Discussion on the effect of optimizing catheterization care process on the control of complications in neonatal PICC
置管护理流程优化对新生儿PICC并发症控制的效果探讨

摘要

目的 探讨置管护理流程优化对新生儿经外周置入中心静脉导管（PICC）并发症控制的临床效果。方法 选取2024年1月到2024年12月期间在本院NICU接受PICC置管的新生儿80例，按随机数字表法分为观察组和对照组，每组40例。对照组采用常规护理流程，观察组在对照组基础上进行护理流程优化。结果 观察组的CRI发生率为2.5%，显著低于对照组的15.0%（P<0.05）；并发症发生率为5.0%，低于对照组的20.0%（P<0.05）。观察组的导管留置时间显著长于对照组（P<0.05）；疼痛评分也显著低于对照组（P<0.05）。护理后的CRP、WBC和NEU%等炎症指标在观察组均显著低于对照组（P<0.05）。观察组护理满意度为97.5%，高于对照组的85.0%（P<0.05）。结论 护理流程优化对新生儿PICC的使用具有显著的临床效果，能够有效降低并发症发生率，延长导管留置时间，减轻疼痛，提高护理满意度，值得在临床中推广应用。

Abstract

Objective To explore the clinical effect of optimizing catheterization care process on the control of complications in neonatal peripherally inserted central catheter (PICC).
Methods A total of 80 neonates who received PICC catheterization in the NICU of our hospital from January 2024 to December 2024 were selected and randomly divided into an observation group and a control group, with 40 cases in each group. The control group received conventional care process, while the observation group received optimized care process on the basis of the control group.
Results The CRI occurrence rate in the observation group was 2.5%, significantly lower than 15.0% in the control group (P < 0.05); the complication rate was 5.0%, lower than 20.0% in the control group (P < 0.05). The catheter retention time in the observation group was significantly longer than that in the control group (P < 0.05); the pain score was also significantly lower than that in the control group (P < 0.05). The CRP, WBC, and NEU% and other inflammatory indicators after care in the observation group were significantly lower than those in the control group (P < 0.05). The nursing satisfaction rate in the observation group was 97.5%, higher than 85.0% in the control group (P < 0.05).
Conclusion   Optimizing the care process for neonatal PICC has a significant clinical effect, effectively reducing the complication rate, prolonging catheter retention time, alleviating pain, and improving nursing satisfaction, which is worthy of promotion and application in clinical practice.