中线导管留置患者的护理质量评价现状及影响因素分析

Current status and influencing factors of nursing quality in patients with midline catheter indwelling

目的用中线导管护理质量评价量表调查中线导管留置患者的护理质量评价现状,并探索其影响因素,为后续制定有效的干预措施提供参考。方法采用便利抽样法选取河北省3所三甲医院434例中线导管留置患者作为研究对象,用一般资料调查表、中线导管护理质量评价量表对其导管护理质量评价现状及影响因素进行调查。结果中线导管护理质量评价量表总分为(232.08±15.83),属于中等偏上水平。量表中的结构维度下专业团队达标率得分较低,过程维度下护理记录合格率得分较低,结果维度下血栓发生率较高。多元线性回归结果显示,年龄、患病数量、体重指数、置管次数、留置时间是中线导管留置患者护理质量评价的主要影响因素(P<0.05),将5个变量纳入回归方程后,解释了中线导管留置患者护理质量评价55.7%的变异。结论中线导管留置患者的护理质量属于中等偏上水平。此外,较低体重指数、较少置管次数、做好留置时间延长的维护可以有效提高中线导管留置患者的护理质量。

Objective To investigate the current status of patients with midline catheter indwelling,and analyze its influencing factors,so as to provide reference for the subsequent formulation of effective intervention measures.Methods A total of 434 patients with midline catheter indwelling from three Grade A tertiary hospitals in Hebei Province were selected by convenience sampling method,The Midline Catheter Nursing Quality Evaluation Scale were used for the investigation.Results The total score of Midline Catheter Nursing Quality Evaluation Scale was(232.08±15.83),which belonged to the above medium level,the achievement rate of professional teams was lower in the structural dimension,the qualified rate of nursing records was lower in the process dimension,and the incidence of thrombus was higher in the outcome dimension.The multiple linear regression showed that age,number of illnesses,body mass index,catheterization length,catheterization times and indent time were the main influencing factors of nursing quality evaluation of patients with midline catheter indwelling(P<0.05).After five variables were included in the regression equation,55.7%of the variation was explained in the nursing quality evaluation for patients with midline catheter indwelling.Conclusions According to the results of the scale,the nursing quality of patients with midline catheter indwelling was above the medium level.Patients with lower BMI,less number of catheters,maintain the midline catheter indwelling on time can effectively improve the nursing quality of midline catheter indwelling.