风险管理在新生儿PICC护理中的应用效果分析  

Analysis of the Application Effect of Risk Management in Neonatal PICC Nursing

作　　者：詹小灵[1] 林颖[1] 林琴[1] ZHAN Xiao-ling;LIN Ying;LIN Qin(Department of Neonatology,Fujian Maternal and Child Health Hospital,Fuzhou,Fujian Province,350000 China)

机构地区：[1]福建省妇幼保健院新生儿科,福建福州350000

出　　处：《中外医疗》2018年第30期113-115,共3页China & Foreign Medical Treatment

摘　　要：目的探究风险管理在新生儿PICC护理中的应用效果。方法方便选择2017年7—12月期间,该院应用PICC技术的患儿110例,将其全部纳入研究组,同时回顾性分析2017年1—6月期间105例应用PICC技术的患儿资料,将其纳入对照组,根据风险管理的方法,观察统计并且比较风险管理实施前后,两组患儿的并发症状况。结果两组患儿风险管理实施前后并发症发生情况对比,研究组发生导管堵管5例,对照组11例,差异有统计学意义(X^2=4.299,P=0.014);研究组发生感染1例,对照组8例,差异有统计学意义(X^2=8.474,P=0.004);研究组发生静脉炎4例,对照组11例,差异有统计学意义(X^2=3.872,P=0.015);研究组发生侧肢肿胀、液体外渗0例,对照组6例,差异有统计学意义(X^2=4.531,P=0.003);并发症总发生率方面,研究组为9.01%,对照组为34.28%,差异有统计学意义(X^2=7.425,P=0.002)。结论风险管理在新生儿PICC护理中的应用效果显著,能够有效预防并发症发生,值得临床推广应用。Objective To explore the application effect of risk management in neonatal PICC nursing. Methods From July to December 2017, 110 children with PICC technology were convenient selected and enrolled in the study group, and all of them were included in the study group. A retrospective analysis of 105 cases of PICC technology from January to June 2017 was conducted. The children’s data were included in the control group. According to the risk management method, the statistics were observed and the complications of the two groups were compared before and after the risk management was implemented. Results The incidence of complications before and after risk management in the two groups was compared.There were 5 cases of catheter blockage in the study group and 11 cases in the control group. The difference was statistically significant（X^2=4.299,P=0.014）. One case of infection occurred in the study group. There were 8 cases in the control group,the difference was statistically significant（X^2=8.474,P=0.004）. There were 4 cases of phlebitis in the study group and 11 cases in the control group. The difference was statistically significant（X^2=3.872,P=0.015）; There were 0 cases of lateral limb swelling and liquid extravasation in the group, and 6 cases in the control group. The difference was statistically significant（X^2=4.531,P=0.003）. The total incidence of complications was 9.01% in the study group and 34.28% in the control group.The difference was statistically significant（X^2=7.425,P=0.002）. Conclusion Risk management has a significant effect in the care of neonatal PICC, which can effectively prevent complications and is worthy of clinical application.

关 键 词：风险管理 新生儿 PICC护理 应用效果 

分 类 号：R472[医药卫生—护理学]