循证护理在预防新生儿PICC置管并发症中的应用

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英文篇名：Application of Evidence-based Nursing in Preventing Complications of Neonatal PICC Catheterization 作者：许梅新 英文作者：XU Meixin;Neonatology Department, Guangxi Zhuang Autonomous Region Ethnic Hospital; 关键词：循证护理 ; 新生儿 ; 并发症 ; PICC置换管 ; 临床应用 ; 并发症 英文关键词：evidence-based nursing;;neonatal;;complications;;PICC replacement tube;;clinical application;;complications 中文刊名：WSBZ 英文刊名：China Health Standard Management 机构：广西壮族自治区民族医院新生儿科; 出版日期：2019-03-15 出版单位：中国卫生标准管理 年：2019 期：v.10 语种：中文; 页：WSBZ201905068 页数：2 CN：05 ISSN：11-5908/R 分类号：168-169

摘要

目的分析循证护理在预防新生儿外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)置管并发症中的应用。方法选择2017年2月—2018年6月于我院诊疗的PICC置管的新生儿70例,按照抽选机制分为对照组和研究组各35例。对照组给予常规性护理,研究组则在对照组的基础上,介入循证护理;观察比较两组新生儿家属满意度及静脉炎、相关性感染并发症。结果研究组并发症发生率为2.9%与对照组17.2%比较,差异有统计学意义(P <0.05)。研究组患儿家属总满意度为97.1%,明显优于对照组的74.3%,差异有统计学意义(P <0.05)。结论预防新生儿PICC置管给予循证护理可有效地降低临床不良情况的发生。
        Objective To analyze the application of evidence-based nursing in the prevention of complications of peripherally inserted central catheter(PICC) in newborns. Methods 70 neonates with PICC catheterization who were treated in our hospital from February 2017 to June 2018 were selected and divided into control group and study group, 35 cases in each group, according to the selection mechanism. The control group was given routine nursing, and the study group was given interventional evidence-based nursing on the basis of the control group. The satisfaction of newborn family members and complications of phlebitis and related infections between the two groups were observed and compared. Results The incidence of complications in the study group was 2.9% compared with 17.2% in the control group, the difference was significant(P < 0.05).The total satisfaction rate of family members in the study group was97.1%, which was significantly better than 74.3% in the control group, the difference was significant(P < 0.05). Conclusion Prevention of neonatal PICC catheterization and evidence-based nursing can effectively reduce the occurrence of adverse clinical conditions and improve the prognosis.

引文

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