一例游戏障碍相关性PICC断裂的原因分析及护理  

Analysis of one case of game related PICC catheter rupture and nursing care

作　　者：张玉芳[1] 蒋开明[1] 欧尽南[1] Zhang Yufang;Jiang Kaiming;Ou Jinnan(Clinical Nursing Teaching and Research Section,the Second Xiangya Hospital,Central South University,Changsha 410003,China)

机构地区：[1]中南大学湘雅二医院血液内科,长沙410003

出　　处：《中国实用护理杂志》2020年第7期553-556,共4页Chinese Journal of Practical Nursing

摘　　要：探讨1例PICC断裂的原因及护理干预措施。方法通过对PICC导管使用及维护过程的回顾,结合患者生活行为方式及导管质量检测结果进行综合分析。结果患者因游戏障碍导致的夹闭综合征及导管堵塞、居家期间导管的维护不规范,是PICC导管断裂的主要原因。结论随着网络游戏用户的日益增长,游戏障碍可能成为PICC导管断裂的获得性因素。在PICC带管过程中,应及时识别及干预患者游戏障碍,加强居家管理,以减少导管断裂的发生。并结合临床症状、体征和导管的功能问题及时开展导管异位的预测诊断性检查,对PICC导管断裂做到早发现、早诊断、早处理,降低肺动脉栓塞风险。Objective To study the cause of 1 PICC catheter rupture,and discuss the nursing interventions.Methods Comprehensive analysis was carried out on the review of the use and maintenance of PICC catheter,patient's life style and catheter quality test.Results The main reasons of PICC catheter rupture were the pinch-off syndrome and catheter plug caused by gaming disorders and non-canonical maintenance of PICC outhospital.Conclusions With the growing of video game players,gaming disorder may be one acquired factor of PICC catheter rupture.To reduce the occurrence of PICC catheter rupture,prompt identification of and timely intervention to gaming disorder and intensified outhospital care are paramount.The predictive diagnostic tests of catheter ectopia based on clinical syndromes,physical signs and catheter state,are helpful for the early recognition and treatment of PICC catheter rupture,followed by the risk reduction of pulmonary embolism.

关 键 词：游戏障碍 PICC 断裂 护理 

分 类 号：R473[医药卫生—护理学] R47[医药卫生—临床医学]