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护士使用辅助装置是否会影响儿童外周静脉置管的成功率?

Does the use of an assistive device by nurses impact peripheral intravenous catheter insertion success in children?

机构信息

Children's Hospital and Medical Center, Department of Nursing, Omaha, NE, USA.

出版信息

J Pediatr Nurs. 2012 Apr;27(2):134-43. doi: 10.1016/j.pedn.2010.10.009. Epub 2011 Feb 18.

DOI:10.1016/j.pedn.2010.10.009
PMID:22341192
Abstract

Peripheral intravenous (PIV) access is a common and essential component for the medical management of the hospitalized child. Delayed or failed PIV insertion can increase the risk for complications from delayed intravenous treatment. Repetitive PIV insertion attempts can cause psychological trauma to the child and decrease family satisfaction. This study examined the success of two vein visualization assistive devices in aiding PIV insertions performed by pediatric medical-surgical nurses. During the 11-month investigation period, PIV insertion success was significantly higher when no assistive device was used compared to assisted methods. Implications for practice and further research are discussed.

摘要

外周静脉(PIV)置管是住院儿童医疗管理中常见且必不可少的组成部分。PIV 插入延迟或失败会增加因延迟静脉治疗而导致并发症的风险。反复进行 PIV 插入尝试会给儿童造成心理创伤,并降低家庭满意度。本研究调查了两种静脉可视化辅助设备在协助儿科医护人员进行 PIV 插入方面的成功率。在 11 个月的调查期间,与使用辅助方法相比,不使用任何辅助设备时 PIV 插入的成功率显著更高。讨论了对实践和进一步研究的影响。

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1
Does the use of an assistive device by nurses impact peripheral intravenous catheter insertion success in children?护士使用辅助装置是否会影响儿童外周静脉置管的成功率?
J Pediatr Nurs. 2012 Apr;27(2):134-43. doi: 10.1016/j.pedn.2010.10.009. Epub 2011 Feb 18.
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Pediatric Vascular Access Peripheral IV Algorithm Success Rate.小儿血管通路外周静脉输液算法成功率
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Pediatric peripheral i.v. insertion success rates.小儿外周静脉穿刺成功率。
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Utilization of a biomedical device (VeinViewer ) to assist with peripheral intravenous catheter (PIV) insertion for pediatric nurses.利用生物医学设备(静脉显像仪)协助儿科护士进行外周静脉留置针穿刺。
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Variables influencing intravenous catheter insertion difficulty and failure: an analysis of 339 intravenous catheter insertions.影响静脉导管插入难度及失败的因素:339例静脉导管插入情况分析
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Re: does the use of an assistive device by nurses impact peripheral intravenous catheter insertion success in children?关于:护士使用辅助设备是否会影响儿童外周静脉导管插入术的成功率?
J Pediatr Nurs. 2012 Oct;27(5):573; author reply 574-5. doi: 10.1016/j.pedn.2012.07.001. Epub 2012 Jul 31.
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VeinViewer-assisted Intravenous catheter placement in a pediatric emergency department.超声引导下静脉置管在儿科急诊中的应用。
Acad Emerg Med. 2011 Sep;18(9):966-71. doi: 10.1111/j.1553-2712.2011.01155.x. Epub 2011 Aug 19.
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Effect of Intravenous (IV) Assistive Device (VeinViewer) on IV Access Attempts, Procedural Time, and Patient and Nurse Satisfaction.静脉辅助设备(静脉显像仪)对静脉穿刺尝试、操作时间以及患者和护士满意度的影响。
J Pediatr Oncol Nurs. 2016 Jul;33(4):273-81. doi: 10.1177/1043454215600425. Epub 2015 Oct 28.
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Pediatric peripheral intravenous access: does nursing experience and competence really make a difference?小儿外周静脉穿刺:护理经验和能力真的有影响吗?
J Infus Nurs. 2010 Jul-Aug;33(4):226-35. doi: 10.1097/NAN.0b013e3181e3a0a8.

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J Spec Pediatr Nurs. 2018 Apr;23(2):e12208. doi: 10.1111/jspn.12208. Epub 2018 Feb 10.
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CMAJ. 2015 May 19;187(8):563-570. doi: 10.1503/cmaj.141012. Epub 2015 Apr 20.
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