Application and management status of midline catheters in 1 954 hospitals
10.3760/cma.j.cn115682-20240508-02553
- VernacularTitle:中线导管在1 954所医院中的应用及管理现状
- Author:
Lele BEN
1
;
Jianping CAI
;
Chunyan LI
;
Fangfang DONG
;
Jingzhi GENG
;
Wei GAO
;
Caixia GUO
;
Ruonan HAO
;
Qiaofang YANG
;
Lei WANG
Author Information
1. 阜外华中心血管病医院结构性心脏病二病区，郑州 450000
- Publication Type:Journal Article
- Keywords:
Catheter;
Midline catheter;
Intravenous therapy;
Clinical application;
Management status
- From:
Chinese Journal of Modern Nursing
2025;31(14):1920-1925
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application and management status of midline catheters in 1 954 hospitals, providing a basis for optimizing intravenous therapy nursing practices.Methods:This study used convenience sampling. From November 2023, members of the Intravenous Therapy Nursing Professional Committee of the Chinese Nursing Association selected 1 954 hospitals across various regions of China. Questionnaire on the Current Status of Intravenous Therapy in Hospitals at All Levels designed by the committee, based on literature review and expert discussions, was used to collect data on intravenous therapy practices in different hospitals. Multiple response analysis was applied to analysis the results of multiple-choice questions, where response numbers represent the total number of times each option was selected, and response rates refer to the proportion of selected times for each option out of all selected responses.Results:A total of 1 954 questionnaires were distributed across 31 provinces/municipalities/autonomous regions, and 1 954 valid questionnaires were returned, achieving a 100.0% valid response rate. Among the hospitals surveyed, 844 used midline catheters. Regarding the skin disinfection area for midline catheter insertion, the highest response rate was for a range of>20 cm. The highest response rate for catheter insertion techniques was ultrasound-guided Seldinger puncture. The highest response rate for maintenance interval was once a week. The top three responses for nursing documentation related to midline catheters were informed consent for intubation, puncture record, and maintenance record. The most frequently chosen processes were catheter placement, maintenance, removal, and complication management processes. The qualification for midline catheter intravenous therapy specialist nurses was mostly obtained through specialized nurse training, followed by hospital-based and department-based training.Conclusions:The application of midline catheters has rapidly developed but still reveals some deficiencies, including the choice of puncture tools, infection control, and catheter maintenance. It is recommended to improve nursing documentation and management processes related to midline catheters, establish industry standards suitable for China's national conditions, and strengthen and standardize the specialized training of intravenous therapy nurses to promote the healthy development of intravenous therapy in China.
