Breast Surgical Department, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China.
Department of Nursing, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China.
BMJ Open. 2023 Mar 30;13(3):e068656. doi: 10.1136/bmjopen-2022-068656.
The aim of this study was to investigate the level of practice of peripherally inserted central catheter (PICC) maintenance among nurses in Guizhou province, China, and to explore its influencing factors.
Cross-sectional study.
11 tertiary and 26 secondary hospitals of Guizhou province, China.
A total of 832 nurses engaged in clinical work of PICC maintenance participated in the present study.
PICC maintenance knowledge questionnaire, PICC maintenance attitude questionnaire and PICC maintenance practice questionnaire were administrated online for measuring participants' knowledge, attitude and practice of PICC maintenance, respectively.
The mean score of nurses' practice of PICC maintenance was 79.77±12.13 and 60.8% of participants reported acceptable practices of PICC maintenance. The availability of PICC guidelines (β=0.10, p=0.002), previous training on PICC maintenance (β=0.18, p<0.001) and attitudes toward PICC maintenance (β=0.48, p<0.001) were significant factors predicting nurses' practices of PICC maintenance. These factors account for 33% of the variance in the practice of PICC maintenance.
Nurses' practice of PICC maintenance in Guizhou province was unsatisfactory. Their practice was influenced by the availability of PICC guidelines, whether or not they received training and their attitudes toward PICC maintenance. A province-level PICC maintenance alliance is recommended to be established to improve the quality of PICC maintenance in Guizhou, which can develop or update PICC guidelines, and provide training on PICC maintenance regularly for nurses engaging in PICC maintenance.
本研究旨在调查中国贵州省护士外周静脉置入中心导管（PICC）维护实践水平，并探讨其影响因素。
横断面研究。
中国贵州省 11 家三级医院和 26 家二级医院。
共 832 名从事 PICC 维护临床工作的护士参与了本研究。
通过在线问卷调查，分别测量参与者 PICC 维护知识、态度和实践的 PICC 维护知识问卷、PICC 维护态度问卷和 PICC 维护实践问卷。
护士 PICC 维护实践的平均得分为 79.77±12.13，60.8%的参与者报告 PICC 维护实践可接受。PICC 指南的可用性（β=0.10，p=0.002）、PICC 维护的先前培训（β=0.18，p<0.001）和 PICC 维护的态度（β=0.48，p<0.001）是预测护士 PICC 维护实践的显著因素。这些因素占 PICC 维护实践差异的 33%。
贵州省护士的 PICC 维护实践情况不尽如人意。他们的实践受到 PICC 指南的可用性、是否接受培训以及对 PICC 维护的态度的影响。建议建立省级 PICC 维护联盟，以提高贵州省 PICC 维护质量，可制定或更新 PICC 指南，并定期为从事 PICC 维护的护士提供 PICC 维护培训。
