Investigation and analysis of the use of intracardiac electrocardiogram method for positioning the tip of PICC in neonates
10.3760/cma.j.cn115682-20220117-00260
- VernacularTitle:新生儿PICC尖端心腔内电图定位技术使用情况的调查分析
- Author:
Lianjuan ZHOU
1
;
Xiaohua WU
;
Shanshan WAN
;
Qin SHEN
Author Information
1. 浙江中医药大学护理学院，杭州 310053
- Keywords:
Infant, newborn;
Neonate;
PICC;
Intracardiac electrocardiogram method for positioning the tip;
Cross-sectional studies
- From:
Chinese Journal of Modern Nursing
2023;29(3):349-353
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the use of intracardiac electrocardiogram method for positioning the tip of neonatal peripherally inserted central venous catheter (PICC) in 33 hospitals with neonatal beds in Zhejiang Province.Methods:This study was a cross-sectional study. From May to June 2021, a questionnaire survey was conducted among 52 head nurses or intravenous therapy specialist nurses from 33 hospitals in Zhejiang Province. The self-made "Neonatal Electrocardiogram Positioning Technology Use and Development Questionnaire" was used to investigate. A total of 52 valid questionnaires were recovered, with a valid recovery rate of 100%.Results:Among the 52 respondents, 34.62% (18/52) used intracardiac electrocardiogram method for positioning the tip of neonatal PICC. A total of 49 nurses (94.23%, 49/52) preferred the vertebral body as the judgment basis of PICC tip. The factors that affected the accuracy of intracardiac electrocardiogram method for positioning the tip of neonatal PICC included poor pipeline signal transmission (83.33%, 15/18) , crying and noisy children (66.67%, 12/18) , insufficient mastery of electrocardiogram knowledge by medical and nursing staff (66.67%, 12/18) . A total of 28 nurses (53.85%, 28/52) said that their hospitals had no training on neonatal intracardiac electrocardiogram positioning technology, while 13 nurses (54.17%, 13/24) chose face-to-face teaching.Conclusions:The practice in the use, development and training of intracardiac electrocardiogram positioning technology for neonates in Zhejiang Province needs to be further improved. It is suggested that unified standards and norms should be formulated, and training on the use of intracardiac electrocardiographic positioning technology in neonates should be strengthened to improve the quality of nursing.
