以质量求发展，以服务铸品牌

Journal of Nursing ›› 2021, Vol. 28 ›› Issue (12): 65-70.doi: 10.16460/j.issn1008-9969.2021.12.065

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Construction of Evaluation Index System for Risk Factors of Vasoactive Drug-induced Phlebitis in Patients with Cardiovascular Diseases

YAO Xun-xia, ZHANG Li-xiang, CAO Jiao-yu, OU An-ping, HU Fang, WU Jin-yu   

  1. Dept. Of Cardiovascular Internal Medicine,the First Affiliated Hospital of University of Science and Technology of China,Anhui Provincial Hospital,Hefei 230036, China
  • Received:2021-02-12 Online:2021-06-25 Published:2021-07-06

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Abstract: Objective To construct an evaluation index system of risk factors of phlebitis caused by vasoactive drugs through peripheral vein in patients with cardiovascular diseases, and to provide reference for establishing an early warning and prevention system of phlebitis caused by vasoactive drugs. Methods After literature review, the indexes of phlebitis risk caused by vasoactive drugs in patients with cardiovascular diseases were preliminarily constructed, and Delphi method was used to inquire 20 experts for two rounds. Through the screening and modification of indicators, the construction of risk factor index system was completed. The weight of each index was determined by the method of precedence diagram. Results After two rounds of expert consultation, the evaluation index system of risk factors of phlebitis caused by vasoactive drugs in patients with cardiovascular diseases was finally formed and it consisted of 4 first-level, and 36 secondary-level indicators. Conclusion The evaluation index system of risk factors of phlebitis caused by vasoactive drugs in patients with cardiovascular diseases constructed by two-round expert consultation is scientific and reasonable, since there are quantitative indicators for phlebitis prevention and evaluation for patients with cardiovascular diseases who use vasoactive drugs peripherally.

Key words: peripheral vein, phlebitis, risk assessment, Delphi method, quantitative index

CLC Number: 

