ir.ymlib.yonsei.ac.kr · -6-. (extravasation), (phlebitis), (infiltration), (hematoma formation), ,...

- 1 -

(Intravascular debices IVD)

IVD Peripheral cannulae Midline

catheters Central venous access devices(CVAD) CVAD

Non-tunnelled catheters Skin-Tunnelled catheters Implantable

injection ports PICC

(peripheral cannulae PC) (Peripheral inserted　

central catheter PICC) (Periald 2008)　

- 2 -

PICC PICC

(vesicant) (irritant)

VAD

(guideline)

PICC

lsquo rsquo

3

PICC

PICC

- 3 -

(OCS Order Communication System)

PACS(Picture

Archive and Communication System)

(EMR Electronic Medical Records)

OCS

PACS LIS(Laboratory Information System)

(Clinical Decision Support System

CDSS) CDSS

(guideline)

PICC

- 4 -

PICC

PICC

PICC

PICC

PICC

PICC

PICC

- 5 -

- 6 -

(extravasation) (phlebitis)

(Infiltration) (hematoma formation)

(localinfection) (nervesinjury)

(allergicreaction) (pyrogenic reaction)

(septicemia) (pulmonaryembolism)

(airembolism) (fluid over-load) ( 1988

Steele1996 1998 2005)

(Peripheral Intravenous PIV)

(Central Intravenous CIV)

(Galloway 2002)

(subclavian vein) (basilic

vein) (cephalic vein)

(Hickman Catheter) (Centrasil) (chemo Port)

(Intrasil)

- 7 -

- 8 -

1940

(IV therapist)

(Weinstein1997)

(Anderson 1994)

1960

(Miller et al 1996

Weinstein 1997 Scalley 1992 Gaines1993 )

Dunavin (1994)

- 9 -

CQI (Continuous Quality Improvement)

8 $6000

1994

( 1997

1998)

( 1997)

( 1997 1997) (1997)

1990 PICC

(Hunter

M 2007 Park KB et al 2008)

- 10 -

- 11 -

- 12 -

log ⋯⋯

β

β β χ χ

- 13 -

983791

- 14 -

CQI

1 CDSS

- 15 -

1

- 16 -

2

- 17 -

- 18 -

- 19 -

3

- 20 -

( )

( )

1 2

18 8 - -

2

( 1000 )20 - 20 20

220 20 - -

48 28 20 20

2

- 21 -

- 22 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100

irritant gt600mOsmoll 1 13 65

gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)

M i s s i s s i p p i

Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -

안녕하십니까바쁘신 중에도 시간을 내어 설문에 협조해 주셔서 대단히 감사드립니다이 연구는 환자의 효과적인 정맥주입치료를 위해 의 삽입이 필요한 환자를PICC조기 선정하여 삽입하도록 하는 것을 목적으로 합니다 이를 위해 차적으로 1귀하 정맥주사전담간호사 인과 내 외과 레지던트 년차 이상의 의사 인의25 1 8

의견과 국내외 학위논문 및 학회지의 문헌을 고찰하여 삽입이 요구되는PICC환자의 항목을 조사하였고 국외 종합병원의 정맥접근기구 ( Vsscular Access

선정 가이드라인 및 프로토콜을 조사하였습니다Devices) 최종적으로 삽입 대상 환자 선정을 위한 관련 요인 및 관련 요인의 객관적PICC규칙 마련을 위하여 귀하 전문가 집단의 의견을 반영하고자 합니다

- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40

기저질환 당뇨( CRF) 0 80

유지시간IV 80 20

감염성 정도 0 10

약물Irritant 100 100환자

외측

요인

약물Vesicant 100 100

장기간 영양치료 100 100

- 62 -

07mm

2cm

cord

patency

1

10 Margy G J Infusion Nursing2002

1 INS(Infusion Nursing Society)

3 Johns Hopkins Hospital(chronic P)

irritant gt500mOsm wwwPICCexellencecom AJN

gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 2 -

PICC PICC

(vesicant) (irritant)

VAD

(guideline)

PICC

lsquo rsquo

3

PICC

PICC

- 3 -


PACS(Picture



OCS



CDSS) CDSS

(guideline)

