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末梢静脈カテーテル留置において目視困難な静脈を確実・安全に穿刺するための基礎研究: 血管径・深さ・皮膚色の非侵襲的計測
https://doi.org/10.24517/00061596
https://doi.org/10.24517/00061596c5fbf50f-b3e3-469f-81d1-fc217a52fc61
名前 / ファイル | ライセンス | アクション |
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ME-PR-NAKATANI-T-10_103.pdf (2.5 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2021-04-09 | |||||
タイトル | ||||||
タイトル | 末梢静脈カテーテル留置において目視困難な静脈を確実・安全に穿刺するための基礎研究: 血管径・深さ・皮膚色の非侵襲的計測 | |||||
言語 | ||||||
言語 | jpn | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
ID登録 | ||||||
ID登録 | 10.24517/00061596 | |||||
ID登録タイプ | JaLC | |||||
著者 |
木森, 佳子
× 木森, 佳子× 須釜, 淳子× 中谷, 壽男× 福田, 汐里× 宮地, 利明× 紺家, 千津子× 大桑, 麻由美× 真田, 弘美 |
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著者別表示 |
Kimori, Keiko
× Kimori, Keiko× Sugama, Junko× Nakatani, Toshio× Fukuda, Shiori× Miyati, Toshiaki× Konya, Chizuko× Okuwa, Mayumi× Sanada, Hiromi |
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提供者所属 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 金沢大学医薬保健研究域保健学系 | |||||
書誌情報 |
日本看護技術学会誌 en : Japanese journal of nursing art and science 巻 10, 号 1, p. 103-110, 発行日 2011-04 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1349-5429 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA11942381 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.18892/jsnas.10.1_103 | |||||
出版者 | ||||||
出版者 | 日本看護技術学会 Japanese Society of Nursing Art and Science | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 末梢静脈内カテーテル留置法では,対象静脈が目視困難な場合,確実な穿刺,合併症の発生に影響を及ぼす.本研究の目的は目視困難静脈の穿刺技術向上に向け,目視の可否による血管径 ・ 深さ,動脈との位置関係を超音波診断装置で,皮膚色を色差計で計測し違いを明らかにすることである.研究デザインは実態調査型研究である.対象者は健常若年女性 20名,計測静脈は 58本,計測動脈は 18本であった.その結果,目視の可否に有意差があったのは深さのみで,血管径,動脈との位置関係,皮膚色は同等であることが明らかになった.静脈の深さの平均 (SD) は,目視可能静脈が2.7 (0.7) mm,目視困難静脈が4.6 (1.8) mmであった (p=.0001).目視の可否の分離値は 3.0mm (AUC=0.919,95%CI 0.84-0.99)で,深さ3mm以上の留置カテーテル用末梢静脈は目視困難になることが明らかとなった.したがって,目視困難な静脈は深さ3mm以上の穿刺技術が,動脈穿刺の防止は,目視の可否に関わらない穿刺技術の必要性が示唆された. | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | During catheter placement, peripheral intravenous access is affected by the visibility of the vein, such that the risk of peripheral nerve injuries and arterial punctures, increases as the visibility decreases. This study examined the relation between vein visibility and (a) vein width, (b) vein depth, (c) position of the artery relative to the vein, and (d) skin color. This was an observational study with prospective data collection. A total of 20 healthy young women (58 veins and 18 arteries) were examined. As a result, vein visibility demonstrated significant differences in relation to vein depth, but not in relation to the other three factors. The mean depth (SD) was 2.7 (0.7) mm for visible veins and 4.6 (1.8) mm for invisible veins (p=0.0001). The cut off point was 3.0 mm (AUC=0.919 95% CI-0.84 to 0.99), indicating that peripheral veins for catheter placement are more likely to be invisible when the depth is 3.0 mm or more. These findings highlight the need for two kinds of venipuncture skills : those for invisible veins with a depth of 3.0 mm or more, and those that will prevent arterial puncture regardless of vein visibility. | |||||
権利 | ||||||
権利情報 | Copyright © 日本看護技術学会 Japanese Society of Nursing Art and Science | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://www.jstage.jst.go.jp/browse/jsnas/-char/ja/ | |||||
関連名称 | https://www.jstage.jst.go.jp/browse/jsnas/-char/ja/ | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://jsnas.jp/ | |||||
関連名称 | https://jsnas.jp/ |