在外周静脉导管安置后立即观察到的超声波皮下瘤是随后导管失效的一个因素
Toshiaki Takahashi1, Gojiro Nakagami, Ryoko Murayama
1Author Affiliations: Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan (Takahashi, Nakagami, and Abe); Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan (Nakagami); Research Center for Implementation Nursing Science Initiative, Fujita Health University, Aichi, Japan (Murayama); Ishikawa Prefectural Nursing University, Ishikawa, Japan (Sanada).
在外周静脉导管部位的皮下预示着失败. 对这种的超声波评估可以帮助预防导管失效,改善患者的治疗结果.
科学领域:
- 医疗器械 医疗器械
- 血管接入 血管接入
- 临床护理 临床护理
背景情况:
- 周围静脉导管 (PIVC) 对于药物输送至关重要.
- 导管故障仍然是一个重大的临床挑战.
- 预测PIVC故障的预测因素需要进一步调查.
研究的目的:
- 调查皮下组织在PIVC插入部位和导管失效之间的关联.
- 评估超声波在识别瘤的实用性,以预测PIVC结果.
主要方法:
- 一项涉及273名PIVC患者的干预研究的二次分析.
- 超声波用于评估立即导管后的皮下.
- 导管失效定义为不完整的治疗;收集护理技能,药物和患者病史的数据.
主要成果:
- 在7.0%的PIVC病例中存在皮下.
- 导管故障发生在28.9%的病例中,其中78.9%的故障与先前存在的有关.
- 胀是导管失效的重要预测因素 (调整后的危险比率为9.4).
结论:
- 在PIVC插入部位的皮下胀是导管失效的重要预测因素.
- 的超声波评估可能提供一种方法来主动预防PIVC失败.
- 早期识别胀可以指导干预措施,以改善导管寿命.
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