Construction of a risk classification prevention plan for medical adhesive related skin injury at the PICC site of tumor patients
10.3760/cma.j.cn115682-20221021-05123
- VernacularTitle:肿瘤患者PICC部位医用粘胶相关性皮肤损伤风险分级预防方案的构建
- Author:
Huijiao ZHANG
1
;
Yuling LI
;
Shuqing ZHANG
;
Xiaoya HOU
;
Lina FENG
Author Information
1. 山西医科大学护理学院，太原 030001
- Keywords:
Neoplasms;
Central venous catheters;
Skin injury;
Risk prevention;
Delphi method
- From:
Chinese Journal of Modern Nursing
2023;29(29):3993-3998
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a risk classification prevention plan for medical adhesive related skin injury at the peripherally inserted central catheter (PICC) site of tumor patients, so as to provide reference for preventing PICC related skin damage.Methods:The overall period of this study was from April to July 2022. Based on evidence-based search of domestic and foreign literature, and combined with preliminary investigation results, a preliminary framework index for the risk classification prevention of medical adhesive related skin injury at the PICC site of tumor patients was constructed. A total of 20 venous therapy experts from 14 Class Ⅲ hospitals in Shanxi Province were selected by purposive sampling. The Delphi method was used to conduct two rounds of consultation with experts to determine the risk classification prevention plan for medical adhesive related skin injury at the PICC site of tumor patients.Results:The effective response rate of the two rounds of expert consultation questionnaires was 100%, with expert authority coefficients of 0.94 and Kendall's harmony coefficients of 0.12 and 0.16, respectively, with a statistically significant difference ( P<0.001). The final constructed risk classification prevention plan for medical adhesive related skin injury at the PICC site of tumor patients included 6 first-level indicators and 31 second-level indicators. Conclusions:The risk classification prevention plan for medical adhesive related skin injury at the PICC site of tumor patients in this study is scientific, targeted, and practical, and can provide practical guidance for the prevention of PICC-related skin injury.
