Experiencias de los pacientes en cuanto a inserción ecoguiada de un catéter intravenoso: estudio cualitativo

IF 1.1 Q4 NURSING

Enfermeria Clinica Pub Date : 2025-07-01 DOI:10.1016/j.enfcli.2024.09.002

Renz Rivera , Steve He , Craig McManus , Nicholas Mifflin , Ton Tran , Lorenza Harrowell , Karla Kuzmins , John Rihari-Thomas , Peta Drury , Steven A. Frost , Evan Alexandrou

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引用次数: 0

Abstract

Background

Peripheral intravenous catheter (PIVC) insertion is the most performed invasive procedure in healthcare. However, it often presents challenges in patients with non-visible or non-palpable veins, leading to unsuccessful cannulation attempts and associated complications. Ultrasound-guided PIVC insertion is a promising solution for patients with difficult venous access (DiVA). However, there remains a gap in the literature regarding patient experiences with this technique.

Aim

This study aimed to describe the characteristics and experiences of patients referred to a specialised DiVA team for ultrasound-guided PIVC insertion and compare their experiences with previous traditional cannulation.

Method

A qualitative study was conducted at an Australian 980-bed metropolitan tertiary referral centre. Thirteen patients were recruited through purposive sampling and interviewed post-ultrasound-guided cannulation. Data collection was conducted using one-on-one interviews followed by thematic analysis.

Results

The study identified three major themes: the improved patient experience resulting from the expertise of the DiVA team with ultrasound cannulation; the impact of limited equipment and trained personnel on patient experience and outcomes; and the significance of acknowledging patients’ prior cannulation experiences. Participants reported a stark contrast in their experiences between ultrasound-guided and traditional cannulation, with the former significantly reducing physical discomfort, stress and anxiety and improving success rates.

Conclusions

Ultrasound-guided PIVC insertion by trained clinicians significantly enhances the experience for patients with DiVA. However, challenges remain, including the availability of equipment and trained staff. The study highlights the need for policy changes and training in ultrasound-guided cannulation to improve patient care and outcomes. Future research should focus on broader and more diverse populations to validate these findings.

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患者超声引导静脉导管插入的经验：定性研究

背景：外周静脉导管（PIVC）的插入是医疗保健中最常见的侵入性手术。然而，对于静脉不可见或摸不到的患者，它往往会带来挑战，导致插管失败和相关并发症。超声引导的PIVC插入是静脉通道困难（DiVA）患者的一种很有前途的解决方案。然而，关于这种技术的患者经验，文献中仍然存在空白。目的本研究旨在描述转介到DiVA专业团队进行超声引导PIVC插入的患者的特征和经验，并将其与以往传统插管的经验进行比较。方法在澳大利亚一家拥有980个床位的大城市三级转诊中心进行定性研究。通过目的抽样和超声引导插管后访谈的方法招募13例患者。数据收集采用一对一访谈，然后进行专题分析。结果研究确定了三个主要主题：DiVA团队在超声插管方面的专业知识改善了患者的体验；有限的设备和训练有素的人员对患者体验和结果的影响；以及承认患者先前插管经验的重要性。参与者报告了超声引导和传统插管之间的鲜明对比，前者显著减少了身体不适、压力和焦虑，提高了成功率。结论经培训的临床医生在超声引导下进行PIVC插入可显著提高DiVA患者的体验。然而，挑战仍然存在，包括缺乏设备和训练有素的工作人员。该研究强调了超声引导插管的政策变化和培训的必要性，以改善患者的护理和结果。未来的研究应该集中在更广泛和更多样化的人群上，以验证这些发现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Enfermeria Clinica NURSING-

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： Enfermería Clínica is a peer-reviewed scientific journal that is a useful and necessary tool for nursing professionals from the different areas of nursing (healthcare, administration, education and research) as well as for healthcare professionals involved in caring for persons, families and the community. It is the only Spanish nursing journal that mainly publishes original research. The aim of the Journal is to promote increased knowledge through the publication of original research and other studies that may help nursing professionals improve their daily practice. This objective is pursued throughout the different sections that comprise the Journal: Original Articles and Short Original Articles, Special Articles, Patient Care and Letters to the Editor. There is also an Evidence-Based Nursing section that includes comments about original articles of special interest written by experts.