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血液病患者PICC穿刺点渗血风险评估指标体系的构建

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目的 构建血液病患者PICC穿刺点渗血风险评估指标体系。方法 采用德尔菲专家函询法和文献研究法,确定PICC穿刺点渗血风险因素并对其进行划分,构建PICC穿刺点渗血风险评估指标体系及各指标权重。结果 2轮专家函询问卷的有效回收率均为100%,专家权威系数均为0。917,专家熟悉程度为0。852,肯德尔和谐系数为0。250。最终构建的血液病患者PICC穿刺点渗血风险评估指标体系包括一级指标4个,二级指标14个、三级指标33个。结论 本研究构建的血液病患者PICC穿刺点渗血风险评估指标体系,评估内容较为全面,可提高临床医护人员对患者PICC穿刺点渗血的预测能力。
Construction of risk assessment index system for bleeding at PICC puncture point in patients with hematological diseases
Objective To construct an index system for evaluating the risk of bleeding at the peripherally inserted central catheter(PICC)puncture point of patients with hematological diseases.Methods Delphi expert inquiry method and literature research method were used to determine and classify the risk factors of blood leakage at the PICC puncture point,and to construct the risk assessment index system of blood leakage at the PICC puncture point and the weight of each index.Results The effective recovery rate of 2 rounds of expert questionnaire was 100%,the ex-pert authority coefficient was 0.917,the expert familiarity was 0.852,and the Kendall harmony coefficient was 0.250.The final evaluation index system of bleeding risk at PICC puncture point of patients with hematological dis-eases included 4 first-level indicators,14 second-level indicators,and 33 third-level indicators.Conclusion The risk assessment index system of PICC bleeding in patients with hematological diseases constructed in this study is rela-tively comprehensive assessment content,which can improve the ability of clinical medical staff to predict the bleed-ing at the patient's PICC puncture point.

hematologyperipherally inserted central catheterbleeding at puncture pointdelphi expert inquiry methodnursing

张建、张慧敏、段艳艳、杨苗苗、孙川茗、代伟英、徐丽、庄淑梅

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中国医学科学院血液病医院中国医学科学院血液学研究所实验血液学国家重点实验室国家血液系统疾病临床医学研究中心细胞生态海河实验室,天津 300020

天津医学健康研究院,天津 301600

天津医科大学护理学院,天津 300070

血液病 经外周静脉置入中心静脉导管 穿刺点渗血 德尔菲专家函询法 护理

中国医科院医学与健康科技创新工程项目

2021-I2M-C&T-B-085

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(5)
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