摘要
目的观察新生儿PICC中应用预见性与精细化护理管理模式的临床效果及对并发症的影响分析。方法回顾性分析我院2015年5月至2019年12月收治新生儿PICC置管的患儿总计200例,以置入PICC的顺序分成两组,其中以(2015年5月至2017年12月)先入院的100例新生儿采取常规的护理设置为对照组,而(2018年1月至2019年12月)后置入的PICC的另100例新生儿采取预见性与精细化护理管理模式干预下的护理设置为试验组。对照两组患儿的PICC置管情况(一次性穿刺成功、非计划拔管、置管时间),并发症发生情况及患儿家属对护理的满意度与纠纷情况比较。结果试验组一次性穿刺成功率(97.00%)高于对照组(78.00%),试验组非计划拔管率(6.00%)低于对照组(24.00%),试验组置管时间长于对照组,试验组患儿并发症总发生率(3.00%)低于对照组(16.00%),试验组患儿家属对护理的总满意率(100.00%)高于对照组(85.00%),而纠纷率(0.00%)低于对照组(5.00%),差异有统计学意义(P<0.05)。结论新生儿PICC置管中以预见性与精细化护理管理,可提升一次性穿刺成功率,降低非计划拔管率,延长PICC置管时间,减少并发症,提升满意率。
Objective To observe the clinical efficacy of predictive and meticulous nursing management model in neonatal PICC and analyze its impacts on complications.Methods A total of 200 cases of neonatal PICC catheterization admitted to our hospital from May 2015 to December 2019 were retrospectively analyzed,and they were divided into the control group(n=100)and the experimental group(n=100)according to the sequence of PICC catheterization.Among them,neonates admitted first from May 2015 to December 2017 and set as the control group were treated with conventional nursing,while neonates admitted later from January 2018 to December 2019 and set as the experimental group were treated with predictive and meticulous nursing management model.The PICC catheterization(successful one-time puncture,unplanned extubation,catheterization time),complications,and the satisfaction and disputes of the family members of the two groups of neonates were compared.Results The success rate of one-time puncture in the experimental group was 97.00%,which was higher than 78.00%in the control group,the unplanned extubation rate in the experimental group was 6.00%,which was lower than 24.00%in the control group,and the total incidence of complications in the experimental group was 3.00%,which was lower than 16.00%in the control group.The total satisfaction rate of nursing of neonates'families in the experimental group was 100.00%,which was higher than 85.00%of the control group,while the dispute rate was 0.00%,which was lower than 5.00%of the control group,with statistically significant differences(P<0.05).Conclusion Predictive and meticulous nursing management in neonatal P ICC catheterization can improve the success rate of one-time puncture,decrease the unplanned extubation rate,prolong PICC catheterization time,r educe complications and boost satisfaction rate.
作者
徐月银
叶玉清
XU Yueyin;YE Yuqing(Department of Neonatology,the First Women and Children's Hospital of Huizhou,Huizhou 516001,China)
出处
《中国医药科学》
2021年第8期88-90,102,共4页
China Medicine And Pharmacy
基金
广东省惠州市医疗卫生类科技计划项目(2019Y113)。
