


Development and application of a graded risk prevention program for central venous catheter occlusion
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    目的 构建中心静脉导管堵塞风险分级预控方案并评价应用效果。方法 将2023年5-8月的149例患者作为对照组,予以中心静脉导管常规置入、固定及维护;2023年9-12月收治的151例患者为观察组,采用基于风险预测模型和证据总结,经专家会议法构建的预防中心静脉导管堵塞的分级预控方案进行干预。比较干预前后两组患者中心静脉导管堵塞的发生率、导管留置时间以及护士对中心静脉导管堵塞预防及处理的知识知晓率。结果 干预后观察组患者导管堵塞发生率低于对照组,但P值接近临界值(0.05);导管平均留置时间显著长于对照组(P<0.05);应用方案后护士中心静脉导管堵塞预防及处理知识知晓率显著提高(均P<0.05)。结论 应用中心静脉导管堵塞风险分级预控方案能延长患者置管时间,增强护理人员预防导管堵塞风险意识;但对导管堵塞率的影响有待扩大样本量进一步研究证实。

    Abstract:

    Objective To develop a graded risk prevention program for central venous catheter occlusion and evaluate its application effect.Methods From May to August 2023, 149 patients were assigned to the control group and received conventional central venous catheter insertion, fixation, and maintenance; from September to December 2023, 151 patients were assigned to the observation group and were subjected to a graded risk prevention program for central venous catheter occlusion, which was developed based on a risk prediction model, evidence summaries, and expert panel discussions.The incidence of central venous catheter occlusion, catheter indwelling time, and nurses′ knowledge awareness rate regarding the prevention and management of catheter occlusion were compared between the two groups before and after the intervention.Results After the intervention, the incidence of catheter occlusion in the observation group was lower than that in the control group, but the P-value was close to the critical value (0.05); the average catheter indwelling time of the observation group was significantly longer than that of the control group (P<0.05); after applying the program, the knowledge of prevention and treatment of central venous catheter occlusion among nurses was significantly improved (P<0.05).Conclusion The application of a graded risk prevention program for central venous catheter occlusion can extend the catheter indwelling time, and enhance the awareness of nursing staff in preventing catheter occlusion risks.However, the impact on catheter occlusion rates requires further investigation with a larger sample size to confirm.

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于静,李育玲,孟效红,黄河,李怀燕,冯丽娜,崔旭静,马凝睿.中心静脉导管堵塞风险分级预控方案的构建与应用[J].护理学杂志,2025,(13):71-74

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  • 收稿日期:2025-01-15
  • 最后修改日期:2025-04-09
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  • 在线发布日期: 2025-07-31