Application of predictive nursing intervention supported by risk identification concept in neonates withPICC catheterization
风险识别理念支持下预见性护理干预在PICC置管新生儿中的应用

摘要

目的 探究在PICC置管新生儿中开展风险识别理念支持下预见性护理干预的临床应用效果。方法 此次研究病例筛选我院2020年1月至2021年1月期间儿科接收的84例PICC置管新生儿，将纳入的患儿通过电脑随机选取方式划分为观察组42例和对照组42例。对照组患儿治疗过程中给予常规护理管理；观察组患儿则开展风险识别理念支持下预见性护理干预，详细对比两组最终获得的护理干预效果。结果 观察组与对照组各指标结果比较显示，观察组的护理管理质量和一次穿刺成功率均得到显著提升，观察组患儿治疗过程中导管风险事件发生率较低，最终患儿家属对此次护理管理满意度较高，两组各项指标结果对比差值有统计学意义（P<0.05）。结论 在PICC置管新生儿中开展风险识别理念支持下预见性护理干预,可使临床护理质量得到显著提升，减轻患儿置管穿刺难度，提高患儿的置管使用安全性及效果。

Abstract

Objective To explore the clinical application effect of predictive nursing intervention under the support of risk identification concept in PICC catheterization newborns.
Methods In this study cases, 84 PICC catheterization neonates received by our hospital from January 2020 to January 2021 were screened, and the included children were divided into 42 observation group and 42 control group by computer random selection.The children in the control group received routine nursing management during the treatment; the children in the observation group conducted predictive nursing intervention with the support of risk identification concept, and compared the final nursing intervention effect of the two groups in detail.
Results observation group and control group index comparison shows that the observation group of nursing management quality and a puncture success rate are significantly improved, observation group children treatment incidence of catheter risk events is low, the final children with high nursing management satisfaction, the two groups of indicators contrast difference has statistical significance (P <0.05).
Conclusion   The predictive nursing intervention with the support of risk identification concept in PICC catheterization newborns can significantly improve the quality of clinical care, reduce the difficulty of catheterization and puncture, and improve the safety and effect of catheterization in children.