影响未使用的短外围导管的因素:一个永无止境的辩论? 在住院患者的横截面研究
Federica Canzan1, Jessica Longhini1, Elisabetta Allegrini2
1Department of Diagnostic and Public Health, University of Verona, Verona, Italy.
The journal of vascular access
|December 10, 2024
概括
三分之一的住院患者有未使用的短外围导管,通常是由于临床需要. 减少这些置导管可以提高患者的安全性并降低成本.
科学领域:
- 医疗器械 医疗器械
- 护理实践 护理实践
- 患者安全 患者安全
背景情况:
- 人们越来越关注未使用的血管接入装置.
- 医疗外科病房中置短外围导管的数据有限.
- 本研究涉及未使用的短外围导管的患病率和风险因素.
研究的目的:
- 评估住院患者中未使用的短外围导管的患病率.
- 为了确定与保持这些导管在现场相关的风险因素.
- 了解护士不使用导管的原因.
主要方法:
- 一项在2022年9月进行的横截面观测研究.
- 通过24小时的临床观察和医疗记录审查收集的数据.
- 多变量逻辑回归用于识别风险因素;护士采访原因.
主要成果:
- 在621名短外围导管患者中,有三分之一的患者至少有一个未使用的导管.
- 放置在急诊室的导管几乎是未使用的风险的两倍.
- 更小口径和更短持续时间的导管不太可能被不使用;临床条件是主要原因.
结论:
- 未使用的短外围导管仍然很普遍,一些病例是由于临床需要而合理的.
- 一部分未使用的导管可能是可以避免的,突出了改善管理的潜力.
- 这些发现可以为减少未使用的导管的方案提供信息,从而减少并发症,成本并提高患者的安全性.
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