PICC

- 4 -

PICC

PICC

PICC

PICC

PICC

PICC

PICC

- 5 -

- 6 -







Steele1996 1998 2005)



(Galloway 2002)




(Intrasil)

- 7 -

- 8 -

1940

(IV therapist)

(Weinstein1997)

(Anderson 1994)

1960

(Miller et al 1996


Dunavin (1994)

- 9 -


8 $6000

1994

( 1997

1998)

( 1997)

( 1997 1997) (1997)

1990 PICC

(Hunter


- 10 -

- 11 -

- 12 -

log ⋯⋯

β

β β χ χ

- 13 -

983791

- 14 -

CQI

1 CDSS

- 15 -

1

- 16 -

2

- 17 -

- 18 -

- 19 -

3

- 20 -

( )

( )

1 2

18 8 - -

2

( 1000 )20 - 20 20

220 20 - -

48 28 20 20

2

- 21 -

- 22 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 3 -


PACS(Picture



OCS



CDSS) CDSS

(guideline)

PICC

- 4 -

PICC

PICC

PICC

PICC

PICC

PICC

PICC

- 5 -

- 6 -







Steele1996 1998 2005)



(Galloway 2002)




(Intrasil)

- 7 -

- 8 -

1940

(IV therapist)

(Weinstein1997)

(Anderson 1994)

1960

(Miller et al 1996


Dunavin (1994)

- 9 -


8 $6000

1994

( 1997

1998)

( 1997)

( 1997 1997) (1997)

1990 PICC

(Hunter


- 10 -

- 11 -

- 12 -

log ⋯⋯

β

β β χ χ

- 13 -

983791

- 14 -

CQI

1 CDSS

- 15 -

1

- 16 -

2

- 17 -

- 18 -

- 19 -

3

- 20 -

( )

( )

1 2

18 8 - -

2

( 1000 )20 - 20 20

220 20 - -

48 28 20 20

2

- 21 -

- 22 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 4 -

PICC

PICC

PICC

PICC

PICC

PICC

PICC

- 5 -

- 6 -







Steele1996 1998 2005)



(Galloway 2002)




(Intrasil)

- 7 -

- 8 -

1940

(IV therapist)

(Weinstein1997)

(Anderson 1994)

1960

(Miller et al 1996


Dunavin (1994)

- 9 -


8 $6000

1994

( 1997

1998)

( 1997)

( 1997 1997) (1997)

1990 PICC

(Hunter


- 10 -

- 11 -

- 12 -

log ⋯⋯

β

β β χ χ

- 13 -

983791

- 14 -

CQI

1 CDSS

- 15 -

1

- 16 -

2

- 17 -

- 18 -

- 19 -

3

- 20 -

( )

( )

1 2

18 8 - -

2

( 1000 )20 - 20 20

220 20 - -

48 28 20 20

2

- 21 -

- 22 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 5 -

- 6 -







Steele1996 1998 2005)



(Galloway 2002)




(Intrasil)

- 7 -

- 8 -

1940

(IV therapist)

(Weinstein1997)

(Anderson 1994)

1960

(Miller et al 1996


Dunavin (1994)

- 9 -


8 $6000

1994

( 1997

1998)

( 1997)

( 1997 1997) (1997)

1990 PICC

(Hunter


- 10 -

- 11 -

- 12 -

log ⋯⋯

β

β β χ χ

- 13 -

983791

- 14 -

CQI

1 CDSS

- 15 -

1

- 16 -

2

- 17 -

- 18 -

- 19 -

3

- 20 -

( )

( )

1 2

18 8 - -

2

( 1000 )20 - 20 20

220 20 - -

48 28 20 20

2

- 21 -

- 22 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 6 -







Steele1996 1998 2005)



(Galloway 2002)




(Intrasil)

- 7 -

- 8 -

1940

(IV therapist)

(Weinstein1997)

(Anderson 1994)

1960

(Miller et al 1996


Dunavin (1994)

- 9 -


8 $6000

1994

( 1997

1998)

( 1997)

( 1997 1997) (1997)

1990 PICC

(Hunter


- 10 -

- 11 -

- 12 -

log ⋯⋯

β

β β χ χ

- 13 -

983791

- 14 -

CQI

1 CDSS

- 15 -

1

- 16 -

2

- 17 -

- 18 -

- 19 -

3

- 20 -

( )

