维持外周短导管通畅：急性护理环境中生理盐水封管与持续输注的比较。
Maintaining Short Peripheral Catheter Patency: A Comparison of Saline Lock Versus Continuous Infusion in the Acute Care Setting.
作者信息
Roszell Sheila Serr, Rabinovich Holly Barlowe, Smith-Miller Cheryl A
机构信息
University of North Carolina Healthcare System, Chapel Hill, North Carolina (Drs Roszell and Smith-Miller, and Ms Rabinovich). Sheila Serr Roszell, PhD, MSN, RN-BC, is the owner of Improvement Thinking Metrics, LLC, and is a quality data analyst for the University of North Carolina Healthcare System. She holds a BSN from the University of Missouri and an MSN and PhD in nursing, health care systems from the University of North Carolina at Chapel Hill. Holly Barlowe Rabinovich, BSN, RN, is a clinical nurse on an orthopedic trauma surgical unit at the University of North Carolina Healthcare System. She earned a BSN from the University of North Carolina at Chapel Hill. This project is her first foray into research. Cheryl A. Smith-Miller, PhD, RN-BC, is a nurse researcher at the University of North Carolina Healthcare System. She is currently serving as a nurse scientist, facilitating clinical nurses' engagement in research. Her research interests include nurses' work, culture, diabetes, and health disparities.
出版信息
J Infus Nurs. 2018 May/Jun;41(3):165-169. doi: 10.1097/NAN.0000000000000276.
Sparse evidence exists about how short peripheral catheter (SPC) duration is affected by the presence of a saline lock versus continually infusing fluids. Often the choice to lock an SPC with saline is based on provider preference, rather than available evidence or patient-centered factors. This study compared the duration of 85 SPCs: locked with saline versus continuously running fluids. A secondary analysis considered the influence of a number of intermittent medications and flushes. Although the saline-locked group had a slightly longer duration time, it was not statistically significant. Factors such as desire to ambulate or nighttime saline flushes merit consideration in SPC care decisions and standardized nurse-driven protocols.
关于与持续输液相比，生理盐水封管对短外周导管（SPC）留置时间的影响，现有证据稀少。通常，用生理盐水封管SPC的选择基于医护人员的偏好，而非现有证据或以患者为中心的因素。本研究比较了85根SPC的留置时间：生理盐水封管与持续输液。二次分析考虑了多种间歇性用药和冲管的影响。尽管生理盐水封管组的留置时间略长，但无统计学意义。在SPC护理决策和标准化的护士主导方案中，诸如活动意愿或夜间生理盐水冲管等因素值得考虑。
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