[1]张蕾,李英华,莫晓晨,等.肿瘤患者耐高压注射型经外周静脉置入中心静脉导管堵管风险因素的调查分析[J].军事护理,2021,38(01):75-79.[doi:10.3969/j.issn.1008-9993.2021.01.020]
　ZHANG Lei,LI Yinghua,MO Xiaochen,et al.Survey on the Risk Factors of High Pressure Resistant Peripherally Inserted Central Catheter Blockage among Tumor Patients[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(01):75-79.[doi:10.3969/j.issn.1008-9993.2021.01.020]
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肿瘤患者耐高压注射型经外周静脉置入中心静脉导管堵管风险因素的调查分析
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年01期
页码:
75-79
栏目:
专科护理
出版日期:
2021-01-15

文章信息/Info

Title:
Survey on the Risk Factors of High Pressure Resistant Peripherally Inserted Central Catheter Blockage among Tumor Patients
文章编号:
1008-9993(2021)01-0075-05
作者:
张蕾1; 李英华2; 莫晓晨3; 杨青敏4
(1.复旦大学附属肿瘤医院闵行分院 护理部,上海 200240; 2.复旦大学附属上海市第五人民医院 中心实验室,上海 200240; 3.复旦大学附属肿瘤医院闵行分院 放疗科; 4.复旦大学附属上海市第五人民医院 护理部)
Author(s):
ZHANG Lei1; LI Yinghua2; MO Xiaochen3; YANG Qingmin4
(1.Department of Nursing,Minhang Branch of Tumor Hospital,Fudan University,Shanghai 200240,China; 2.Central Laboratory,Shanghai Fifth People's Hospital,Fudan University,Shanghai 200240,China; 3.Radiotherapy Department,Minhang Branch of Tumor Hospital,Fuda
关键词:
肿瘤;  耐高压注射型;  经外周静脉置入中心静脉导管;  堵管
Keywords:
tumor;  high pressure resistant;  peripherally inserted central catheter;  blockage
分类号:
R473.73
DOI:
10.3969/j.issn.1008-9993.2021.01.020
文献标志码:
A
摘要:
目的 了解肿瘤患者住院期间耐高压注射型经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)置管发生堵管的风险因素,为相关护理提供理论指导。方法 便利抽样选取某院288例携带耐高压注射型PICC肿瘤患者,分析其住院期间PICC导管堵塞发生的影响因素。结果 留置耐高压注射型PICC住院肿瘤患者住院期间发生堵管率为29.9%,年龄、体质量指数(body mass index,BMI)、D2聚体对堵管发生率影响显著。和<45岁相比,年龄45～60岁和>60岁时堵管发生率的OR值分别为4.892(P=0.056)和11.286(P<0.001); BMI≥24时堵管发生率的OR值为4.831(P=0.002); 使用碘对比剂患者堵管发生率的OR值为0.079(P<0.001),碘对比剂的使用是堵管发生的保护因素。结论 需特别关注年龄>45岁、BMI≥24以及未使用碘对比剂的携带耐高压注射型PICC肿瘤患者,并积极采取预防堵管发生的护理措施。
Abstract:
Objective To investigate the risk factors of high pressure resistant peripherally inserted central catheter(PICC)blockage among tumor patients during hospitalization,so as to provide theoretical guidance for relevant nursing.Methods Convenient sampling was used to select 288 tumor patients with high pressure resistant PICC from a hospital to analyze the influencing factors of PICC blockage during their hospitalization.Results The blockage rate among the tumor patients with high pressure resistant PICC during their hospitalization was 29.9%.Age,body mass index(BMI),and D-Dimer exerted significant effects on the blockage rate.Compared with patients younger than 45-year-old,the OR values of the blockage rate were 4.892 for the patients aged between 45 and 60 years old(P=0.056 ),and 11.286 for the patients older than 60-year-old(P<0.001).When BMI≥24,the OR value of the blockage rate was 4.831(P=0.002).The OR value of the blockage rate among patients using iodine contrast agent was 0.079(P<0.001).The use of iodine contrast agent was a protective factor for the occurrence of blockage.Conclusions Special attention should be paid to the tumor patients with high pressure resistant PICC who are older than 45-year-old,and with the BMI≥24 and have not used the iodine contrast agent.Preventive nursing measures should be taken positively to reduce the blockage rate.

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(本文编辑:陈晓英)

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备注/Memo

备注/Memo:
【 收稿日期 】 2020-05-04 【 修回日期 】 2020-11-09
【 基金项目 】 上海市闵行区卫生健康委员会科研课题(2019MW15); 上海市闵行区社会科学研究课题(G20114)
【 作者简介 】 张蕾,本科,副主任护师,主要从事肿瘤护理及护理管理工作研究
【 通讯作者 】 杨青敏,电话:18918165995
更新日期/Last Update: 2021-01-15