基于循证的脑卒中意识障碍患者 PICC 非计划性拔管风险评估工具的初步构建

礼梅 盛(中国人民解放军联勤保障部队第906医院，中国;)
敏敏 项(宁波明州医院，中国;)

摘要

目的：基于文献检索结果，构建脑卒中意识障碍患者 PICC非计划性拔管风险评估工具。方法：计算机检索中国生物医学（sinomed）、中国知网（CNKI）、万方、维普数据库、PubMed、Cochrane library、FMRS等中英文数据库，分析脑卒中意识障碍患者PICC非计划性拔管风险因素。结果：纳入4篇文献，通过文献质量评价，4篇文献质量均较高，总结脑卒中意识障碍患者PICC非计划性拔管风险因素包含以下内容：（1）患者方面：性别、年龄≥60 岁、意识状态、血栓史、配合度、静脉炎；（2）导管方面：置管部位、置管次数、置管时间、置管方式、置管长度、导管相关并发症、导管维护周期；导管固定方式。（3）医护方面：药物。结论：脑卒中意识障碍患者PICC非计划性拔管风险因素涉及方面较多，临床护理工作中应对这些因素采取有效预防措施，从而减少脑卒中意识障碍患者PICC非计划性拔管发生率。

关键词

脑卒中意识障碍 PICC 非计划性拔管风险因素

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DOI: http://dx.doi.org/10.12345/yzlcyxzz.v8i9.31977