不同护理环境中未使用的短外周内静脉导管的定义和发生情况:范围审查
Elisa Ambrosi1, Jessica Longhini1, Giulia Marini1
1Department of Diagnostics and Public Health, University of Verona, Verona, Italy.
Nursing open
|April 25, 2025
概括
未使用的外周静脉导管在不同环境中具有不同的定义和发生率. 标准化定义和测量方法对于准确的数据和改善患者护理至关重要.
科学领域:
- 医疗器械 医疗器械
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 未使用的外周静脉注射导管 (PIVCs) 代表了潜在的资源浪费和错过了及时照顾患者的机会.
- 定义和测量未使用的PIVC的变量使跨研究和设置的比较变得复杂.
研究的目的:
- 检查在医院前和医院环境中未使用的PIVC的各种定义和流行情况.
- 确定与未使用的PIVCs发生相关的潜在预测因素.
主要方法:
- 根据既有方法进行了全面的范围审查 (Arksey & O'Malley, 2005; Levac等,2010).
- 在主要数据库 (Medline,PubMed,Embase,CINAHL,Scopus) 进行了广泛的文献搜索,截至2024年5月.
- 包括的研究集中在未使用的PIVCs在儿科和成人群体在医院前,急诊和住院设置,严格的查和数据提取.
主要成果:
- 包括25项研究,主要来自澳大利亚和紧急情况.
- 确定了未使用的PIVC的三个主要定义标准:"插入/使用目标"",时间标准"和"患者的临床状况".
- 患病率范围广泛,从8.4%到56%,受患者,设备和专业因素的影响.
结论:
- 在未使用的PIVC的定义和测量中存在显著的变异性,导致报告发生的范围广泛.
- 对于未使用的PIVC的定义和测量方法的标准化至关重要.
- 进一步的研究应考虑已识别的预测因素,以优化PIVC利用和患者护理.
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