School of Nursing, Central South University, Changsha, People's Republic of China.
Department of Nursing, Central South University, Xiangya Hospital 2, Changsha, People's Republic of China.
Contemp Nurse. 2020 Feb;56(1):80-89. doi: 10.1080/10376178.2020.1741417. Epub 2020 Apr 8.
Arm choice for peripherally inserted central catheter (PICC) insertion is often determined by PICC nurses. To explore the impact of arm choice (dominant or non-dominant) on the rate of catheter-related complications and degree of comfort in patients with PICCs. A cross-sectional study. We used questionnaires and scales to collect 255 patients' general information, catheter-related complications and comfort degree. They were divided into two groups (PICC inserted in the dominant or non-dominant arm). There were significant differences in the rate of PICC occlusion and insertion site bleeding ( 9.829, < 0.05; 6.502, < 0.05), both were lower in the non-dominant group than in the dominant group. Patients in the non-dominant group had a higher degree of comfort ( = -10.166, < 0.01). Inserting into non-dominant arms is related to the lower rate of catheter-related complications and higher degree of comfort for patients. These findings provide practical evidence for nurses to make a better choice.
经外周静脉穿刺中心静脉置管（PICC）置管时，手臂的选择通常由 PICC 护士决定。为了探讨手臂选择（优势或非优势）对 PICC 患者导管相关性并发症发生率和舒适度的影响。一项横断面研究。我们使用问卷和量表收集了 255 名患者的一般信息、导管相关性并发症和舒适度。他们被分为两组（PICC 插入优势或非优势手臂）。PICC 闭塞和置管部位出血的发生率存在显著差异（ 9.829, < 0.05； 6.502, < 0.05），非优势组均低于优势组。非优势组患者的舒适度更高（ = -10.166, < 0.01）。将导管插入非优势手臂与较低的导管相关性并发症发生率和更高的患者舒适度相关。这些发现为护士做出更好的选择提供了实际证据。
