基于风险识别理论指导的前瞻性护理模式在新生儿PICC置管中的应用效果研究

Application Effect of Prospective Nursing Model Guided by Risk Identification Theory in Neonatal PICC Catheterization

目的:分析基于风险识别理论指导的前瞻性护理模式在新生儿经外周静脉置入中心导管(PICC)置管中的应用效果。方法:选取2020年12月-2021年12月新疆维吾尔自治区人民医院新生儿科收治的88例PICC置管患儿为研究对象,采用双盲法分为两组,各44例。对照组行常规护理,研究组行风险识别理论指导下的前瞻性护理干预。比较两组置管时间、渗血等级及并发症发生率。结果:研究组PICC留置时间长于对照组,差异有统计学意义(P<0.05)。研究组渗血等级低于对照组,差异有统计学意义(P<0.05)。研究组导管堵塞、感染、静脉炎、穿刺部位出血及导管脱出率均低于对照组,差异有统计学意义(P<0.05)。结论:针对新生儿PICC置管患儿给予风险识别理论指导的前瞻性护理模式,可延长PICC置管时间,降低并发症发生率,减少渗血,可推广。

Objective:To analyze the application effect of prospective nursing model guidance based on risk identification theory for newborns with peripherally inserted central catheter(PICC)catheterization.Methods:A total of 88 children with PICC catheterization treated in Department of Neonatology,Xinjiang Uygur Autonomous Region People's Hospital from December 2020 to December 2021 were selected as the study subjects.Using the double-blind method,they were divided into two groups with 44 cases in each group.The control group received routine nursing,and study group received prospective nursing model guidance based on risk identification theory.The catheterization time,bleeding grade and the incidence of complications were compared between the two groups.Results:The retention time of PICC in the study group was longer than that in the control group,and the difference was statistically significant(P<0.05).The bleeding grade of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).The rates of catheter blockage,infection,phlebitis,bleeding at the puncture site and catheter prolapse in the study group were lower than those in the control group and the difference was statistically significant(P<0.05).Conclusion:The prospective nursing model guidance based on risk identification theory for newborns with PICC catheterization can prolong the PICC catheterization time,reduce the incidence of complications and bleeding,which can be popularized.