Status of venous catheter maintenance in some hospitals in China
10.3760/cma.j.cn115682-20220222-00794
- VernacularTitle:全国部分医院静脉导管维护现状调查
- Author:
Shengxiao NIE
1
;
Lei WANG
;
Hong SUN
Author Information
1. 北京医院护理部 国家老年医学中心 中国医学科学院老年医学研究院，北京 100730
- Keywords:
Catheterization, central venous;
Intravenous therapy;
Catheter maintenance;
PORT;
Midline catheter
- From:
Chinese Journal of Modern Nursing
2022;28(15):1988-1994
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the status of venous catheter maintenance in some hospitals in China, so as to provide a reference for standard revision and standardization of venous therapy.Methods:This study was a cross-sectional survey. From October to November 2018, the members of the Intravenous Therapy Nursing Professional Committee of the Chinese Nursing Association selected hospitals in their provinces, municipalities and autonomous regions with the convenience sampling method to conduct a questionnaire survey using the "Venous Catheter Maintenance Questionnaire". A total of 759 questionnaires were distributed in 28 provinces, municipalities and autonomous regions across the country, and 740 valid questionnaires were recovered, with a valid recovery rate of 97.5%.Results:Among the 740 hospitals, 737 (99.6%) , 621 (83.9%) , 634 (85.7%) , 373 (50.4%) , and 245 (33.1%) hospitals carried out venous indwelling needles, peripherally inserted central catheter (PICC) , central venous catheter (CVC) , PORT, midline catheter (MC) maintenance technology, respectively. The proportion of PICC, CVC, PORT, and MC maintenance techniques carried out in Class Ⅲ hospitals was higher than that in Class Ⅱ hospitals, and the difference was statistically significant ( P<0.05) . A total of 583 hospitals (93.9%, 583/621) routinely maintained PICC once a week during the treatment interval, 351 hospitals (94.1%, 351/373) routinely maintained PORT once every 4 weeks during the treatment interval, and 476 hospitals (64.6 %, 476/737) intravenous indwelling needles were replaced once every 72 to 96 hours. In 492 hospitals (79.2%, 492/621) , the indwelling time of PICC was generally not more than 12 months. In 105 hospitals, MC was indwelled according to the product instructions (42.9%, 105/245) . Most hospitals used 2% chlorhexidine gluconate ethanol solution, iodophor with an available iodine concentration of more than 0.5%, 75% ethanol solution and iodophor for peripheral and central venous maintenance, but 18.4% to 52.6% of hospitals still used unrecommended Ann's iodine or 75% ethanol solution only. When patients developed phlebitis, 525 hospitals (70.9%, 525/740) used hydrocolloid dressings. When patients developed exudation or extravasation, hydrocolloid dressings and gauze dressings were used in 414 (55.9%, 414/740) and 332 (44.9%, 332/740) hospitals, respectively. Conclusions:The maintenance technology of venous catheters in China is widely carried out, which basically conforms to the industry standard Nursing Practice Standards for Intravenous Therapy. However, there is an imbalance in development, and special nursing packages need to be popularized and applied in clinical practice, and the selection of skin disinfectants is not standardized enough, and the relevant standards and norms for the maintenance of medium and long catheters and the treatment of complications need to be formulated urgently.
