在泌尿器科病房内难以静脉输入和导管失效的风险因素:一项前性观察性研究
Mari Abe1, Kaomi Tanaka2, Masuda Minoru1
1Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.
The journal of vascular access
|September 16, 2024
概括
周围静脉导管 (PIVC) 在泌尿病房的使用是常见的. 患有化疗病史的患者面临更高的PIVC访问困难和导管故障的风险,需要谨慎管理.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 血管接入 血管接入
- 患者的治疗结果.
背景情况:
- 泌尿病患者经常需要外周静脉导管用于各种治疗,包括化疗和感染管理.
- 老年泌尿器科患者往往具有脆弱的血管系统,增加了静脉输入的复杂性.
- 缺乏关于外周静脉导管实践和泌尿器科病房的结果的观察数据.
研究的目的:
- 描述目前在一般泌尿器科病房内放置外周静脉导管的做法.
- 在这个患者群体中,确定与难以静脉输入 (DIVA) 和导管失效 (CF) 相关的风险因素.
主要方法:
- 采用了前性观察性研究设计.
- 从医疗记录中收集了对导管安置和患者结果的数据.
- 使用多变量逻辑回归分析来确定DIVA和CF的风险因素.
主要成果:
- 该研究分析了99名患者的180个导管,平均年龄为70岁.
- 难以静脉输入的患病率 (DIVA) 为9.9%,导管失效率 (CF) 为35.2%.
- 癌症静脉化疗史与DIVA和CF都有显著的关联.
结论:
- 周围静脉导管的小心插入和管理对于泌尿病房的患者至关重要.
- 识别患有DIVA和CF高风险的患者可以改善泌尿病学环境中的护理和结果.
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