JCNRJournal of Clinical and Nursing Research2208-36852208-3693Bio-Byword Scientific Publishing Pty. Ltd.10.26689/jcnr.v9i3.10068ArticleAnalysis and Countermeasures of Nursing Problems in the Placement of PICC Guided by Endocardial Electrocardiogram Positioning Technology https://artdesignp.com/journal/JCNR/9/3/10.26689/jcnr.v9i3.10068ChiHui,XieJing2025932025-04-03This study aimed to explore an effective nursing plan for peripherally inserted central catheter (PICC) placement guided by endocardial electrocardiogram (ECG) positioning technology and to analyze related nursing problems and countermeasures. A total of 96 patients who underwent PICC placement using ECG-guided positioning technology in our hospital from January 2024 to December 2024 were selected and randomly divided into an experimental group (n = 48) and a control group (n = 48) using a random number table. The control group received routine basic nursing care, while the experimental group was provided with comprehensive high-quality nursing care. The results showed that the success rate of one-time catheter placement was significantly higher in the experimental group than in the control group (P < 0.05), while the incidence of complications was notably lower in the experimental group (P < 0.05). These findings suggest that comprehensive high-quality nursing care during PICC placement guided by ECG positioning technology can effectively enhance the success rate of catheter placement and reduce complications, indicating that this nursing approach is valuable for clinical promotion and application.

Shi J, Wang L, Wu X, et al., 2024, Investigation and Research on the Implementation Status of Intracavitary Electrocardiogram Localization Technology for PICC Tips in 199 Hospitals. Chinese Journal of Modern Nursing, 2024, 30(4): 494–499.

Liu Y, Liu H, Sun T, et al., 2024, Application of Intracavitary Electrocardiogram Technology in PICC Catheter Tip Positioning for Gastric Cancer Chemotherapy Patients and Its Impact on Catheter-related Complications. Journal of Wuhan University (Medical Edition), 45(7): 831–835.

Qin X, 2024, Application Effect of Intracavitary Electrocardiogram Localization Technology Combined with Ultrasonic Guidance in PICC Catheter Tip Positioning. Medical Frontiers, 14(18): 93–95.

Li H, Luo J, Liang F, et al., 2024, Applied Research on Tip Positioning of Central Venous Catheters Inserted via Peripheral Veins Using Intracavitary Electrocardiogram Combined with Ultrasonic Guidance. Chinese Medical Innovations, 21(8): 89–93.

Tan F, Liang C, He L, et al., 2020, Observation on the Effect of Intracardiac Electrocardiogram Specific Q Wave Assisted PICC Tip Positioning. Nursing Journal, 27(7): 58–60.

Wang L, Huang H, Huang W, 2024, Influence of Ultrasonic Guidance Combined with Intracavitary Electrocardiogram Technology on Puncture Quality and Catheterization Accuracy of PICC Catheterization Patients. China Medical Device Information, 30(20): 66–68.

Chen Z, Zheng S, Huang H, et al., 2020, Successful Application of PICC Catheterization Guided by Intracavitary Electrocardiogram in Patients with Atrial Pacing: Reflections on the Indications Triggered by Clinical Cases. Integrated Traditional Chinese and Western Medicine Nursing (Chinese and English), 6(1): 165–168.

Zhang Y, Li N, Ni Z, 2022, Nursing Experience of 1 Case of Mirror Image Dextrocardia Tumor Patient Undergoing B-ultrasound Combined with Intracavitary Electrocardiography Technology to Guide PICC Catheterization. Clinical Nursing Research, 2022, 31(21): 191–193.

Tan Q, Ling J, 2023, Application of Ultrasonic Guidance Combined with Intracavitary Electrocardiogram Technology in PICC Catheter Tip Positioning. China Health Standard Management, 14(17): 88–91.

Liu Z, Luo Z, 2023, Application Effect of Intracavitary Electrocardiogram Technology in Guiding the Positioning of Tri-valve PICC Tips. Chinese Community Doctors, 39(29): 77–79.