外周静脉导管在肿瘤学和血液学患者护理中的应用
Peripheral intravenous catheters in the care of oncology and haematology patients.
作者信息
Larsen Emily N, Ray-Barruel Gillian, Takashima Mari, Marsh Nicole, Friese Christopher R, Chopra Vineet, Alexandrou Evan, Rickard Claire M
机构信息
School of Nursing and Midwifery, Griffith University, Brisbane, QLD, Australia.
Nursing and Midwifery Research Centre, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
出版信息
Aust J Cancer Nurs. 2022 May;23(1):16-22. doi: 10.33235/ajcn.23.1.16-22.
AIM
To determine peripheral intravenous catheter (PIVC) characteristics, complications and risk factors among patients in cancer units.
METHODS
A secondary analysis of a global, cross-sectional study (127 hospitals in 24 countries). Participants (≥18 years) admitted to cancer units were assessed once for PIVC characteristics and the presence of complications. Variables included patient demographics, device characteristics, treatment details, and device and/or site complications. PIVC characteristics were presented using qualitative descriptors; mixed-effects logistic regression models determined risk factors for PIVC complications.
RESULTS
In total, 1,807 participants (1,812 PIVCs) were included; 12% (n=215) of PIVCs presented with complications. Risk factors included: insertion by doctors; insertion in ED and ambulance/other locations; poor PIVC dressing integrity; dwell time ≥49 hours; and administration of colloids/blood products and antiemetics.
CONCLUSIONS
At least one in ten PIVCs in cancer units present with complications; regular PIVC assessment and improved dressing integrity is likely to reduce risk and improve outcomes.
目的
确定癌症病房患者外周静脉导管（PIVC）的特征、并发症及危险因素。
方法
对一项全球横断面研究（24个国家的127家医院）进行二次分析。对入住癌症病房的参与者（≥18岁）的PIVC特征及并发症情况进行一次评估。变量包括患者人口统计学特征、设备特征、治疗细节以及设备和/或部位并发症。PIVC特征用定性描述词呈现；混合效应逻辑回归模型确定PIVC并发症的危险因素。
结果
共纳入1807名参与者（1812根PIVC）；12%（n = 215）的PIVC出现并发症。危险因素包括：由医生插入；在急诊科、救护车/其他场所插入；PIVC敷料完整性差；留置时间≥49小时；以及输注胶体/血液制品和止吐药。
结论
癌症病房中至少十分之一的PIVC会出现并发症；定期进行PIVC评估并改善敷料完整性可能会降低风险并改善结局。
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