主动护理干预在NICU早产儿PICC致机械性静脉炎中的应用  

Application of active nursing intervention in PICC-induced mechanical phlebitis in premature infants in NICU

作　　者：李宁涛[1] 李永静[1] 张婧晶[1] 孙彩霞[1] LI Ningtao;LI Yongjing;ZHANG Jingjing;SUN Caixia(General Hospital of Ningxia Medical University,Yinchuan,750004,China)

机构地区：[1]宁夏医科大学总医院新生儿科,宁夏银川市750004

出　　处：《护理实践与研究》2022年第16期2412-2416,共5页Nursing Practice and Research

基　　金：宁夏医科大学科学研究基金资助项目(编号:XM2019061)。

摘　　要：目的探讨主动护理干预在NICU早产儿PICC致机械性静脉炎中的应用效果,以提高早产儿护理质量。方法选取2019年7—12月入住宁夏医科大学总医院NICU符合纳入条件的78例早产儿作为对照组,2020年1—6月符合纳入条件的73例早产儿作为观察组,对照组早产儿PICC置管后给予常规护理,观察组早产儿在PICC置管前、中、后实施主动护理干预措施,比较两组早产儿PICC置管后机械性静脉炎的发生情况、带管时间及家长对护理工作的满意程度。结果观察组早产儿平均带管时间为25.03±4.39 d,对照组平均带管时间为17.81±4.08 d,观察组长于对照组,组间比较差异具有统计学意义(P<0.05)。观察组机械性静脉炎的发生率为6.85%,对照组机械性静脉炎发生率为19.23%,观察组低于对照组,组间比较差异具有统计学意义(P<0.05)。观察组家长对护理工作满意度高于对照组,差异有统计学意义(P<0.05)。结论主动护理干预能有效降低早产儿PICC置管机械性静脉炎发生率,增加PICC导管带管时间,提升家长满意度。Objective To explore the application eff ect of active nursing intervention in PICC-induced mechanical phlebitis in premature infants in NICU,so as to improve the nursing quality of premature infants.Methods A total of 78 premature infants who were admitted to the NICU of Ningxia Medical University General Hospital from July to December 2019 and met the inclusion criteria were selected as a control group,and 73 premature infants who met the inclusion criteria from January to June 2020 were selected as an observation group.The preterm infants in the control group were given routine care after PICC intubation,while the preterm infants in the observation group were given active nursing interventions before,during and after PICC intubation.The incidence of mechanical phlebitis after PICC catheterization,the time of catheterization and parents'satisfaction with nursing work were compared between the two groups.Results The average intubation time of premature infants in the observation group was 25.03±4.39 days,and the average intubation time in the control group was 17.81±4.08 days,the observation group was longer than the control group,and the diff erence between the groups was statistically signifi cant(P<0.05).The incidence of mechanical phlebitis in the observation group was 6.85%,and the incidence of mechanical phlebitis in the control group was 19.23%,which was lower in the observation group than in the control group,and the diff erence between the groups was statistically signifi cant(P<0.05).The parents'satisfaction with nursing work in the control group was higher than that in the control group,and the diff erence was statistically signifi cant(P<0.05).Conclusion Active nursing intervention can eff ectively reduce the incidence of mechanical phlebitis caused by PICC catheterization in premature infants,increase the time of PICC catheterization,and improve parental satisfaction.

关 键 词：主动护理干预 早产儿 经外周中心静脉置管 机械性静脉炎 满意度 

分 类 号：R473.72[医药卫生—护理学]