摘要
目的了解急诊综合科患儿PICC留置与维护情况,并分析影响其导管维护的因素。方法选取2020年5月—2021年5月医院急诊综合科治疗的116例留置PICC的恶性肿瘤患儿及家属作为研究对象,采用恶性肿瘤患儿及家属一般资料问卷、PICC日常管理知信行调查表进行横断面调查。结果急诊综合科恶性肿瘤患儿PICC留置平均时间为48.36±15.69 d,常规护理中出现流速减慢8例,堵管3例,PICC日常管理知信行调查表得分为78.35±12.64分。多元线性回归分析显示,恶性肿瘤患儿年龄、家属文化程度、置管次数以及家庭平均月收入为影响其PICC日常管理知信行水平的主要因素(P<0.05)。结论急诊综合科恶性肿瘤患儿及家属的PICC导管留置与维护现状不容乐观,并受多种因素的影响,医护人员应针对患儿个体情况开展健康宣教,延长导管留置时间。
Objective To investigate the indwelling and maintenance of PICC of children in general emergency department and to analyze the infl uencing factors of catheter maintenance.Methods From May 2020 to May 2021,116 children with malignant tumor and their family members with indwelling PICC were selected as the research objects.A cross-sectional survey was conductedby using the general information questionnaire of children with malignant tumor and their family members and the questionnaire of PICC daily management.Results The average duration of PICC indplacement was 48.36±15.69 days,8 cases of slowed velocity and 3 cases of tube blockage occurred in routine nursing,and the score of daily management of PICC was 78.35±12.64 points.Multiple linear regression analysis showed that age,educational level of family members,times of catheters and average monthly income of families were the main factors effect the level of PICC daily management(P<0.05).Conclusion The current situation of PICC catheter indwelling and maintenance in children with malignant tumor and their families in emergency department is not optimistic and affected by a variety of factors,medical staff should carry out health education according to the individual situation of children and prolong the catheter indwelling time.
作者
于惠
赵小平
YU Hui;ZHAO Xiaoping(Hunan Children's Hospital,Hunan,410007,China)
出处
《护理实践与研究》
2022年第3期339-342,共4页
Nursing Practice and Research
关键词
急诊综合科
恶性肿瘤患儿
PICC
维护
General emergency department
Children with malignant tumor
PICC
Maintenance
