A study on the application of blunt separation method in midline catheter intubation in elderly patients with coagulation dysfunction
10.3761/j.issn.0254-1769.2024.04.002
- VernacularTitle:钝性分离送鞘技术在凝血功能障碍老年患者中长导管置管中的应用研究
- Author:
Xiufen JIA
1
;
Yuping LIU
;
Shuhong LONG
;
Jin WANG
;
Ran MENG
;
Xiaoli JIANG
Author Information
1. 221000 徐州市 徐州医科大学附属医院静脉治疗护理门诊
- Keywords:
Midline Catheter;
Blunt Separation Method;
Bleeding;
Coagulation Dysfunction;
Aged;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(4):395-400
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy of blunt separation method in midline catheter intubation in elderly patients with coagulation dysfunction.Methods A total of 80 elderly patients with coagulation dysfunction were selected in the convenience sampling method from October 2022 to April 2023 in our hospital,and they were randomly divided into an experimental(blunt)group and a control(routine)group,with 40 patients in each group.The differences in the degree of bleeding and exudation at the puncture site,the pain score and the incidence of complications(including bleeding and exudation,phlebitis,symptomatic catheter-related thrombus,catheter blockage,catheter pulling-off)were compared between 2 groups.Results In the experimental group,the degree of bleeding and exudation at the puncture point immediately after the operation,degree of bleeding and exudation at the puncture point 24 hours after the operation,pain score 1 day after the catheterization,pain score 3 days after the catheterization,incidence of bleeding and exudation,total incidence of complications and maintenance times were significantly lower than these in the control group(P＜0.05).In terms of the pain score immediately after the operation,pain score 5 days after the operation,incidence of phlebitis,incidence of symptomatic catheter-related thrombosis,incidence of catheter blockage,incidence of catheter pulling-off,incidence of catheter related skin injury,incidence of unplanned extubation,success rate of one-time sheath delivery and the indwelling time,the differences between the experimental group and control group were not significant(P＜0.05).Conclusion The application of blunt separation method in midline catheter indwelling can significantly reduce the incidence and degree of bleeding at the puncture point,decrease the maintenance times and relieve the pain in elderly patients with coagulation dysfunction.
