风险识别理念支持下的循证护理在新生儿PICC置管中的应用效果<sup>*</sup>

doi:10.3969/j.issn.1671-7171.2025.02.009

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摘要【目的】探讨风险识别理念支持下的循证护理在新生儿经外周静脉穿刺的中心静脉导管(PICC)置管中的应用效果。【方法】选择2022年10月至2024年3月在本院接受PICC置管的104例新生儿,采用随机数字表法将患儿分为观察组和对照组,每组52例。观察组应用风险识别理念支持下的循证护理,对照组按照医院标准操作流程进行常规护理,比较两组新生儿的置管情况、家属满意度和并发症发生率。【结果】观察组一次穿刺成功率、置管期间体重增长量高于对照组,置管时间、住院时间短于对照组,差异有统计学意义(P<0.05)。观察组家属支持、家属教育、信息沟通、及时性、整体满意度评分及总分均高于对照组,差异有统计学意义(P<0.05)。观察组患儿并发症发生率为7.69%(4/52),低于对照组的30.77%(16/52),差异有统计学意义(χ²=8.914,P<0.05)。【结论】风险识别理念支持下的循证护理有助于提高PICC置管一次穿刺率成功率,促进新生儿的体重增长和整体健康状况的改善,降低患儿PICC置管并发症发生率。

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	宋瑞青
	李智瑞
	赵晨静
	王锟

关键词 ：导管留置, 护理, 导管插入术, 中心静脉, 导管插入术, 外周, 婴儿, 新生

Abstract：【Objective】To explore the application effect of evidence-based nursing supported by the concept of risk identification in PICC catheterization of newborns.【Methods】A total of 104 neonates who received PICC catheterization in our hospital from October 2022 to March 2024 were selected and divided into the observation group and the control group by random number table method, with 52 cases in each group. The observation group was treated with evidence-based nursing supported by the concept of risk identification, while the control group was treated with routine nursing according to hospital SOP. The catheter placement situation, family satisfaction and complication rate of newborns in the two groups were compared.【Results】The success rate of puncture and weight gain during catheterization in the observation group were higher than those in the control group, and the catheterization time and hospital stay in the observation group were shorter than those in the control group, with statistical significance (P<0.05). Family support, family education, information communication, timeliness, overall satisfaction scores and total scores of the observation group were higher than those of the control group, and the differences were statistically significant (P<0.05). The incidence of complications in the observation group was 7.69% (4/52), lower than that in the control group [30.77% (16/52)], with statistical significance (χ²=8.914, P<0.05).【Conclusion】Evidence-based nursing supported by the concept of risk identification is helpful to improve the success rate of PICC catheterization, promote the weight gain and overall health status of newborns, and reduce the incidence of complications of PICC catheterization in children.

Key words： Catheters, Indwelling Nursing Care Catheterization, Central Venous Catheterization, Peripheral Infant, Newborn

收稿日期: 2024-07-19

中图分类号:

R722.1

基金资助:*2024年度郑州市医疗卫生领域科技创新指导计划项目(2024YLZDJH014);河南省二〇二四年科技发展计划(242102310169);河南省医学科技攻关计划联合共建项目(LHGJ20200443)

通讯作者: **E-mail:sfywanngkun@163.com

引用本文:

宋瑞青, 李智瑞, 赵晨静, 王锟. 风险识别理念支持下的循证护理在新生儿PICC置管中的应用效果^*[J]. 医学临床研究, 2025, 42(2): 207-210.
SONG Ruiqing, LI Zhirui, ZHAO Chenjing, et al. Application Effect of Evidence-Based Nursing Supported by Risk Identification Concept in PICC Catheterization of Newborns. JOURNAL OF CLINICAL RESEARCH, 2025, 42(2): 207-210.

链接本文:

http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.02.009 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I2/207

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