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BMJ Qual Saf. 2019 Jul;28(7):574-581. doi: 10.1136/bmjqs-2018-008726. Epub 2019 Jan 25.
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Support Care Cancer. 2018 Feb;26(2):441-449. doi: 10.1007/s00520-017-3815-4. Epub 2017 Jul 13.

本文引用的文献

1
High rate of complications associated with peripherally inserted central venous catheters in patients with solid tumours.实体瘤患者外周静脉穿刺中心静脉置管相关并发症发生率高。
Intern Med J. 2004 May;34(5):234-8. doi: 10.1111/j.1444-0903.2004.00447.x.
2
Complication rates among cancer patients with peripherally inserted central catheters.外周静脉穿刺中心静脉置管的癌症患者的并发症发生率。
J Clin Oncol. 2002 Aug 1;20(15):3276-81. doi: 10.1200/JCO.2002.11.135.
3
Peripherally inserted central catheters. Intravenous Nurses Society.外周静脉穿刺中心静脉导管。静脉输液护理学会。
J Intraven Nurs. 1997 Jul-Aug;20(4):172-4.

经外周静脉穿刺中心静脉置管（PICC）管异常拔管患者的经历：一项定性研究

Experiences of patients with abnormal extubation of PICC tubes: a qualitative study.

作者信息

Gao Wei, Luan Xiao-Rong, Sun Yuan-Yuan, Zhang Ming, Li Kan, Li Qiu-Huan, Zhang Hong, Liu De-Shan

机构信息

PICC Clinic, Qilu Hospital of Shandong University Jinan 250012, China.

Department of Nursing, Qilu Hospital of Shandong University Jinan 250012, China.

出版信息

Int J Clin Exp Med. 2015 Oct 15;8(10):19297-303. eCollection 2015.

PMID:26770567
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4694467/
Abstract

OBJECTIVE

To explore the experiences of patients with abnormal extubation of PICC tubes.

METHODS

Using phenomenological research methods, 15 cases of patients with abnormal extubation of PICC tubes were enrolled in semi-structured interviews. Data were analyzed by Nancy's phenomenological procedure.

RESULTS

After abnormal extubation, patients exhibited conflicting complicated mood which combined negative experience and positive experience. Negative experience was mainly for complaint, helpless, worry and fear. Positive experience was mainly for relief and peace of mind.

CONCLUSIONS

Patients with abnormal extubation often possessed negative experience. So nursing staff should be suggested to communicate with patients before extubation in order to reduce the dispute between nurses and patients. At the same time, we should summarize and analyze the reasons and factors for abnormal extubation, and take targeted intervention measures in clinical to ensure the safety and effectiveness of PICC extubation.

摘要

目的

探讨经外周静脉穿刺中心静脉置管（PICC）拔管异常患者的经历。

方法

采用现象学研究方法，对15例PICC拔管异常患者进行半结构式访谈。数据采用南希现象学程序进行分析。

结果

拔管异常后，患者表现出矛盾复杂的情绪，既有负面体验又有正面体验。负面体验主要为抱怨、无助、担忧和恐惧。正面体验主要为解脱和安心。

结论

拔管异常患者常有负面体验。建议护理人员在拔管前与患者沟通，以减少护患纠纷。同时，应总结分析拔管异常的原因及因素，临床采取针对性干预措施，确保PICC拔管的安全有效。