( )

1 2

18 8 - -

2

( 1000 )20 - 20 20

220 20 - -

48 28 20 20

2

- 21 -

- 22 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 7 -

- 8 -

1940

(IV therapist)

(Weinstein1997)

(Anderson 1994)

1960

(Miller et al 1996


Dunavin (1994)

- 9 -


8 $6000

1994

( 1997

1998)

( 1997)

( 1997 1997) (1997)

1990 PICC

(Hunter


- 10 -

- 11 -

- 12 -

log ⋯⋯

β

β β χ χ

- 13 -

983791

- 14 -

CQI

1 CDSS

- 15 -

1

- 16 -

2

- 17 -

- 18 -

- 19 -

3

- 20 -

( )

( )

1 2

18 8 - -

2

( 1000 )20 - 20 20

220 20 - -

48 28 20 20

2

- 21 -

- 22 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 8 -

1940

(IV therapist)

(Weinstein1997)

(Anderson 1994)

1960

(Miller et al 1996


Dunavin (1994)

- 9 -


8 $6000

1994

( 1997

1998)

( 1997)

( 1997 1997) (1997)

1990 PICC

(Hunter


- 10 -

- 11 -

- 12 -

log ⋯⋯

β

β β χ χ

- 13 -

983791

- 14 -

CQI

1 CDSS

- 15 -

1

- 16 -

2

- 17 -

- 18 -

- 19 -

3

- 20 -

( )

( )

1 2

18 8 - -

2

( 1000 )20 - 20 20

220 20 - -

48 28 20 20

2

- 21 -

- 22 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 9 -


8 $6000

1994

( 1997

1998)

( 1997)

( 1997 1997) (1997)

1990 PICC

(Hunter


- 10 -

- 11 -

- 12 -

log ⋯⋯

β

β β χ χ

- 13 -

983791

- 14 -

CQI

1 CDSS

- 15 -

1

- 16 -

2

- 17 -

- 18 -

- 19 -

3

- 20 -

( )

( )

1 2

18 8 - -

2

( 1000 )20 - 20 20

220 20 - -

48 28 20 20

2

- 21 -

- 22 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 10 -

- 11 -

- 12 -

log ⋯⋯

β

β β χ χ

- 13 -

983791

- 14 -

CQI

1 CDSS

- 15 -

1

- 16 -

2

- 17 -

- 18 -

- 19 -

3

- 20 -

( )

( )

1 2

18 8 - -

2

( 1000 )20 - 20 20

220 20 - -

48 28 20 20

2

- 21 -

- 22 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 11 -

- 12 -

log ⋯⋯

β

β β χ χ

- 13 -

983791

- 14 -

CQI

1 CDSS

- 15 -

1

- 16 -

2

- 17 -

- 18 -

- 19 -

3

- 20 -

( )

( )

1 2

18 8 - -

2

( 1000 )20 - 20 20

220 20 - -

48 28 20 20

2

- 21 -

- 22 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 12 -

log ⋯⋯

β

β β χ χ

- 13 -

983791

- 14 -

CQI

1 CDSS

- 15 -

1

- 16 -

2

- 17 -

- 18 -

- 19 -

3

- 20 -

( )

( )

1 2

18 8 - -

2

( 1000 )20 - 20 20

220 20 - -

48 28 20 20

2

- 21 -

- 22 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 13 -

983791

- 14 -

CQI

1 CDSS

- 15 -

1

- 16 -

2

- 17 -

- 18 -

- 19 -

3

- 20 -

( )

( )

1 2

18 8 - -

2

( 1000 )20 - 20 20

220 20 - -

48 28 20 20

2

- 21 -

- 22 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 14 -

CQI

1 CDSS

- 15 -

1

- 16 -

2

- 17 -

- 18 -

- 19 -

3

- 20 -

( )

( )

1 2

18 8 - -

2

( 1000 )20 - 20 20

220 20 - -

48 28 20 20

2

- 21 -

- 22 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 15 -

1

- 16 -

2

- 17 -

- 18 -

- 19 -

3

- 20 -

( )

