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Journal of Nursing ›› 2019, Vol. 26 ›› Issue (17): 1-5.doi: 10.16460/j.issn1008-9969.2019.17.001

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Cohort Study on Influence Factors of Medical Adhesive-related Skin Injury in PICC Insertion Site of Tumor Patients

WANG Qin1, CHEN Jin1, WEI Li1,2   

  1. 1. General Hospital, Tianjin Medical University, Tianjin 300052, China;
    2. Airport Hospital of General Hospital,Tianjin Medical University, Tianjin 300308, China
  • Received:2019-04-06 Published:2020-07-13

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Abstract: Objective To investigate the occurrence and influence factors of medical adhesive-related skin injury (MARSI) at PICC insertion site in tumor patients, and to provide nursing reference for reducing the occurrence of MARSI. Methods A prospective cohort study was conducted and 396 tumor patients with PICC were selected in a tertiary grade A hospital in Tianjin from April 1st to November 20th, 2018. The incidence of MARSI was investigated, and the type and location of MARSI, and its influencing factors were analyzed. Results The incidence of MARSI in tumor patients was 26.8%(106/396). The main type of skin injury was contact dermatitis, accounting for 13.9% (55/396) and tension injury or blister in mechanical skin injury, accounting for 6.3%(25/396), followed by wet-related skin injury (1.3%, 5/396) and folliculitis (1.0%, 4/396). MARSI occurred mostly in the skin under the film (63.2%, 67/106). Multivariate analysis showed PICC-related infections (P<0.001, OR=3.271, 95%CI:1.697~6.306), times of puncture (P=0.018, OR=2.474, 95%CI:1.171~5.226) and delay in maintenance period (P=0.018, OR=2.537, 95%CI:1.176~5.473) were risk factors for MARSI in tumor patients with PICC. Conclusion The incidence of MARSI in PICC catheter site is higher in tumor patients, and it frequently occurs in the skin under the film. Contact dermatitis and mechanical skin injury are main type of MARSI and PICC-related infection, times of puncture and the delay of catheter maintenance period are risk factors for MARSI.

Key words: tumorous patient, PICC, medical adhesive-related skin injury, cohort study

CLC Number: 

  • R473.73
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