热的应用,以改善静脉扩张的外周静脉导管在老年人:一个准实验性研究
Kae Yasuda1, Inaho Shishido, Chiyomi Matsuno
1Author Affiliations: Faculty of Health Sciences, Hokkaido University, Hokkaido, Japan (Yasuda, Shishido, and Yano); Institute for Integrated Innovations, Hokkaido University, Hokkaido, Japan (Yasuda); School of Nursing, Sapporo City University, Hokkaido, Japan (Matsuno).
在使用带之前施加热量可以显著改善老年人静脉的可见性和触觉性,提高外周静脉导管成功率. 这种简单的技术是建议老年患者使用的.
科学领域:
- 老年学是一门学科.
- 血管接入 血管接入
- 医疗器械 医疗器械
背景情况:
- 周围静脉注射导管 (PIVC) 失败率在老年人中较高.
- 衰老会损害静脉壁的完整性和内皮功能,使PIVC复杂化.
- 有效的PIVC依赖于扩张良好的静脉进行触摸和管.
研究的目的:
- 为了评估在住院的老年人体内,前热施加的静脉扩张效应.
- 为了比较PIVC现场评估的热应用跟随着门使用与单独使用门.
- 为优化老年人群中的PIVC提供证据.
主要方法:
- 一个连续的,主题内交叉设计被使用88名老年人 (平均年龄79.3岁).
- 参与者经历了两种条件:单独使用带 (对照) 和热施加 (40°C7分钟),然后再使用带.
- 测量包括静脉直径,深度,触觉性和干预前后的可见性.
主要成果:
- 热应用显著增加了静脉直径,改善了触觉和可见性,与仅使用门的对照相比.
- 热施加减少了静脉深度,促进了更容易的管.
- 在50%的病例中,静脉最初仅用带无法触摸,但热应用使其变得可触摸.
结论:
- 前热施加是提高老年人静脉扩张的有效方法.
- 这项技术改善了成功进行老年人外周静脉导管治疗的关键指标.
- 建议使用热来改善老年患者的静脉评估和PIVC成功.
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