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首页> 外文期刊>The American journal of hospice and palliative care >The use of metal or plastic needles in continuous subcutaneous infusion in a hospice setting.
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The use of metal or plastic needles in continuous subcutaneous infusion in a hospice setting.

机译：在临终关怀环境中，在连续皮下输注中使用金属或塑料针头。

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OBJECTIVES: Battery-driven portable syringe drivers are a convenient method for administering many drugs by continuous subcutaneous infusion (CSCI) to patients who cannot swallow medications. At the St. Clare Hospice, nurses usually use plastic needles to minimize needlestick injury but sometimes have patients transferred to metal needles. This study retrospectively examines this practice and its effectiveness. METHODS: The duration of audit was four months. During this period, there were 40 patients (23 women, 17 men), who required their medications delivered by CSCI. A total number of 74 sites were used. Metal or plastic needle CSCIs connected with one-hour release Graseby Syringe Drivers were used. The syringes were set to deliver 2 mm/hour. The maximum volume syringe used was 50 ml. The data were collected retrospectively. Analysis and results. Sixteen patients (21.6 percent) developed minor complications (13 plastic, three metal). Among them, 16 showed inflammation. Two patients (3.5 percent) showed slight bleeding. Only one patient (1.7 percent) showed local infection (metal). In 14 patients (18.9 percent), the needle was reinserted due to various reasons, including needles pulled out by patients or needles falling out due to unknown reasons. There were no needlestick injuries reported, and the staff members reported that all problems encountered were easy to identify and resolve. CONCLUSION: Plastic needle CSCI prevents needlestick injury and gives minimum distress to the patients. More research is needed to determine the local side effects of drugs used and the strategies to resolve these problems.
机译：目的：电池驱动的便携式注射器驱动器是一种通过连续皮下输注（CSCI）给无法吞咽药物的患者给药许多药物的便捷方法。在圣克莱尔临终关怀医院，护士通常使用塑料针头以最大程度地减少针刺伤害，但有时会将患者转移到金属针头上。这项研究回顾性地检查了这种做法及其有效性。方法：审核时间为四个月。在此期间，有40位患者（23位女性，17位男性）需要CSCI提供的药物。总共使用了74个站点。使用与一小时释放Graseby注射器驱动器连接的金属或塑料针头CSCI。注射器设置为以2毫米/小时的速度输送。使用的最大注射器容量为50 ml。回顾性收集数据。分析和结果。 16名患者（21.6％）出现了轻微并发症（13例塑料，三种金属）。其中16例发炎。两名患者（3.5％）显示轻微出血。只有一名患者（1.7％）显示出局部感染（金属）。在14例患者中（18.9％），由于各种原因重新插入了针头，包括患者拔出的针头或由于未知原因掉落的针头。没有报告针刺受伤的情况，工作人员报告说，遇到的所有问题都很容易发现和解决。结论：CSCI塑料针可防止针刺受伤，并使患者的痛苦降至最低。需要更多的研究来确定所用药物的局部副作用以及解决这些问题的策略。

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