血液病患者PICC导管相关血流感染风险评估指标体系的构建

doi:10.3969/j.issn.1006-9143.2025.03.004

天津护理 ›› 2025, Vol. 33 ›› Issue (3): 269-274.DOI: 10.3969/j.issn.1006-9143.2025.03.004

血液病患者PICC导管相关血流感染风险评估指标体系的构建

刘艳霞李铭燕张慧敏

中国医学科学院血液病医院（中国医学科学院血液学研究所），天津 300020

出版日期:2025-06-28 发布日期:2025-06-23

Construction of a risk assessment index system for PICC catheter-related bloodstream infection in patients with hematological diseases

LIU Yanxia, LI Mingyan, ZHANG Huimin

(Hospital of Hematology, Chinese Academy of Medical Sciences, Tianjin 300020)

Online:2025-06-28 Published:2025-06-23

摘要/Abstract

摘要： 目的：构建血液病患者PICC导管相关血流感染风险评估指标体系。方法：采用文献回顾法初步形成血液病患者PICC导管相关血流感染风险的各级指标，通过德尔菲专家函询对指标进行筛选与修改，构建PICC导管相关血流感染风险评估指标体系。结果：2轮专家函询问卷的有效回收率均为100％，权威系数分别为0.898、0.907，协调程度系数差异均具有统计学意义（P<0.05）。最终形成包括4项一级指标、23项二级指标、57项三级指标的血液病患者PICC导管相关血流感染风险评估指标体系。结论：构建的血液病患者PICC导管相关血流感染风险的评估指标体系具有科学性和合理性，可用于血液病患者PICC导管相关血流感染风险的评估。

关键词: 血液病患者, PICC, 导管相关血流感染, 德尔菲法, 风险评估

Abstract:

Objective: To construct a risk assessment index system for PICC catheter-related bloodstream infection in patients with hematological diseases. Methods: The various indicators of PICC catheter-related bloodstream infection risk in patients with hematological diseases were initially formed by literature review. The risk assessment indicator system for PICC-related bloodstream infection was developed through the Delphi expert consultation process, including screening and revision of indicators. Results: The effective recovery rates of the two rounds of expert consultation questionnaires were both 100%. The authority coefficients were 0.898 and 0.907 respectively, and there was a statistically significant difference in the coordination degrees (P<0.05). Eventually, a risk assessment index system for PICC catheter-related bloodstream infection in patients with hematological diseases was formed, consisting of 4 first-level indicators, 23 second level indicators, and 57 third-level indicators. Conclusion: The risk assessment index system for PICC-related bloodstream infection in patients with hematologic diseases is scientifically sound and reasonable, and can be used for assessing the risk of such infections in these patients.

Key words: Patients with hematological diseases, PICC, Catheter-related bloodstream infection, Delphi method, Risk assessment

刘艳霞李铭燕张慧敏. 血液病患者PICC导管相关血流感染风险评估指标体系的构建[J]. 天津护理, 2025, 33(3): 269-274.

LIU Yanxia, LI Mingyan, ZHANG Huimin. Construction of a risk assessment index system for PICC catheter-related bloodstream infection in patients with hematological diseases[J]. Tianjin Journal of Nursing, 2025, 33(3): 269-274.

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血液病患者PICC导管相关血流感染风险评估指标体系的构建

Construction of a risk assessment index system for PICC catheter-related bloodstream infection in patients with hematological diseases

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