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预防外周静脉置入中心静脉导管患者并发症的护理干预措施:一项范围综述

Nursing Interventions to Prevent Complications in Patients with Peripherally Inserted Central Catheters: A Scoping Review.

作者信息

Vilão Andreia, Castro Cidália, Fernandes Júlio Belo

机构信息

Department of Nursing, Almada-Seixal Local Health Unit, 2805-267 Almada, Portugal.

Nurs * Lab, 2829-511 Almada, Portugal.

出版信息

J Clin Med. 2024 Dec 27;14(1):89. doi: 10.3390/jcm14010089.

Abstract

: A Peripherally Inserted Central Catheter (PICC) is a safe and effective Central Vascular Access Device when properly used. Therefore, it has become an increasingly frequent procedure. Nurses are often the professionals responsible for its insertion, maintenance, and removal. Despite the advantages of this device, it presents risks and possible associated complications. This scoping review aims to identify and analyze nursing interventions to prevent complications in adults with PICC. : The review was conducted according to Joanna Briggs Institute's scoping review proposal. The electronic databases Pubmed, CINAHL Complete, MEDLINE Complete, Cochrane Central Register of Controlled Trials, Nursing & Allied Health Collection: Comprehensive, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Library, Information Science & Technology Abstracts, and MedicLatina were consulted in October 2023. Additionally, we searched the websites of the Registered Nurses Association of Ontario and the Canadian Vascular Access Association. We included articles published in English and Portuguese between 2018 and 2023. : A total of 170 articles were initially identified. After selecting and analyzing the articles, 13 studies were included. This review identified nursing interventions in adults to prevent PICC-related complications, categorized into five main groups: pre-procedure, during the procedure, post-procedure, maintenance, and team management interventions. Nurses are pivotal in averting PICC complications by employing evidence-based nursing interventions at each process stage. : The importance of nursing interventions in enhancing patient safety, improving health outcomes, and informing clinical practice highlights the need for standardized protocols, specialized training, and consistent patient education for PICC care.

摘要

外周静脉穿刺中心静脉导管(PICC)在正确使用时是一种安全有效的中心血管通路装置。因此,它已成为一种越来越常见的操作。护士通常是负责其插入、维护和拔除的专业人员。尽管该装置有诸多优点,但也存在风险和可能的相关并发症。本综述旨在识别和分析预防成人PICC并发症的护理干预措施。

本综述是根据乔安娜·布里格斯研究所的综述方案进行的。2023年10月,查阅了电子数据库PubMed、CINAHL Complete、MEDLINE Complete、Cochrane对照试验中心注册库、护理与联合健康综合文集、Cochrane系统评价数据库、Cochrane方法学注册库、图书馆、信息科学与技术文摘以及MedicLatina。此外,我们还搜索了安大略省注册护士协会和加拿大血管通路协会的网站。我们纳入了2018年至2023年间以英文和葡萄牙文发表的文章。

最初共识别出170篇文章。在对文章进行筛选和分析后,纳入了13项研究。本综述确定了成人预防PICC相关并发症的护理干预措施,分为五个主要类别:操作前、操作期间、操作后、维护以及团队管理干预措施。护士在每个流程阶段采用循证护理干预措施以避免PICC并发症方面起着关键作用。

护理干预措施在提高患者安全性、改善健康结局以及为PICC护理的临床实践提供依据方面的重要性凸显了制定标准化方案、提供专业培训以及对PICC护理进行持续患者教育的必要性。

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