  • R472
[1] Sabri A, Szalas J,Holmes KS,et al.Failed Attempts and Improvement Strategies in Peripheral Intravenous Catheterization[J].Biorned Mater Eng,2013, 23(1-2):93-108.DOI:10.3233/BME-120735.
[2] 孙红,王蕾,关欣,等.全国部分三级甲等医院静脉治疗护理现状分析[J].中华护理杂志,2014,49(10):1232-1237. DOI:10.3761/j.issn.0254-1769.2014.10.018.
[3] Rickard CM,Webster J,Wallis MC,er al.Routine Versus Clinically Indicated Replacement of Peripheral Intravenous Catheters: A Randomised Controlled Equivalence Trial[J].Lancer,2012,380(9847):1066-1074.DOI:10.1016/S0140-6736(12)61082-4.
[4] 夏琛,卢爱霞,孙俊伟,等.改良塞丁格技术联合血管静脉超声在乳腺癌患者术后化疗经外周静脉置入中心导管中的作用[J].中华临床营养杂志,2014,22(3):187-190. DOI:10.3760/cma.j.issn.1674-635X.2014.03.013.
[5] Patregnani JT, Sochet AA, Klugman D.Short-term Peripheral Vasoactive Infusions in Pediatrics:Where Is the Harm?[J]. Pediatr Crit Care Med,2017,18(8):e378-e381. DOI:10.1097/PCC.0000000000001230.
[6] 魏涛,谭艳,堪永殻,等.成人外周静脉使用情况调查[J].护理学杂志,2018, 33(9):17.DOI:10.3870/j.issn.1001-4152.2018.17.006.
[7] 陈娟慧,陈燕萍,蒙昱妃,等.社区护士对老年人家庭访视的知信行评价指标体系构建[J].护理学报,2020,27(12):73-78.DOI:10.16460/j.issn1008-9969.2020.12.073.
[8] 洪中,李远珍,殷勤.血管活性药物外渗的护理研究进展[J].护士进修杂志,2019,34(18):1655-1657.DOI:10.16821/j.cnki.hsjx.2019.18.006.
[9] 张凤,顾莺,胡雁.外周静脉导管更换时间的证据总结[J].中华护理杂志,2015,50(1):106-109. DOI:10.3761/j.issn.0254-1769.2015.01.025.
[10] 李进进. 观察护理干预预防外周静脉血管活性药物静脉炎[J].中西医结合心血管病杂志,2018,6(20):87. DOI:10.3969/j.issn.2095-6681.2018.20.068.
[11] 祖丽丽. 经外周静脉输注血管活性药物的注意事项[J].实用临床护理学杂志,2018,3(45):185.DOI:10.3969/j.issn.2096-2479.2018.45.157.
[12] Infusion Nurses Society.Infusion Nursing Infusion Standards of Practice[M].Massachusetts:Infusion Nurses Society,2016:1-132. DOI:10.1016/S0191-2615(99)00047-8.
[13] Nursing Infusion Society.Infusion Nursing Standards of Practice[J].J Infus Nurs, 2011,34(1 Suppl):S108-S109.
[14] 张元红,张洁,马娟娟, 等.通用护理质量敏感指标体系的构建[J].护理管理杂志,2020,20(7):516-519. DOI:10.3969/j.issn.1671-315x.2020.07.013.
[15] 苏建萍. 静疗护士静脉治疗实践及护理[M].乌鲁木齐:新疆人民卫生出版社,2019.
[16] 周静,陈瑞,谭婕,等.静脉输液治疗护理临床实践[M].青岛:中国海洋大学出版社,2018.
[17] 杨巧芳,刘延锦.静脉输液治疗护理技术指导手册[M].郑州:河南科学技术出版社.2017.
[18] 吴清清,朱玲玲,樊树清,等.军队医院临床护理单元绩效考评指标体系的构建[J].中华护理杂志,2017,52(12):1495-1499. DOI:10.3761/j.issn.0254-1769.2017.12.017.
[19] 曹婷婷,芦桂芝,王晓慧, 等.基于德尔菲和优序图法构建ICU医院感染风险评价指标体系[J].护理学杂志,2016,31(5):44-47. DOI:10.3870/j.issn.1001-4152.2016.05.044.
[20] 陶艳玲. 外周静脉相关静脉炎的危险因素研究进展[J].护理学杂志,2014,29(20):89-92. DOI:10.3870/hlxzz.2014.20.089.
[21] 韩雪. 血管活性药经外周静脉及深静脉微量泵泵入对血管的影响效果分析[J].心血管外科杂志,2019,8(3):144. DOI:10.3969/j.issn.2095-2260.2019.03.125.
[22] 黄肖玲. 优质护理服务对门诊输液患者健康教育效果的影响[J].护理实践与研究,2013,10(19):110-111. DOI:10.3969/j.issn.1672-9676.2013.19.052.
[23] 胡彩珍,梁健英,梁映霞,等.心力衰竭患者应用血管活性药物不良反应因素分析与防范对策[J]. 护理实践与研究,2019,16(20):64-65.DOI:10.3969/j.issn.1672-9676.2019.20.025.
[24] 吴巧媚,张利娟,郑静霞.基于Delphi法ICU患者误吸风险评估体系的构建[J].护理学报,2018,25(2):1-6. DOI:10.16460/j.issn1008-9969.2018.02.001.
[25] 王文革,张雯雯,宋鑫.应用Delphi法构建眼科手术部位感染风险评估体系[J].护理研究,2019,33(24):4232-4235. DOI:10.12102/j.issn.1009-6493.2019.24.008.
[26] 吴哓哓,荀林娟,张慧敏,等.基于德尔菲法的普外科术后出血危险因素评估表的构建[J].护理研究, 2019, 33(13):2213-2216. DOI:10.12102/j.issn.1009-6493.2019.13.006.
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