CAJ | 학술논문

目的：应用层次分析法分析儿童血液病患儿PICC导管脱出的原因，探讨其主要原因。方法运用层次分析法，在文献查阅和访谈的基础上制定儿童血液病患者PICC导管脱出原因打分表，分别请11名在职护士和10名患儿家长进行打分，计算出两组各个指标的权重，进而对指标进行排序。结果在前5位原因中，监管患儿的力度差C6，护士换药方法不规范C1，贴膜粘贴功能差C15，穿刺侧肢体活动过度、贴膜松脱而脱管C9是两组一致认为的排列前4位的原因，而监管患儿的力度是首要原因。结论加强护士培训，选择合适的贴膜，加强血液病患儿家长对PICC导管脱出的防范意识，加强患儿的监管，减少置管侧肢体的活动，以减少患儿PICC导管脱出。
목적：응용층차분석법분석인동혈액병환인PICC도관탈출적원인，탐토기주요원인。방법운용층차분석법，재문헌사열화방담적기출상제정인동혈액병환자PICC도관탈출원인타분표，분별청11명재직호사화10명환인가장진행타분，계산출량조각개지표적권중，진이대지표진행배서。결과재전5위원인중，감관환인적력도차C6，호사환약방법불규범C1，첩막점첩공능차C15，천자측지체활동과도、첩막송탈이탈관C9시량조일치인위적배렬전4위적원인，이감관환인적력도시수요원인。결론가강호사배훈，선택합괄적첩막，가강혈액병환인가장대PICC도관탈출적방범의식，가강환인적감관，감소치관측지체적활동，이감소환인PICC도관탈출。
Objective To explore the main cause of displacement of peripherally inserted central catheters ( PICC) among pediatric patients with hematologic disease .Methods Eleven nurses and 10 children's parents received the questionnaire on the cause analysis of displacement of PICC among pediatric patients with hematological tumor which was made through the analytical hierarchy process theory , the literature review and interview.The weight of each indicator was calculated in the two groups , and the indicator was put in the right order according to their weights .Results The top 4 main causes agreed by nurses and parents in the displacement of PICC among pediatric patients with hematologic disease were respectively poor supervision C 6 , non-standard dressing methods C 1 , different adhesive forces of dressings C 15 , excessive activity of arm in where the PICC line was located C 9 , and the predominant reason was the poor supervision C 6 .Conclusions We should strengthen the training of nurses , and choose the appropriate dressings , and enhance the guard consciousness of the displacement of PICC in children's parents , and reinforce the supervision , and reduce the arm activity so as to decrease the displacement of PICC among pediatric patients with hematologic disease .