Risk factors for medical adhesive-related skin injury at peripherally inserted central catheters catheterization site in patients with tumor palliative care
10.3760/cma.j.cn115682-20220530-02593
- VernacularTitle:肿瘤姑息治疗患者PICC置管部位MARSI的危险因素分析
- Author:
Jie ZHOU
1
;
Caixian HUANG
Author Information
1. 广西壮族自治区人民医院护理部，南宁 530021
- Keywords:
Neoplasms;
Palliative care;
Peripherally inserted central catheters;
Medical adhesive-related skin injury
- From:
Chinese Journal of Modern Nursing
2023;29(14):1917-1920
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze risk factors of medical adhesive-related skin injury (MARSI) at the site of peripherally inserted central catheters (PICC) in patients with tumor palliative care.Methods:A total of 315 patients who underwent tumor palliative care in the People's Hospital of Guangxi Zhuang Autonomous Region from June 2019 to June 2020 were selected as the research objects by the convenient sampling method, and they were divided into the occurrence group and the non-occurrence group according to whether they had MARSI. The differences of general and clinical data between the two groups were compared. Logistic regression analysis was used to analyze the risk factors of MARSI.Results:Among 315 tumor palliative care patients, 100 cases (31.75%) had MARSI at PICC catheterization site. Compared with the non-occurrence group, the occurrence group showed an increase in the proportion of PICC puncture site on the medial side of the biceps brachii, PICC catheterization frequency greater than or equal to 2 times, large angle removal of the dressing, semi permeable dressing type, dressing replacement frequency of 2 times per week and delayed maintenance of PICC catheters, and the differences were statistically significant ( P<0.05). Logistic regression analysis showed that PICC puncture site on the medial side of the biceps brachii, PICC catheterization frequency greater than or equal to 2 times, large angle removal of the dressing, semi permeable dressing type, dressing replacement frequency of 2 times per week and delayed maintenance of PICC catheters were all risk factors for MARSI at the PICC catheterization site in tumor palliative treatment patients ( P<0.05) . Conclusions:There are many risk factors for MARSI at the PICC catheter site in patients undergoing tumor palliative care and targeted preventive measures need to be taken in clinical practice to reduce MARSI.
