血液病患者PICC导管堵塞风险预测指标体系的构建  

Construction of risk prediction index system for PICC catheter occlusion in patients with blood diseases

作　　者：黄雪丽 王俊霞 杨苗苗 孙川茗 代伟英 徐丽 庄淑梅[3] 张慧敏 Huang Xueli;Wang Junxia;Yang Miaomiao;Sun Chuanming;Dai Weiying;Xu Li;Zhuang Shumei;Zhang Huimin(Hospital of Hematology,Chinese Academy of Medical Sciences(Institute of Hematology,Chinese Academy of Medical Sciences),National Key Laboratory of Blood and Health,National Clinical Medical Research Center for Hematological Diseases,Haihe Laboratory of Cellular Ecology,Tianjin 300020,China;Tianjin Institute of Medical and Health Research,Tianjin 301600,China;School of Nursing,Tianjin Medical University,Tianjin 300070,China)

机构地区：[1]中国医学科学院血液病医院(中国医学科学院血液学研究所),血液与健康全国重点实验室,国家血液系统疾病临床医学研究中心,细胞生态海河实验室,天津300020 [2]天津医学健康研究院,天津301600 [3]天津医科大学护理学院,天津300070

出　　处：《国际护理学杂志》2024年第14期2497-2503,共7页international journal of nursing

基　　金：中国医学科学院医学与健康科技创新工程项目(2021-I2M-C&T-B-085);中国医学科学院血液病医院(中国医学科学院血液病学研究所)管理类研究项目(GL2106)。

摘　　要：目的构建血液病患者PICC导管堵塞风险预测指标体系, 为尽早识别和预防导管堵塞提供依据。方法检索PICC导管堵塞的国内外文献、指南和行业标准, 用思维导图提取风险因素, 邀请25名多学科专家进行两轮Delphi专家函询, 确定血液病患者PICC导管堵塞风险预测指标体系。结果两轮函询专家权威系数是0.92, 积极系数分别为88%和84%, 肯德尔协调系数为0.24(χ^(2)=529.32, P<0.05)。经两轮函询, 制定了包含4个一级指标、10个二级指标、28个三级指标的血液病患者PICC导管堵塞预测风险指标体系。结论本研究制定的血液病患者PICC导管堵塞预测风险指标体系科学可靠, 对于尽早识别和预防血液病患者PICC导管堵塞具有指导意义。ObjectiveTo develop an indicator system for evaluating PICC obstruction risk in patients with blood diseases,so as to provide a basis for early identification and prevention of catheter occlusion.MethodsDomestic and foreign literature,guidlines and industry standard on PICC catheter occlusion were searched,and risk factors were extracted with mind mapping.A total of 25 multidisciplinary experts were invited to conduct two rounds of Delphi expert correspondence consultation to determine the risk prediction index system for PICC catheter occlusion in patients with blood diseases.ResultsThe authority coefficient of experts in the dtwo rounds of consultation was 0.92,the positive coefficients were 88%and 84%,respetively.The Kendall coordination coefficient was 0.24(χ^(2)=529.32,P<0.05).After two rounds of expert consultation,the indicator system for evaluating PICC obstruction risk in patients with blood diseases was developed,and it consisted of 4 first-level indicators,10 second-level indicators and 28 third-level indicators.ConclusionsThe indicator system for evaluating PICC obstruction risk in patients with blood diseases approved by experts is scientific and reliable,and it provides guidance for early identification and prevention of PICC catheter occlusion in patients with blood diseases.

关 键 词：血液病 PICC 导管堵塞 风险预测 德尔菲法 

分 类 号：R473.5[医药卫生—护理学]