前瞻性护理干预对极低出生体重儿PICC置管堵塞发生的影响  

Influence of proactive nursing intervention for very low birth weight of PICC catheter jam happened

作　　者：颜惠萍[1] 张美莉[1] 施月菊[1] 

机构地区：[1]福建省泉州市儿童医院新生儿重症监护室,福建泉州362000

出　　处：《中国医药科学》2017年第16期139-142,共4页China Medicine And Pharmacy

摘　　要：目的分析前瞻性护理干预对极低出生体重儿PICC置管堵塞发生的影响。方法选取2015年10月~2016年9月收治的82例极低出生体重儿按随机数字表法分成观察组和对照组,每组各41例。对照组实行常规护理,观察组在常规护理的同时给予前瞻性护理干预。对比两组患儿置管堵塞发生率、计划性拔管率、导管留置时间及置管维护时间、家长对护理工作的满意度。结果观察组置管堵塞发生率为4.88%,明显低于对照组的19.51%,差异有统计学意义(P<0.05);观察组非计划性拔管率为7.32%,明显低于对照组的26.83%,差异有统计学意义(P<0.05);观察组导管留置时间为(28.23±6.15)d,对照组导管留置时间(23.16±6.92)d,差异有统计学意义(P<0.05);观察组置管维护时间为(21.39±10.27)min/置管日,对照组为(32.04±13.68)min/置管日,差异有统计学意义(P<0.05);观察组家长满意度得分为(96.31±2.89)分,对照组为(91.55±8.16)分,差异有统计学意义(P<0.05)。结论前瞻性护理干预能有效的降低极低出生体重儿PICC置管堵塞的发生率,从而降低非计划性拔管率和延长导管使用时间,并减轻护理人员工作量和提升护理工作的质量。Objective To analyze the influence of proactive nursing intervention for very low birth weight of PICC catheter jam happened. Methods 82 cases of very low birth weight cured in our hospital from October 2015 to September 2016 were selected. According to random number table method, they were divided into observation group and control group, 41 cases in each group. Patients incontrol group were treated with routine nursing, and patients in observation group were treated with routine nursing for prospective nursing intervention. The incidence of catheter jam, planned decannulation rate, Catheter indwelling time and the maintenance time of insertion, parents to the nursing job satisfaction of the two groups were compared. Results The catheter blockage rate in observation group was 4.88%, which was significantly lower than that in control group with 19.51%, and the difference was statistically significant（P 〈： 0.05）. The unplanned extubation rate in observation group was 7.32%, which was significantly lower than that in control group with 26.83%, and the difference was statistically significant（P 〈 0.05）. The catheter indwelling time in observation group was （28.23 ± 6.15） d, the catheter indwelling time in control group was （23.16 ± 6.92） d, the difference was statistically significant（P 〈 0.05）. The catheter maintenance time in observation group was （21.39 ± 10.27） min/catheter, the control group was （32.04 ± 13.68） min/catheter, the difference was statistically significant（P 〈 0.05）. The satisfaction score in observation group was （96.31± 2.89） points, the control group was （91.55 ± 8.16）, the difference was statistically significant（P 〈 0.05）. Conclusion Prospective nursing intervention can effectively reduce the incidence of catheter blockage of very low birth weight infants with PICC, so as to reduce the rate of unplanned extubation and prolong the service time of catheter quality and reduce the workload of nursing staff and improve nursing work.

关 键 词：前瞻性护理干预 极低出生体重儿 PICC 置管堵塞 

分 类 号：R473.72[医药卫生—护理学]