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完全植入式静脉通路装置护理管理中国专家共识

Chinese expert consensus on the nursing management of the totally implantable venous access device.

作者信息

Xu Yin, Fei Xiao-Yan, Xue You-Hua, Wang Xue-Mei, Wang Xiao-Yan, Zheng Yu-Ting, Chen Ke, He Jing-Jing, Ren Xiu-Hong, Pan Lei, Wang Ling, Qian Duo, Li Wei-Feng, Liang Yan, Fang Yan, Huang Xu-Fang, Li Chun-Hong, Chen Dong-Ping, Wang Yang, Wen Li-Hong, Zhang Yong-Hui, Zheng Yan, Song Hui, Lin Ying-Chun, Zhang Qi, Yang Ru-Mei, Wang Zhong-Min

机构信息

Department of Nursing, Shanghai Jiao Tong University Medical School Affiliated Ruijin Hospital Luwan Branch, Shanghai, China.

Department of Nursing, Shanghai Jiao Tong University Medical School Affiliated Ruijin Hospital, Shanghai, China.

出版信息

J Cancer Res Ther. 2022 Sep;18(5):1231-1240. doi: 10.4103/jcrt.jcrt_387_22.

Abstract

The totally implantable venous access device (TIVAD) has been widely used in clinical nursing work in China. The use of TIVAD has significantly improved the safety of venous access and reduced the pain caused by a repeated puncture; however, it may also bring with it varying degrees of complications associated with the long-term insertion of TIVAD and the maintenance quality of the venous access. Standard maintenance of the venous access for TIVAD is very important for reducing complications and improving the efficacy and patient's quality of life. This consensus briefly describes the fundamental knowledge and operating procedures of TIVAD while focusing on the evaluation and management of perioperative nursing, the observation and treatment of complications, the operation methods, and precautions for maintenance of venous access, as well as health education. This agreement seeks to standardize the nursing care of TIVAD patients in China.

摘要

全植入式静脉输液港(TIVAD)已在中国临床护理工作中广泛应用。TIVAD的使用显著提高了静脉通路的安全性,减轻了反复穿刺带来的痛苦;然而,它也可能伴随着因TIVAD长期植入和静脉通路维护质量而产生的不同程度的并发症。TIVAD静脉通路的规范维护对于减少并发症、提高疗效和患者生活质量非常重要。本共识简要介绍了TIVAD的基本知识和操作流程,重点关注围手术期护理的评估与管理、并发症的观察与处理、静脉通路维护的操作方法及注意事项,以及健康教育。本共识旨在规范中国TIVAD患者的护理。

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