Construction and Application of Risk Management Plan for Neonates PICC Placement Guided by Crisis Prevention Theory
Objective To construct the risk management plan of peripherally inserted central catheter(PICC)in neonates guided by crisis prevention theory,and to explore its application effect.Methods A prospective cohort study was conducted to select 66 neonates who were admitted to the Department of Neonatal Intensive Care Medicine of the First Affiliated Hospital of Zhengzhou University from March 2021 to February 2022.They were divided into control group and observation group in chronological order of admission,with 33 cases in each group.The control group received routine nursing interventions,while the observation group received risk management interventions guided by crisis prevention theory on the basis of the control group.The incidence of risk events(catheter blockage,fluid extravasation,subcutaneous hematoma,infection)within 1 month of PICC catheterization was compared between the two groups.The pain during puncture[neonatal infact acute pain assessment scale(NIAPAS)and face,leg,activity,crying and comfort assessment scale(FLACC)]were compared.Results The total incidence of risk events in the observation group was lower than that in the control group(P＜0.05).The NIAPAS and FLACC scores of the observation group during puncture were lower than those of the control group(P＜0.05).Conclusion Risk management interventions guided by crisis prevention theory can alleviate the piercing sensation of PICC catheterization in neonates,reduce the incidence of risk events after catheterization,and have good application effects.
peripherally inserted central venous catheterneonatescrisis prevention theoryrisk management
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维普
