Risk factors of PICC unplanned extubation among digestive system cancer patients after surgery
10.3760/cma.j.cn115682-20200526-03559
- VernacularTitle:消化系统肿瘤患者术后PICC非计划性拔管的危险因素分析
- Author:
Xuelei XU
1
;
Weinan LIU
;
Lei WANG
;
Yang WANG
;
Hui LI
;
Jing CAO
Author Information
1. 北京协和医院血管外科 100730
- Keywords:
Digestive system neoplasms;
Perioperative period;
PICC;
Unplanned extubation;
Risk factors
- From:
Chinese Journal of Modern Nursing
2020;26(18):2498-2502
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Toanalyze the risk factor of peripherally inserted central catheter (PICC) unplanned extubation among digestive system cancer patients after surgery so as to provide a nursing basis for prevention of unplanned extubation.Methods:From January 2015 to July 2018, we collected the data of digestive system cancerpatients with surgery and PICC at a Class Ⅲ Grade A hospital in Beijing by convenience sampling, and counted the incidence of unplanned extubation in 1 011 patients and carried out the single factor analysis as well as multivariate Logistic regression to analyze the risk factor.Results:A total of 1 011 patients were included, and 71 cases of them were with unplanned extubation after surgery along with 7.02% for the incidence. Single factor analysis showed that there were statistically significant differences between normal extubation and unplanned extubation patients in the patient's age, tumor pathological status, catheter type, Whipple's operation, and persistent fever after surgery with statistical differences ( P<0.01) . Logistic regression analysis showed that risk factors of PICC unplanned extubation of digestive system cancer patients after surgery were the patient's age, tumor pathological status, Whipple's operation and persistent fever after surgery ( P<0.05) . Conclusions:We should pay attention to the standardized management of PICC and perform regular maintenance well. We also should deal persistent fever patients after surgery with great care and find out reasons so as to avoidblindextubation.
