儿童经外周静脉置入中心静脉导管意外脱出的发生率及影响因素分析  

Incidence and influencing factors of accidental prolapse of peripherally inserted central catheter in children

作　　者：丁亚光[1] 王春立[1,2] 许晓敏 刘艳晴 辛晴 Ding Yaguang;Wang Chunli;Xu Xiaomin;Liu Yanqing;Xin Qing(Intravenous Catheter Nursing Studio,Beijing Children's Hospital,Capital Medical University,National Center for Children's Health,Beijing 100045,China;Nursing Department,Beijing Children's Hospital,Capital Medical University,National Center for Children's Health,Beijing 100045,China)

机构地区：[1]国家儿童医学中心、首都医科大学附属北京儿童医院中心静脉导管护理工作室,北京100045 [2]国家儿童医学中心、首都医科大学附属北京儿童医院护理部,北京100045

出　　处：《中华现代护理杂志》2023年第36期4968-4971,共4页Chinese Journal of Modern Nursing

基　　金：中华医学会杂志社2021—2022年护理学科研究课题(CMAPH-NRI2021044)。

摘　　要：目的分析儿童经外周静脉置入中心静脉导管(PICC)意外脱出的现状及影响因素,为制订预防措施提供参考依据。方法采用便利抽样法,选取2021年1—12月在首都医科大学附属北京儿童医院中心静脉导管护理工作室置入PICC的1268例患儿为研究对象,分析其PICC意外脱出发生率,采用Logistic回归分析PICC意外脱出的影响因素。结果本研究纳入的1268例患儿中29例患儿失访被排除,最终纳入1239例患儿。1239例患儿共置入1339例次PICC,PICC意外脱出发生率为5.60%(75/1339)。Logistic回归分析结果显示,患儿是否有皮疹、所处时间、所处地点、导管留置时间是其发生PICC意外脱出的影响因素(P<0.05)。结论儿童PICC意外脱出发生率处于较高水平,受多种因素影响,护理人员应依据PICC意外脱出的影响因素,制订有效的预防措施,减少患儿意外脱管的发生,延长PICC留置时间。Objective To analyze the status quo and influencing factors of accidental prolapse of peripherally inserted central catheter(PICC)in children,so as to provide references for formulating preventive measures.Methods Using the convenient sampling method,a total of 1268 pediatric patients who underwent catheterization at Intravenous Catheter Nursing Studio of Beijing Children's Hospital,Capital Medical University from January to December 2021 were selected as the research objects to analyze the incidence of PICC accidental prolapse.Logistic regression was used to analyze the influencing factors of PICC accidental prolapse.Results Of the 1268 children included in this study,29 were excluded from follow-up and 1239 children were eventually included.A total of 1339 PICCs were implanted in 1239 children,and the incidence of PICC accidental prolapse was 5.60%(75/1339).Logistic regression analysis showed that whether the children had skin rash,time,location and catheter indentation time were the influencing factors for the occurrence of PICC accidental prolapse(P<0.05).Conclusions The incidence of children's PICC accidental prolapse is at a high level,which is affected by many factors.Nursing staff should formulate effective preventive measures according to the influencing factors of PICC accidental prolapse,reduce the occurrence of children's accidental catheterization and extend the retention time of PICC.

关 键 词：儿童 经外周静脉置入中心静脉导管 意外脱出 影响因素 发生率 

分 类 号：R473.72[医药卫生—护理学]