The investigation of practice status of intracavitary electrocardiography-guided PICC placement in Shandong Province
10.3760/cma.j.cn115682-20200108-00137
- VernacularTitle:山东省腔内心电定位引导PICC置管实践现状的调查
- Author:
Na LUO
1
;
Wei GAO
;
Shushu ZHU
;
Minghao PAN
;
Huimin QIAO
;
Xuelu ZHENG
;
Manman YIN
Author Information
1. 山东大学护理学院，济南 250012；山东大学齐鲁医院PICC门诊，济南 250012
- Keywords:
Catheterization, central venous;
Intracavitary electrocardiography positioning;
PICC;
Practice status
- From:
Chinese Journal of Modern Nursing
2020;26(36):5032-5037
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the practice status of intracavitary electrocardiography (ECG) -guided peripherally inserted central catheter (PICC) placement in Shandong Province, so as to provide a reference for promoting the application of intracavitary ECG positioning technology, carrying out systematic training and formulating standardized intracavitary ECG-guided PICC placement procedures.Methods:From July to August 2019, convenience sampling was used to select 1 034 PICC specialist nurses from 258 hospitals in Shandong Province as the research object. The self-designed questionnaire Survey Questionnaire on the Practice Status Quo of Intracavitary ECG-guided PICC Placement in Shandong Province was used to investigate the practice status of the intracavitary ECG-guided PICC placement by PICC specialist nurses in Shandong Province. A total of 1 034 questionnaires were returned, and 903 valid questionnaires were collected, with a valid rate of 87.33%.Results:Among the 903 PICC specialist nurses, 835 (92.47%) of the nurses had learned about the intracavitary ECG-guided PICC placement, 368 (40.75%) had participated in the training of intracavitary ECG-guided PICC placement, and only 363 (40.20%) had used intracavitary ECG-guided PICC placement. Among 363 nurses who had used intracavitary ECG-guided PICC placement, 93.66% (340/363) evaluated the patient's body surface electrocardiogram before puncture, and 49.31% (179/363) believed that PICC was delivered when P wave was the highest, and the catheter was retreated when P wave appeared negative until the negative wave just disappear; 91.18% (331/363) thought that chest radiographs must be taken to locate the catheter tip after the application of intracavitary ECG-guided PICC placement.Conclusions:At present, the training, promotion and application of intracavitary ECG-guided PICC placement needs to be strengthened. There is an urgent need to develop a unified and standardized operation process for intracavitary ECG-guided PICC placement to improve the scientific and standardization of this application.
