Construction of tunnel-type PICC catheterization procedure guided by ultrasound and intracavitary electrocardiogram positioning
10.3760/cma.j.cn115682-20220115-00248
- VernacularTitle:超声引导心腔内电图定位隧道式PICC置管流程的构建
- Author:
Tinglan WU
1
;
Lihua ZHANG
;
Li SHI
;
Wei GAO
;
Haixia HAO
;
Yuan SHENG
;
Chunmei FAN
Author Information
1. 山东大学护理与康复学院，济南 250012
- Keywords:
Catheterization, central venous;
Subcutaneous tunnel;
PICC;
Intracavitary electrocardiogram;
Ultrasonography;
Delphi method;
Operating procedures
- From:
Chinese Journal of Modern Nursing
2022;28(15):1976-1982
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct the tunnel-type peripherally inserted central catheter (PICC) catheterization procedure guided by ultrasound and intracavitary electrocardiogram positioning, so as to provide guidance for clinical practice.Methods:From May to July 2021, the first draft of the tunnel-type PICC catheterization procedure guided by ultrasound and intracavitary electrocardiogram positioning was formed through literature review and expert meeting. The convenience sampling method was used to select 18 experts from 8 provinces/municipalities across the country to conduct Delphi expert consultation, solicit expert opinions, and then discuss in groups to determine the final draft of the tunnel-type PICC catheterization procedure. The degree of enthusiasm, authority, and coordination of opinions of experts were expressed by the effective recovery rate of the questionnaire, the ratio of experts who put forward opinions, the expert authority coefficient, Kendall coordination coefficient, and the coefficient of variation.Results:A total of two rounds of expert consultations were carried out. The effective recovery rates of the questionnaires were 90.00% and 100.00%, respectively. The ratio of experts who proposed revisions were 83.33% and 5.56%, respectively, and the expert authority coefficients were both 0.90, Kendall coordination coefficients were from 0.112 to 0.170 ( P<0.05) , and the coefficient of variation was 0 to 0.122. In the second round, the mean score of importance of each level of operation steps was 4.64 to 5.00. The final constructed tunnel-type PICC catheterization procedure guided by ultrasound and intracavitary electrocardiogram positioning includes 4 first-level operation steps, 19 second-level operation steps and 39 third-level operation steps. Conclusions:The tunnel-type PICC catheterization procedure guided by ultrasound and intracavitary electrocardiogram positioning is reliable and of high quality, which has important guiding significance for clinical catheterization practice.
