Comparison of the application effects of single-needle and double-needle subcutaneous tunneling methods in PICC placement for tumor patients
10.3761/j.issn.0254-1769.2025.13.004
- VernacularTitle:一针式与两针式皮下隧道法在肿瘤患者PICC置管中应用效果的比较研究
- Author:
Ting LU
1
;
Jiejing WEI
;
Yanping YING
;
Lingxia MA
;
Xiaoli CHEN
;
Yi XU
Author Information
1. 530021 南宁市 广西医科大学第一附属医院日间化疗中心
- Publication Type:Journal Article
- Keywords:
Subcutaneous Tunneling;
Peripherally Inserted Central Catheter;
Complications;
Oncology Nursing
- From:
Chinese Journal of Nursing
2025;60(13):1558-1563
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical effects of single-puncture and double-puncture subcutaneous tunneling techniques for PICC placement in cancer patients,and to provide references for nurses in selecting appropriate catheterization methods.Methods A continuous sampling method was adopted to select cancer patients who underwent PICC placement in the Department of Oncology at a tertiary general hospital in Nanning from June 2022 to December 2023.According to the actual catheterization technique received by patients,they were assigned to either the single-puncture or double-puncture subcutaneous tunneling group.After 1:1 propensity score matching(PSM),the 2 groups were compared in terms of catheter-related complication rates,pain scores and total catheterization time.Results After propensity score matching,79 patients were included in each group.The results showed that the incidence of catheter-related thrombosis,pain scores,and total catheterization time in the one-needle subcutaneous tunneling group were significantly lower than those in the two-needle subcutaneous tunneling group,with statistically significant differences(P＜0.05).Conclusion The one-needle subcutaneous tunneling method can effectively reduce the incidence of catheter-related thrombosis and pain during catheterization in cancer patients,while also shortening the total catheterization time.
