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三种不同技术用于改善静脉显影对护生首次外周静脉置管体验的影响:一项随机对照研究。

The effect of three different techniques used to improve vein prominence on the first peripheral venous catheterization experience in nursing students: a randomized controlled study.

作者信息

Yılmaz Hülya, Yılmaz Dilek, Çinar Hava Gökdere

机构信息

Department of Fundamentals of Nursing, Faculty of Health Sciences, Bursa Uludag University, Bursa, Türkiye.

Present address: Department of Fundamentals of Nursing, Faculty of Health Sciences, Bursa Uludag University, Gorukle, Bursa, 16059, Türkiye.

出版信息

BMC Med Educ. 2025 May 22;25(1):757. doi: 10.1186/s12909-025-07350-0.

Abstract

BACKGROUND

Peripheral venous catheterization (PVC) insertion is a complex sensory-motor skill that can be difficult for nursing students to acquire.

OBJECTIVES

The authors aimed to examine the effect of three techniques used to improve vein prominence on achievement, knowledge, and psychomotor skills in the first PVC experience in nursing students.

METHODS

A single-center, parallel-group, randomized control study. Near-infrared light visualization (n = 49) and isometric exercise (n = 50) techniques were used in the intervention group, while the standard technique was used in the control group (n = 48). Data was collected using Prominence of the Veins, PVC Knowledge Evaluation Form, and Checklist for PVC.

RESULTS

In intra-group comparisons, participants in all three groups showed statistically significant improvements in their pre-and post-test knowledge scores. Regarding PVC psychomotor skills, no differences were seen between the groups in this study. A statistically significant difference was found between the groups in their success rate in acquiring the skill of PVC at the first attempt. It was seen that the most successful group was the infrared light visualization group.

CONCLUSIONS

This study highlighted the significant effect of isometric exercise and NIR vascular imaging in increasing vein prominence in nursing PVC training. The findings support the importance of using NIR light visualization technology and isometric exercise training tools for successful PVC placement.

REGISTRATION

The trial was retrospectively registered at the ClinicalTrials.gov Protocol Registration and Results System (PRS) (ClinicalTrials.gov ID: NCT06056531).

摘要

背景

外周静脉置管(PVC)是一项复杂的感觉运动技能,护理专业学生很难掌握。

目的

作者旨在研究三种用于改善静脉显见度的技术对护理专业学生首次进行PVC操作时的操作成绩、知识掌握情况和心理运动技能的影响。

方法

一项单中心、平行组、随机对照研究。干预组采用近红外光可视化技术(n = 49)和等长运动技术(n = 50),而对照组采用标准技术(n = 48)。使用静脉显见度评估表、PVC知识评估表和PVC操作检查表收集数据。

结果

在组内比较中,所有三组参与者的测试前和测试后知识得分均有统计学意义的提高。关于PVC心理运动技能,本研究中各组之间未发现差异。在首次尝试获取PVC技能的成功率方面,各组之间存在统计学意义的差异。可见最成功的组是红外光可视化组。

结论

本研究强调了等长运动和近红外血管成像在护理PVC培训中增加静脉显见度方面的显著效果。研究结果支持使用近红外光可视化技术和等长运动训练工具对成功进行PVC置管的重要性。

注册情况

该试验在ClinicalTrials.gov协议注册和结果系统(PRS)上进行了回顾性注册(ClinicalTrials.gov标识符:NCT06056531)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06a6/12100816/5eb0efa01f45/12909_2025_7350_Fig1_HTML.jpg

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