置管前护理会诊对早产儿PICC置管质量的影响

Influences of nursing consultation before catheter insertion on PICC insertion effects for premature infant

目的：探讨置管前护理会诊在早产儿PICC置管中的应用及对置管效果的影响。方法：选取2012年1月-2015年6月在我院住院的PICC置管早产儿63例作为研究对象,以2012年1月-2013年12月35例早产儿为实施前,以2014年1月-2015年6月28例早产儿为实施后,实施前未实施护理会诊,实施后在置管前实施护理会诊。对比两组早产儿的置管成功率、置管时间和并发症的发生率。结果：实施后早产儿的一次置管成功率明显高于实施前,两组间的差异具有统计学意义（P〈0.05）。实施后置管时间明显短于实施前,差异具有统计学意义（P〈0.05）。实施后发生堵管、静脉炎、导管异位以及送管困难等并发症发生率均低于实施前,差异具有统计学意义（P〈0.05）。结论：在早产儿PICC置管前进行护理会诊,能够有效提高PICC一次置管成功率,降低并发症的发生,利于PICC置管质量的提高。

Objective ： To discuss application of nursing consultation before catheter insertion and its influences on insertion effect. Methods ： Selected 63 ca- ses of premature infants treated with PICC in our hospital from January 2012 to June 2015 as study objects. Among them, 35 infants inserted PICC before implementation of nursing consultation from January 2012 to June 2015, and the rest 28 infants inserted PICC after the implementation from January 2014 to June 2015. Premature infants from both groups were compared in terms of insertion success rate, time spent in insertion and complication rate. Results： One - time insertion success rate of premature infants before implementation was higher than that after implementation significantly. The differences between both groups had statistical significances （ P 〈 0.05 ）. Time spent in insertion after implementation was shorter than that before implementation. The differ- ences had statistical significances （ P 〈 0.05 ）. After implementation, occurrence rates of complications such as catheter plugging, phlebitis, catheter dislo- cation and insertion difficulty were lower than those before implementation. The differences had statistical significances （ P 〈 0.05 ）. Conclusion ： Nursing consultation before PICC insertion for premature infants can improve one - time insertion success rate effectively, reduce complications and improve PICC in- sertion effects.