患有癌症的成年人中与中央静脉接入装置相关的皮肤并发症:一项前性观察研究
Nicole C Gavin1, Sarah Northfield2, Gabor Mihala3
1Nurse Researcher, Cancer Care Services, Royal Brisbane and Women's Hospital, Herston; Researcher, Alliance for Vascular Access Teaching and Research Group, School of Nursing and Midwifery, Nathan, and School of Pharmacy and Medical Services, Southport; Adjunct Associate Professor, School of Nursing, Queensland, Australia University of Technology, Kelvin Grove; Senior Research Fellow, School of Nursing, Midwifery and Social Work, University of Queensland, St. Lucia; Senior Research Fellow, School of Medicine, University of Queensland, Herston; School of Nursing and Midwifery, Griffith University, Nathan, Queensland, Australia.
与中央静脉接入装置 (CVAD) 相关的皮肤并发症影响了27%的癌症患者. 风险因素包括移植对宿主疾病和女性性别,而完全植入的设备可能会降低风险.
科学领域:
- 瘤科 护理 护理专业
- 患者安全 患者安全
- 皮肤病学 皮肤病学
背景情况:
- 中枢静脉接入装置 (CVAD) 对于癌症患者的护理至关重要.
- 与CVAD相关的皮肤并发症对患者的健康和治疗连续性构成重大风险.
- 了解这些并发症的患病率和风险因素对于有效管理至关重要.
研究的目的:
- 在成人癌症患者中确定与CVAD相关的皮肤并发症的发生率和类型.
- 检查当前的CVAD管理实践.
- 确定与CVAD相关皮肤问题的风险增加相关的临床和人口因素.
主要方法:
- 一项前性队列研究,涉及369名成年癌症患者.
- 2017年3月至2018年3月期间,从626个CVAD收集了7,682个导管日的数据.
- 分析包括多变量风险因素的识别.
主要成果:
- 观察到27%的CVAD相关皮肤并发症发生率.
- 皮肤移植对宿主疾病 (2.1倍风险) 和女性性别 (1.4倍风险) 是显著的风险因素.
- 完全植入的血管接入装置与63%的皮肤并发症风险降低有关 (IRR为0.37).
结论:
- 与CVAD相关的皮肤并发症是癌症患者常见的和可能可预防的伤害.
- 对高风险患者群体的认识和基于证据的策略的实施对癌症护士至关重要.
- 改善皮肤评估,标准化CVAD带,提高临床医生的知识,可以降低并发症率.
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