( )

1 2

18 8 - -

2

( 1000 )20 - 20 20

220 20 - -

48 28 20 20

2

- 21 -

- 22 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 16 -

2

- 17 -

- 18 -

- 19 -

3

- 20 -

( )

( )

1 2

18 8 - -

2

( 1000 )20 - 20 20

220 20 - -

48 28 20 20

2

- 21 -

- 22 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 17 -

- 18 -

- 19 -

3

- 20 -

( )

( )

1 2

18 8 - -

2

( 1000 )20 - 20 20

220 20 - -

48 28 20 20

2

- 21 -

- 22 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 18 -

- 19 -

3

- 20 -

( )

( )

1 2

18 8 - -

2

( 1000 )20 - 20 20

220 20 - -

48 28 20 20

2

- 21 -

- 22 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 19 -

3

- 20 -

( )

( )

1 2

18 8 - -

2

( 1000 )20 - 20 20

220 20 - -

48 28 20 20

2

- 21 -

- 22 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 20 -

( )

( )

1 2

18 8 - -

2

( 1000 )20 - 20 20

220 20 - -

48 28 20 20

2

- 21 -

- 22 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 21 -

- 22 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 22 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 23 -

4 PICC

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 24 -

5

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 25 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 26 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 27 -

( ) ()

20 100

20 100

vesicante 20 100

irritant 20 100

4 20

IV 16 80

5 25

4 20

3 1 _PICC

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 28 -

5

16

11

9

2

13

4 1 _

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 29 -

( ) ( ) ()

1 20 100

1 20 100

vesicant 2 19 95

irritant 3 18 90

IV 4 14 70

5 8 40

6 6 30

7 2 10

8 2 10

5 2 _

( ) ( ) ()

10 1 12 60

1 2 5 25

1 3 3 15

3 4 0 0

20 100


gt500mOsmoll 2 7 35

gt900mOsmoll 3 0 0

20 100

6 2 _

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 30 -

VADC( ) ()

07mm

20 100

19mm

20 100

20 100

cord patency

20 100

7 2 _VADC

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 31 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 32 -

( ) PICC

Neonatal

Peripherally

Inserted Central

CAtheters

Recommendations

for Prevention of

Insertion and

Postinsertion

Complications

Paulson

(2008)

(necrotizing

enterocolitis)


Hospital

(TPN)

(chemo therapy)

A painful

complication of

peripheral IV

catheterizat ion

that

may be

prevented

Macklin

(2003)

Infusion therapy

part one

minimising

the risks

Cohriel

(2008)

8 PICC

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 33 -

( )

1

61

3 3

2

3

(ANC) 7

(Alb BMI)

(CRP) 6

( ) 8

(DMCRF) 5

9 PICC

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 34 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 35 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 36 -

76 481

82 519

( )

0~18 17 108

19~39 22 139

40~59 46 291

60 73 462

( )

1~15 77 487

16~50 41 259

51 40 253

( )

1~10 77 487

11~30 43 272

31 38 241

10

N=158

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 37 -

30 19

128 81

9 57

149 943

55 348

103 652

92 582

66 418

53 335

105 665

135 854

23 146

1~5 23 146

6~20 81 513

21 54 342

11

N=158

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 38 -

57 361

101 639

(DM)22 139

138 861

(CRF)15 95

143 905

(alb)

65 411

66 418

27 171

C- (CRP)

16 101

95 601

47 297

(ANC)

110 696

31 196

9 57

8 51

(BMI)

81 513

32 203

39 247

6 38

12

N=158

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 39 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 40 -

Total χ2 ρ

36(228) 40(253) 76(481)406 633

43(272) 39(247) 82(519)

( )

0~18 17(108) 0(0) 17(108)

2788 00019~39 16(101) 6(38) 22(139)

40~59 19(120) 27(171) 46(291)

60 27(171) 46(291) 73(462)

21(133) 36(228) 57(361)6175 020

58(367) 43(272) 101(639)

(DM)

2(13) 20(127) 22(139)1711 000

77(487) 59(373) 136(861)

(CRF)

0(0) 15(95) 15(95)1657 000

79(500) 64(405) 143(905)

( )

