[1]江文,何海燕,彭娜,等.置管前经外周静脉穿刺置入中心静脉导管并发症风险评估指标体系的构建[J].第三军医大学学报,2016,38(12):1466-1470.
 Jiang Wen,He Haiyan,Peng Na,et al.Establishment of a risk assessment index system for peripherally inserted central catheterization complications before placement[J].J Third Mil Med Univ,2016,38(12):1466-1470.
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
38卷
期数:
2016年第12期
页码:
1466-1470
栏目:
临床医学
出版日期:
2016-06-30

文章信息/Info

Title:
Establishment of a risk assessment index system for peripherally inserted central catheterization complications before placement
作者:
江文何海燕彭娜刘蕾曾登芬
第三军医大学大坪医院野战外科研究所:护理部,肿瘤中心
Author(s):
Jiang Wen He Haiyan Peng Na Liu Lei Zeng Dengfen

Department of Nursing, Center of Tumor, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing, 400042, China

关键词:
经外周静脉穿刺置入中心静脉导管风险评估评估指标德尔菲法
Keywords:
peripherally inserted central catheterization risk assessment assessment index Delphi approach
分类号:
R181.23; R194; R472.9
文献标志码:
A
摘要:

目的      构建适用于临床的置管前经外周静脉穿刺置入中心静脉导管(peripherally inserted central catheterization, PICC)患者并发症风险评估指标体系,用于医护人员在PICC置管前对患者的情况进行系统评估,判断相关并发症发生的可能性。      方法       通过前期对PICC置管专业护士进行问卷调查、专家访谈、文献查证和Meta分析,形成置管前PICC并发症风险评估指标体系,采用改良德尔菲法对18位PICC护理专家进行咨询和重要性评分,用Excel 2015和 SPSS 21.0软件计算指标权重并修改定稿。      结果      依据PICC并发症的相关风险因素,建立了由4个一级指标和41个二级指标组成的置管前PICC并发症风险评估指标体系,其中一级指标包括患者基本情况(16个二级指标)、穿刺肢体情况(12个二级指标)、血管和导管选择情况(8个二级指标)和患者依从性(5个二级指标)。      结论      初步建立了置管前PICC并发症风险评估指标体系,能据此进行PICC并发症风险评估,从而针对性制定护理计划以预防和减少PICC并发症的发生。

Abstract:

Objective      To establish a risk assessment index system of peripherally inserted central catheterization (PICC) complications, and provide a scientific basis for risk assessments before placing PICC.       Methods      Preliminary framework and indicators were formulated based on literature review, Meta analysis, conversation and questionnaire. By Delphi approach, the risk assessment indexes were made into table questionnaire, and expert consultation was conducted. Importance of the risk assessment indexes were scored. Weights were determined by Excel 2015 and SPSS 21.0.       Results       A preliminary PICC complication risk assessment index system including 4 first-class indexes and 41 secondary-class indexes was established based on the main factors of PICC complications. The first-class indicators included basic situation of patients (16 secondary indicators), inserted body condition (12 secondary indicators), vessel and catheter selection (8 secondary indicators) and patient compliance (5 secondary indicators).       Conclusion      The risk assessment index system of PICC complications before placement is basically established to assess the complication risk, so as to prevent and reduce the incidence of PICC complications.

更新日期/Last Update: 2016-06-08