Effect of ball compression to prevent jugular vein malposition in peripherally inserted central catheter insertion
10.3760/cma.j.issn.1672-7088.2019.23.011
- VernacularTitle: 握力球压迫法预防PICC颈内静脉异位的效果评价
- Author:
Yuejiao ZHANG
1
;
Qianmi WANG
1
;
Ruiyi ZHAO
2
;
Hongling SUN
1
;
Nan JIANG
1
Author Information
1. Specialized Nursing Department, Second Affiliated Hospital, Zhejiang University, School of Medicine, Hangzhou 310009, China
2. Nursing Education Department, Second Affiliated Hospital, Zhejiang University, School of Medicine, Hangzhou 310009, China
- Publication Type:Clinical Trail
- Keywords:
Ball-compress;
Peripherally inserted central catheter;
Jugular veins malposition
- From:
Chinese Journal of Practical Nursing
2019;35(23):1810-1814
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To detect the effect of the ball compressor method to prevent jugular vein malposition in peripherally inserted central catheter insertion (PICC).
Methods:Convenient sampling method was used to recruit 1 358 patients with PICC insertions during October 2017 to September 2018 in Second affiliated hospital Zhejiang University, school of medicine. 681 were included in experimental group, and 677 patients were included in control group. The control group used traditional turning head to the PICC insertion side or fingers compression to block the entrance of jugular vein to prevent jugular vein malposition in control group. While in experimental group, rugby- shape ball compression were used to block jugular vein to reduce jugular vein malposition. The rate of jugular vein malposition in the first try of catheterization was calculated in both groups.
Results:The rate of jugular vein malposition in the first try of catheterization was 19.1%(130/681) in experimental group and 23.5% (159/677) in control group respectively. There is statistically significant difference between two groups (χ2=3.917, P=0.047 8).
Conclusion:Rugby- shape ball compression could reduce jugular vein malposition in the first try of catheterization effectively.
