开发和验证一种工具,用于外围插入的中央导管相关并发症的门诊监测
Sofie Segers1,2, Jodie Langbeen3, Stijn Blot4
1General Practitioners Society, Ieper, Belgium.
The journal of vascular access
|December 12, 2024
概括
一个新的监测工具有效地跟踪了在门诊亲肠道抗菌药物治疗 (OPAT) 中外围插入的中央导管 (PICC) 的并发症. 这种经过验证的工具有助于在门诊护理环境中管理与PICC相关的问题.
科学领域:
- 医疗器械 医疗器械
- 传染性疾病 传染性疾病
- 患者监测 患者监测
背景情况:
- 外围插入的中央导管 (PICC) 在门诊亲肠道抗菌疗法 (OPAT) 中至关重要.
- 目前在门诊护理中对PICC并发症的监测缺乏经过验证的工具,这阻碍了流行病学理解.
- 这种差距阻碍了与PICC相关问题的有效管理和监督.
研究的目的:
- 在OPAT中开发和验证一种用于监测PICC相关并发症的工具.
- 建立一种可靠的方法来评估PICC功能,插入部位,感染和血栓形成.
- 改善带有PICC的门诊护理患者的管理.
主要方法:
- 一个连续的混合方法设计,涉及文献审查,共同设计和Delphi小组验证.
- 通过专家的Delphi轮评估内容有效性,获得了高的内容有效性指数得分 (0.99和0.90).
- 该工具进行了试点测试和实施,评估了坚持和并发症率.
主要成果:
- 开发了一个经过验证的5项工具,涵盖功能,插入部位,固定,感染和血栓形成.
- 在17名参与者的试点实施中,发现了3个PICC并发症和2个再录取.
- 对监测工具的遵守率为74.8%,并指出对外部导管长度和温度监测的报告不足.
结论:
- 成功开发了一种内容有效的工具,用于PICC并发症的门诊监测.
- 该工具显示了改善OPAT中PICC使用监督和管理的潜力.
- 未来的研究应该集中在多中心评估和监测工具的数字化上.
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