Construction of a risk classification prevention plan for medical adhesive related skin injury at the PICC site of tumor patients
Zhang Huijiao, Li Yuling, Zhang Shuqing, Hou Xiaoya, Feng Lina
Published 2023-10-16
Cite as Chin J Mod Nurs, 2023, 29(29): 3993-3998. DOI: 10.3760/cma.j.cn115682-20221021-05123
Abstract
ObjectiveTo construct a risk classification prevention plan for medical adhesive related skin injury at the peripherally inserted central catheter (PICC) site of tumor patients, so as to provide reference for preventing PICC related skin damage.
MethodsThe overall period of this study was from April to July 2022. Based on evidence-based search of domestic and foreign literature, and combined with preliminary investigation results, a preliminary framework index for the risk classification prevention of medical adhesive related skin injury at the PICC site of tumor patients was constructed. A total of 20 venous therapy experts from 14 Class Ⅲ hospitals in Shanxi Province were selected by purposive sampling. The Delphi method was used to conduct two rounds of consultation with experts to determine the risk classification prevention plan for medical adhesive related skin injury at the PICC site of tumor patients.
ResultsThe effective response rate of the two rounds of expert consultation questionnaires was 100%, with expert authority coefficients of 0.94 and Kendall's harmony coefficients of 0.12 and 0.16, respectively, with a statistically significant difference (P<0.001). The final constructed risk classification prevention plan for medical adhesive related skin injury at the PICC site of tumor patients included 6 first-level indicators and 31 second-level indicators.
ConclusionsThe risk classification prevention plan for medical adhesive related skin injury at the PICC site of tumor patients in this study is scientific, targeted, and practical, and can provide practical guidance for the prevention of PICC-related skin injury.
Key words:
Neoplasms; Central venous catheters; Skin injury; Risk prevention; Delphi method
Contributor Information
Zhang Huijiao
School of Nursing, Shanxi Medical University, Taiyuan 030001, China
Li Yuling
Nursing Department, First Hospital of Shanxi Medical University, Taiyuan 030001, China
Zhang Shuqing
Department of Hematology, First Hospital of Shanxi Medical University, Taiyuan 030001, China
Hou Xiaoya
Oncology Department, First Hospital of Shanxi Medical University, Taiyuan 030001, China
Feng Lina
Venous Access Center, First Hospital of Shanxi Medical University, Taiyuan 030001, China
