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Year : 2014  |  Volume : 10  |  Issue : 2  |  Page : 359-362

A comprehensive intervention program on the long-term placement of peripherally inserted central venous catheters

1 Department of Radiotherapy, Xiangya Hospital, Central South University, Changsha, China
2 Department of Nuclear Medicine, Xiangya Hospital, Central South University, Changsha, China
3 Department of Nursing, Xiangya Hospital, Central South University, Changsha, China

Correspondence Address:
Haoyu Deng
Department of Nuclear Medicine, Xiangya Hospital, Central South University, No. 87, Xiangya Road, Changsha, Hunan - 410 008
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0973-1482.136657

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Background: Peripherally inserted central venous catheters (PICCs) have been increasingly utilized in treating patients in intensive care. The purpose of this study is to analyze the related complications and to evaluate effect of a comprehensive intervention on long-term PICCs. Materials and Methods: We selected 217 and 243 cases before and after comprehensive intervention respectively from the department of radiotherapy in our hospital. Various possible factors affecting PICCs insertions and maintenance were analyzed. A quality control circle was formed for nursing care. The comprehensive intervention was performed both on catheter insertion and post-PICCs care. Complication rates were compared before and after the intervention. Results: The duration for PICCs was 90 days. In the control group (before intervention), the complications were as follows: Tube feeding difficulties (23.5%), catheter dislodgment (23.5%), infection (17.6%), catheter obstruction (17.6%), puncture failure (5.9%), allergy (5.9%), and pain (5.9%). The incidence of unplanned extubations was 7.8%. The incidence of complications was significantly decreased in the test group (after intervention). Moreover, one episode of catheter obstruction (5.9%) and one episode of allergy (5.9%) were found (P < 0.01) in this study. Conclusion: Comprehensive intervention programs effectively reduce the incidence of complications in long-term PICCs lines.

Abstract in Chinese

对长期放置经外周静脉置入中心静脉导管的综合干预方案 摘要 背景:经外周静脉置入中心静脉导管(PICC)已经越来越多地用于治疗重症监护患者。本研究的目的是分析相关并发症和评估长期治疗综合干预效果。 材料与方法:从我院放疗科选取217例综合干预前和243例综合干预后的病例。综合干预在导管插入及后期护理两方面进行。对各种影响PICC插入和维护各种可能的因素进行了分析。在护理中形成质量控制圈。比较干预前后并发症发生率。 结果:治疗时间为90天。在对照组(干预前),并发症如下:管喂养困难(23.5%),导管脱落(23.5%),感染(17.6%),导管阻塞(17.6%),穿刺失败(5.9%),过敏反应(5.9%),疼痛(5.9%)。非计划拔管的发生率为7.8%。并发症发生率在试验组显著降低(干预)。此外,本研究中出现了一次导管阻塞(5.9%)和一次过敏(5.9%)(P<0.01)。 结论:综合干预方案有效地降低长期PICC置入的并发症。 关键词:肿瘤,并发症,综合干预,护理,经外周静脉置入中心静脉导管

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