经股静脉置入PICC堵管现状及影响因素分析
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女,硕士在读,学生

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2022年浙江省卫生健康科技计划项目(2022ZH035)


The incidence of occlusion of peripherally inserted central catheters placed through the femoral vein and its risk factors
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    目的 了解经股静脉置入PICC堵管现状及其影响因素,为开展相关护理措施提供参考。 方法 回顾性分析241例经股静脉置入PICC患者临床资料,经单因素和logistic回归分析发生导管堵管的影响因素。 结果 24.07%患者发生了导管堵管,回归分析结果显示,导管堵管的独立危险因素为伴有导管脱出、首次置管、经常行走以及导管类型为耐高压材质(均P<0.05)。 结论 经股静脉置入PICC堵管发生率较高,临床实践中应加强关注导管堵管的独立风险因素,并开展针对性干预或相关健康教育,降低堵管发生率。

    Abstract:

    Objective To assess the current status of the occlusion of peripherally inserted central catheter (PICC) placed through the femoral vein, and analyze its influencing factors, so as to provide reference for related nursing measures. Methods The clinical data of 241 patients with femoral vein PICC were retrospectively analyzed, and the influencing factors of catheter blockage were analyzed by univariate and logistic regression. Results Of the patients, 24.07% had catheter blockage. The results of regression analysis showed that the independent risk factors for catheter blockage included catheter dislodgement, first-time catheterization, frequent walking, and the type of PICC (power versus non power injectable) (all P<0.05). Conclusion The incidence of occlusion of PICC placed through the femoral vein is high. In clinical practice, we should pay more attention to the independent risk factors of catheter blockage, and carry out targeted intervention or related health education to reduce the incidence of catheter blockage.

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唐迎迎,徐文婷,王丽萍,曹秀珠,端烨,陈一丹,周娜,赵林芳.经股静脉置入PICC堵管现状及影响因素分析[J].护理学杂志,2023,38(6):55-58

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  • 收稿日期:2022-09-16
  • 最后修改日期:2022-11-15
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  • 在线发布日期: 2023-12-29