Purpose To identify the trends in the prevalence of peripherally inserted central catheter (PICC) related complications in cancer patients and explore the risk factors for complications and occurrence speed. Methods A total of 3573 cancer patients with PICC were recruited at 17 hospitals from 2016 to 2022. Logistic and COX regression were performed to identify influencing factors of PICC-related complications and incidence speed, respectively. Results The proportion of symptomatic PICC-related thrombosis, phlebitis, and infections reported had decreased from 59.1% (in 2017), 11.9% (in 2016), and 11.1% (in 2016) to 15.3% (in 2022), 2.9% (in 2022), and 7.4% (in 2022), and adhesive-related skin injuries and bleeding/oozing reported had increased from 4.8% (in 2016) and 0.0% (in 2016) to 45.5% (in 2022) and 3.4% (in 2022), respectively. Catheter occlusion showed a trend of first increasing and then decreasing from 2.4 (in 2016) to 12.0 (in 2020) to 5.8% (in 2022). Logistic regression showed that hospital level, nature, the patient’s gender, age, diagnosis, history of deep vein catheterization, chemotherapy drug administration, and type of PICC were influencing factors of complications. COX regression showed that the patient’s gender, age, diagnosis, history of deep vein thrombosis and thrombophlebitis, history of deep vein catheterization, chemotherapy drug administration, type of PICC, type of connector, and StatLock used for fixation were influencing factors of incidence speed. Conclusion The composition ratios of PICC-related complications in cancer patients in China have changed in recent years. Chemotherapy drug administration was a significant risk factor accelerating the occurrence of complications. Maintenance factors had the maximum weight on the COX model, followed by patient factors. It is suggested that patients with high-risk factors be closely monitored and proper maintenance be performed to prevent and delay the occurrence of PICC-related complications.

近些年来,高级实践护士在国内外发展速度较快,但其角色作用评价存在不一致的情况.分析原因,可能是缺乏理论框架的指导来进行高级实践护士角色作用的评价.该文对高级实践护士的概念、类别、角色评估框架及其在角色作用评价中的应用现况进行综述,以期明确高级实践护士的角色价值,进而推动我国高级护理实践的发展.

目的 分析美国国家科学基金会中护理-信息-工程学相关科研项目资助情况,为促进我国护理-信息-工程学科发展提供参考.方法 使用Python语言的网络爬虫和隐含狄利克雷分布(latent Dirichlet allocation,LDA)模型对美国国家科学基金会中护理-信息-工程学相关的项目数据进行采集、预处理和分析.结果 本研究共纳入 265 个相关科研项目,时间跨度为1988 年至 2023 年,立项数量和资助金额整体呈上升趋势.纳入项目共包含 2153 个词,基于 LDA模型分为 6 个主题,分别为智能技术在患者安全管理中的研究、面向患者的护理大数据系统的研发、护士健康及辅助决策工具的研发、虚拟现实技术在护理教育中的应用、传感器和无线辅助设备的研发和机器人在医院工作流程中的应用.结论 大数据和信息化时代让信息学和工程学融入到护理学科的建设当中,研究者可结合国情继续深入探索我国护理-信息-工程学的发展前景.

Python作为近年来广受欢迎的编程语言之一,有着开源、免费、丰富的第三方库,护理学者可根据不同需求选择和使用.本文旨在介绍Python语言的特点及其网络爬虫、数据预处理、机器学习、统计分析和网络编程等功能在护理研究领域中的应用现状,并提出未来的应用展望,以期为Python语言在护理研究领域的使用和推广提供参考,为促进护理领域的发展提供借鉴.

Purpose There is a lack of studies that systematically evaluate the clinical factors of PICC-RVT such as treatment, tumor stage, metastasis, and chemotherapy drugs in cancer patients. This study, therefore, aims to evaluate the clinical factors of catheter-related venous thrombosis in cancer patients with indwelling PICC to provide a basis for the clinical prevention and reduction of thrombosis. Methods Relevant studies were retrieved from major databases (PubMed, Embase, Web of Science, China National Knowledge Infrastructure (CNKI), WanFang Data, and China Biology Medicine disc (CMB)) and searched from their earliest available dates until July 2022. If two or more studies had the same outcome, a meta-analysis using RevMan 5.4.1 was performed. This systematic review was registered at PROSPERO (number CRD42022358426). Results A total of 19 articles involving 19,824 patients were included for quantitative analysis. Meta-analysis of these studies indicated that a history of chemotherapy, tumor type, tumor stage, presence or absence of metastasis, and use of fluorouracil, etoposide, platinum drugs, and taxane were all risk factors for PICC catheter thrombosis in cancer patients. Conclusion In clinical PICC catheter thrombosis prevention, patients with the above characteristics should be watched more closely than other patients, as they have a higher risk for PICC catheter thrombosis. Based on the present evidence at hand, radiotherapy cannot be considered to be related to the formation of PICC-RVT in cancer patients.

Previous studies have comprehensively evaluated predictive models related to peripherally inserted central catheter-related venous thrombosis (PICC-RVT) , but have not further elaborated on its application and effect in the tumor patient population. This article reviews the PICC-RVT evaluation tools that are clinically mature and applicable to cancer patients, analyzes the presentation forms, statistical methods, and limitations of different models, in order to provide suggestions and references for model selection by clinical healthcare professionals and the construction of future PICC-RVT prediction models for cancer patients.

This paper summarized the P wave introduction method using the Intracardiac Electrocardiogram positioning method during the process of Central Venous Access Devices insertion, the basic principles of positioning,different observation indicators, its clinical application status, and application limitations for particular populations. This paper also clarified the evidence basis for positioning and relevant precautions. Through this paper, we aim to provide a practice reference for clinicians and promote the technological advancement of Intracardiac Electrocardiogram positioning.

该文探究了卓越人才内涵,从国家卫生建设、学科发展以及学生自身发展3个角度明确了卓越护理人才培养的必要性和现实意义,总结出卓越人才培养的普遍规律,结合我国护理学科及护理专业发展现状,从选"材"、培养目标、培养模式、课程内容、师资与教学方式、培养环境6个方面提出护理专业卓越人才培养策略,以期推动我国护理教育改革,促进我国护理事业的发展.