以质量求发展，以服务铸品牌

Journal of Nursing ›› 2022, Vol. 29 ›› Issue (1): 41-46.doi: 10.16460/j.issn1008-9969.2022.01.041

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Best Evidence Summary of Indwelling and Maintenance of Midline Catheters in Adult Patients

XU Zhi-juan1a, LI Xiu-qing1a, KONG Ye-hong1a, SHI Lei1b, QIAO Qiu-ge1c, LING Dong-lan2   

  1. 1a. Dept. of Hepatobiliary Surgery; 1b. Dept. of Urology; 1c. Dept. of General Surgery I,the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China;
    2. Dept. of Nursing Administration, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou 510260, China
  • Received:2021-06-02 Online:2022-01-10 Published:2022-02-14

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Abstract: Objective To summarize the best evidence of indwelling and maintenance of midline catheter in adult patients, and to provide evidence for clinical nursing. Methods The PICO model was used to identify evidence-based nursing problems, and the literature related to the placement and maintenance of midline catheter in adult patients was searched according to the 6S hierarchy of?evidence-based resources in databases of Up To Date, BMJ Best Practice, Cochrane Library, JBI, NGC, CDC, NICE, GIN, RNAO, CINAHL, EMbase, PubMed, INS, Wanfang, CNKI and Yimaitong from the inception to February 2021. The literature was independently evaluated and screened by two evidence-based nurses with master degree, and the evidence were summarized and evaluated by the research team. Results Six articles were included, including 4 guidelines and 2 systematic evaluations. A total of 53 pieces of evidence were extracted from the included literature, and finally 27 pieces of best evidence were integrated into 7 dimensions, including indications and contraindications of midline catheter, selection of midline catheter and puncture site, catheter placement method, catheter end location, catheter maintenance, catheter removal timing, training and education. Conclusion This study provides evidence-based evidence for clinical staff to standardize the management of midline catheters in adult patients. It is recommended to selectively apply the best evidence after evaluating the institutional environment and the willingness of stakeholders to improve the quality of care and ensure patient safety.

Key words: adult, midline catheters, indwelling, maintenance, evidence-based nursing

CLC Number: 

  • R472
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