完全植入式静脉输液港导管断裂影响因素的巢式病例对照研究  

Nested case-control study of influencing factors of catheter fracture in totally implantable venous access ports

作　　者：张丽[1] 李润泽 杨婷婷[1] 刘蓓蓓 卜林红 王刚[1] 林辉[1] Zhang Li;Li Runze;Yang Tingting;Liu Beibei;Bu Linhong;Wang Gang;Lin Hui(Department of Critical Care Medicine,The Affiliated Hospital of Qingdao University,Qingdao 266000,China)

机构地区：[1]青岛大学附属医院重症医学科,青岛266000

出　　处：《中华现代护理杂志》2023年第30期4159-4163,共5页Chinese Journal of Modern Nursing

摘　　要：目的调查完全植入式静脉输液港(TIVAP)导管断裂的发生情况并分析其影响因素。方法采用回顾性巢式病例对照研究的方法,选取2012年1月—2021年12月于青岛大学附属医院留置TIVAP并行输液港维护的3517例患者建立队列,分为断裂组与对照组。采用一般资料调查表、TIVAP导管断裂相关因素调查表、TIVAP导管断裂临床特征调查表收集两组患者的一般资料及临床资料,通过Logistic回归分析TIVAP导管断裂的危险因素。结果TIVAP导管断裂的发生率为0.6%(21/3517);Logistic回归分析结果显示,操作者置港经历、患者是否定期进行TIVAP维护、患者携港时间与是否存在TIVAP反复阻塞是TIVAP发生导管断裂的影响因素。结论护理人员应充分了解TIVAP导管断裂的危险因素,早期识别高危人群进行针对性的护理干预,降低TIVAP导管断裂的发生率。Objective To investigate the occurrence of catheter fracture in totally implantable venous access ports(TIVAP)and analyze its influencing factors.Methods A retrospective nested case-control study was used to establish a cohort of 3517 patients with TIVAP and infusion port maintenance in Affiliated Hospital of Qingdao University from January 2012 to December 2021,and they were divided into the fracture group and the control group.The general information questionnaire,TIVAP Catheter Fracture Related Factors Questionnaire and TIVAP Catheter Fracture Clinical Characteristics Questionnaire were used to collect general and clinical data of patients in two groups.The risk factors of TIVAP catheter fracture were analyzed by Logistic regression.Results The incidence of TIVAP catheter fracture was 0.6%(21/3517).Logistic regression analysis showed that the operator's experience of placing ports,whether the patient performed TIVAP maintenance regularly,time for patients carrying the infusion port and whether TIVAP were repeatedly blocked were influencing factors for the occurrence of catheter fracture in TIVAP.Conclusions Nursing staff should fully understand the risk factors of TIVAP catheter fracture,identify high-risk groups in the early stage and carry out targeted nursing interventions to reduce the incidence of TIVAP catheter fracture.

关 键 词：完全植入式静脉输液港 导管断裂 危险因素 

分 类 号：R472[医药卫生—护理学]