Investigation and analysis of the current status of picc-associated thrombosis prevention nursing among surgical nurses
10.3760/cma.j.cn115682-20240722-04104
- VernacularTitle:外科护士PICC相关性血栓预防护理现状调查与分析
- Author:
Ning ZHANG
1
;
Yuan XU
;
Liyun ZHU
;
Qiaodan LU
;
Ranxun AN
;
Xinyi ZHOU
;
Yufen MA
;
Haibo DENG
;
Lei WANG
;
Jianhua SUN
;
Yu WANG
;
Xiaojie WANG
Author Information
1. 中国医学科学院北京协和医院 北京协和医学院护理学院，北京 100144
- Publication Type:Journal Article
- Keywords:
Cross-sectional study;
Peripherally inserted central catheter;
Catheter-related thrombosis;
Surgical nurse;
Prevention;
Status survey
- From:
Chinese Journal of Modern Nursing
2025;31(17):2302-2308
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current status of peripherally inserted central catheter (PICC) -associated thrombosis prevention nursing practices among surgical nurses, and to provide a scientific basis for targeted future interventions.Methods:A convenience sampling method was used to select 3 151 surgical nurses from tertiary hospitals in 11 provinces and municipalities who attended the Surgical Nursing Academic Symposium of the Chinese Nursing Association between April and May 2023. The survey utilized a standardized questionnaire assessing current practices in PICC-associated thrombosis prevention among clinical nurses.Results:A total of 3 151 questionnaires were distributed, and 2 341 valid responses were collected, yielding a valid response rate of 74.29% (2 341/3 151) . Among the respondents, the training rate on PICC-associated thrombosis prevention was only 62.45% (1 462/2 341) , and just 1.28% (30/2 341) had received full-time (off-duty) training. The usage rate of standardized procedures for PICC-related thrombosis prevention was 92.40% (2 163/2 341) , and the risk assessment rate was 79.79% (1 868/2 341) . Compared to urology and cardiothoracic surgery departments, breast surgery departments had significantly higher rates of thrombosis risk assessment ( P<0.05) . Additionally, 56.69% (1 327/2 341) of surgical nurses used risk assessment tools specific to PICC-associated thrombosis. Among non-pharmacological prevention measures, the implementation rate of encouraging patients to perform grip strength exercises was only 68.26% (1 598/2 341) . Conclusions:The current level of PICC-associated thrombosis prevention nursing among surgical nurses needs further improvement. Efforts should be strengthened in professional training, implementation of standardized protocols, risk assessment, and non-pharmacological interventions.
