Comparison of the effects of different insertion sites for mini-midline catheters
10.3761/j.issn.0254-1769.2024.20.001
- VernacularTitle:迷你中等长度导管在不同部位置入效果的比较研究
- Author:
Xiangyun LI
1
;
Jie WANG
;
Chang LIU
;
Xianghong JIN
;
Xiuzhu CAO
;
Xufen ZENG
;
Linfang ZHAO
Author Information
1. 310016 杭州市 浙江大学医学院附属邵逸夫医院静脉治疗专科
- Keywords:
Mini-Midline Catheter;
Complications;
Intravenous Therapy;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(20):2437-2443
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effects of mini-midline catheters that were placed in different sites.Methods The inpatients of a tertiary general hospital in Zhejiang Province from October 2023 to January 2024 were selected as the study subjects using a fixed point continuous convenience sampling method.The patients were divided into 2 groups by simple random grouping method.The experimental group had a mini-midline catheter placed in the upper arm,and the control group had a mini-midline catheter placed in the forearm.The incidence of catheter-related complications,the puncture success rate with one-attempt,the total procedure time,the time of the first occurrence of catheter-related complications,the rate of removal due to complications,and the indwelling catheter duration were compared between the 2 groups.Results A total of 121 patients were included,including 64 in the experimental group and 57 in the control group.The incidence rates of catheter-related complications in the experimental group and the control group were 29.69%and 66.67%;the times of the first occurrence of catheter-related complications were 167(122,220)h and 104(73,168)h;the rates of removal due to complications were 17.19%and 42.11%;the indwelling catheter duration was 171(124,258)h and 120(92,187)h;the differences between the 2 groups of these outcomes were statistically significant(P<0.05).The puncture success rates with one-attempt in the experimental group and the control group were 96.88%and 96.49%;the total procedure times were 352(296,446)s and 370(295,430)s;the differences between the 2 groups of these outcomes were not statistically significant(P>0.05).Conclusion Mini-midline catheters inserted in the upper arm can reduce the incidence of catheter complications and the rate of removal due to complications,prolong the time of the first occurrence of catheter-related complications and the indwelling catheter duration.