Objective To investigate the risk factors for contact dermatitis in patients with peripherally inserted central catheter (PICC) catheterization.Methods A total of 244 patients with PICC catheterization admitted in the Venous Catheter Nursing Outpatient of Affiliated Hospital of Nanjing University of TCM from June to August 2016 were selected using convenience sampling. A prospective study was performed on those patients for general information, PICC catheter information, PICC care information and contact dermatitis development information. SPSS 21.0 was used to analyze the date.Results A number of 24 patients were observed to have contact dermatitis with an incidence of 9.84%. Single factor analysis showed that gender, age, allergy, dressing type and catheter material correlated to the development of contact dermatitis with PICC. The differences were statistically significant (P<0.05). Multiple factor logistic regression analysis showed that the gender[OR=2.721, 95%CI (1.059-6.994),P=0.038], allergy[OR=5.846, 95%CI (2.030-16.833),P=0.001] and dressing type[OR=4.055, 95%CI (1.472-11.169),P=0.007]were risk factors of contact dermatitis in patients with PICC catheterization.Conclusions For PICC catheterization patients, effective preventive measures aiming at risk factors can reduce the occurrence of contact dermatitis with PICC.%目的 探讨PICC置管后患者局部皮肤接触性皮炎发生的危险因素.方法 本研究采用方便抽样的方法选取南京中医药大学附属第一医院静脉导管护理门诊2016年6—8月PICC置管患者244例,前瞻性调查PICC置管患者的一般资料、置管资料、导管维护资料和PICC局部皮肤接触性皮炎发生情况,采用SPSS 21.0进行统计分析.结果 PICC置管后患者局部皮肤接触性皮炎发生24例,发生率为9.84%;单因素分析结果显示性别、年龄、过敏史、敷贴种类、导管材质与接触性皮炎的发生,差异有统计学意义(P<0.05);多因素Logistic回归分析结果显示性别[OR=2.721,95%CI(1.059~6.994),P=0.038]、过敏史[OR=5.846,95%CI(2.030~16.833),P=0.001]、敷贴种类[OR=4.055,95%CI(1.472~11.169),P=0.007]是PICC局部皮肤接触性皮炎的危险因素.结论 对于PICC置管患者,针对危险因素采取有效预防措施可降低PICC局部皮肤接触性皮炎的发生.
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