0~15 65(411) 12(76) 77(487)

8060 00016~50 14(89) 27(171) 41(259)

50~ 0(0) 40(253) 40(253)

6

( )

0~10 62(392) 15(95) 77(487)

6857 00011~30 17(108) 26(165) 43(272)

30~ 0(0) 38(241) 38(241)

BMI

lt20 9(59) 30(197) 39(257)

1679 00020~25 50(329) 31(204) 81(533)

25lt 19(125) 13(86) 32(211)

Alb35~50 52(397) 13(99) 65(496)

3659 000lt35 18(137) 48(366) 66(504)

CRPlt02 13(117) 3(27) 16(144)

751 00002 42(378) 53(477) 95(856)

ANC

lt10 0(0) 9(60) 9(60)

2641 00010~15 70(467) 40(267) 110(733)

15lt 7(47) 24(160) 31(207)

( )

0~5 19(120) 4(25) 23(146)

4305 0006~20 52(329) 29(184) 81(513)

20 8(51) 46(291) 59(342)

6(38) 49(310) 55(348)5157 000

73(462) 30(190) 103(652)

13 PICC

N=158

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 41 -

24(152) 68(430) 92(582)5037 000

55(348) 11(70) 66(418)

2(13) 51(323) 53(335)6816 000

77(487) 28(177) 105(665)

61(386) 74(468) 135(854)860 006

18(114) 5(32) 23(146)

1(06) 29(184) 30(190)3225 000

78(494) 50(316) 128(810)

1(06) 8(51) 9(57)577 034

78(494) 71(449) 149(943)

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 42 -

1

Odds

Ratio

95p-value

( )

0~15 100

16~50 4582 (1631 12870) 004

51~ 1031 (0000 -) 997

6

( )

0~10 100

11~30 3060 (1094 8560) 033

31~ 3271 (0000 -) 997

14

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 43 -

2

Odds

Ratio

95p-value

( )

0~5 100

6~20 1310 (0256 6707) 746

21~ 9612 (1635 56499) 012

100

9023 (2569 31690) 001

100

5024 (1413 17866) 013

100

25873 (4092 163577) 001

100

1166 (0213 6372) 859

100

0000 (0000 -) 998

100

1083 (0000 -) 998

15

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 44 -

PICC

5 ( 947)

3 (

926) 18

3

Odds

Ratio

95p-value

100

1191 (0310 4565) 799

[DM]

100

34174 (1835 636480) 018

[CRF]

100

0007 (0000 -) 999

100

0915 (0158 5303) 921

9618 (2039 45361) 004

(gdl)

30~45 100

30≦ 15299 (3087 75819) 001

C-

(mgdl)

02≦ 100

gt02 0644 (0082 5034) 675

(mm)

05~15 100

15≧ 2475 (0494 12408) 271

05≦ 0009 (0000 -) 999

16

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 45 -

log

1

BOdds

Ratio

95 p-

value

[DM] 3508 46667 (2805 397123) 005

( )

33374 208

16~50 vs

0~151503 4496 (0853 23708) 076

50 vs

0~150023 0007 (0000 -) 998

vs4350 77487 (11886 505134) 000

-3040 048 000

18 PICC

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 46 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 47 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 48 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 49 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 50 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 51 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 52 -

1997

7 2009

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 53 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 54 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 55 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 56 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 57 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 58 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 59 -




- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 60 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 61 -

항목범

주

항목 중요도

점수

정맥주사전담

간호사

문헌

환자

내측

요인

혈관상태 100 100

진단명 0 20

면역상태 0 40





외측

요인



- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 62 -

07mm

2cm

cord

patency

1





gt600mOsm INS

gt900mOsm

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 63 -

KCD

C15~26 C50

( ) ( )

( )

C33 C34

J12~18J45

I25 I73 I74I30

I33 I38 I40 I50

18 KCD PICC

- 64 -

- 65 -

- 66 -

- 67 -

- 64 -

- 65 -

- 66 -

- 67 -

- 65 -

- 66 -

- 67 -

- 66 -

- 67 -

- 67 -

ir.ymlib.yonsei.ac.kr · -6-. (extravasation), (phlebitis), (infiltration), (hematoma formation), ,...

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