Incidence and influencing factors of accidental prolapse of peripherally inserted central catheter in children
10.3760/cma.j.cn115682-20230307-00859
- VernacularTitle:儿童经外周静脉置入中心静脉导管意外脱出的发生率及影响因素分析
- Author:
Yaguang DING
1
;
Chunli WANG
;
Xiaomin XU
;
Yanqing LIU
;
Qing XIN
Author Information
1. 国家儿童医学中心 首都医科大学附属北京儿童医院中心静脉导管护理工作室，北京 100045
- Keywords:
Child;
Peripherally inserted central catheter;
Accidental prolapse;
Influencing factors;
Incidence
- From:
Chinese Journal of Modern Nursing
2023;29(36):4968-4971
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the status quo and influencing factors of accidental prolapse of peripherally inserted central catheter (PICC) in children, so as to provide references for formulating preventive measures.Methods:Using the convenient sampling method, a total of 1 268 pediatric patients who underwent catheterization at Intravenous Catheter Nursing Studio of Beijing Children's Hospital, Capital Medical University from January to December 2021 were selected as the research objects to analyze the incidence of PICC accidental prolapse. Logistic regression was used to analyze the influencing factors of PICC accidental prolapse.Results:Of the 1 268 children included in this study, 29 were excluded from follow-up and 1 239 children were eventually included. A total of 1 339 PICCs were implanted in 1 239 children, and the incidence of PICC accidental prolapse was 5.60% (75/1 339). Logistic regression analysis showed that whether the children had skin rash, time, location and catheter indentation time were the influencing factors for the occurrence of PICC accidental prolapse ( P<0.05) . Conclusions:The incidence of children's PICC accidental prolapse is at a high level, which is affected by many factors. Nursing staff should formulate effective preventive measures according to the influencing factors of PICC accidental prolapse, reduce the occurrence of children's accidental catheterization and extend the retention time of PICC.
