集束化管理对早产儿PICC置管并发症的预防效果观察

Observation on the preventive effect of cluster management on complications of PICC catheterization in premature infants

目的:探讨集束化管理对早产儿PICC置管并发症的预防效果。方法:选取PICC置管的500例早产儿为研究对象。其中,250例收治于2018年1月至2018年6月,250例收治于同年7月至12月,前者作为对照组,采用常规护理,后者作为观察组,采用集束化管理,比较两组置管时的疼痛情况、置管时间以及相关并发症的发生。结果:观察组置管10 min后,疼痛评分低于对照组(t=2.046,P=0.023),置管时间长于对照组(t=9.584,P=0.001)。观察组PICC置管并发症的发生率(9.6%)低于对照组(16.0%),差异有统计学意义(χ^2=4.032,P=0.045)。结论:集束化管理能够减轻早产儿PICC置管的疼痛,延长导管使用时间,降低置管相关并发症,值得临床推广。

Objective:To explore the preventive effect of cluster management on complications of PICC catheterization in premature infants.Methods:250 cases of premature infants treated with PICC catheter from January to June 2018 were selected as the control group,and they were given routine nursing.250 cases of premature infants treated with PICC catheterization from July to December 2018 were selected as the observation group,and they were given cluster management to prevent complications of catheterization.The pain,catheterization time and related complications of the two groups were compared.Results:The pain score after 10 minutes of catheterization in the observation group was lower than that in the control group,and the catheterization time was longer than that in the control group,and the differences were statistically significant(t=2.046,9.584,P=0.023,0.001).The incidence of PICC catheterization complications in the observation group was 9.6%,which was lower than 16.0%in the control group,and the difference was statistically significant(χ^2=4.032,P=0.045).Conclusion:Cluster management can alleviate the pain of PICC catheterization in premature infants,prolong the time of catheterization and reduce the complications related to catheterization,which is worthy of clinical application.