The impact of bundles of care on complications and unplanned extubation rate of neonatal in PICC
10.3969/j.issn.1671-8348.2014.24.025
- VernacularTitle:集束化管理对新生儿 PICC 并发症及非计划拔管率的影响
- Author:
Tian SHI
;
Ling LI
;
Xia CAO
;
Ying LIU
;
Renfeng LI
;
Li HUANG
;
Youxia YU
- Publication Type:Journal Article
- Keywords:
bundle of care;
peripherally inserted central catheter;
unplanned extubation
- From:
Chongqing Medicine
2014;(24):3189-3191
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effects of bundles of care on complications and unplanned extubation rate of neonatal in PICC .Methods 116 cases of neonatal which didn′t accept the bundles of care ware group A ,the other 93 cases of neonatal which accepted the bundles of care ware group B .Two groups were observed and compared on the incidence of complications and un-planned extubation rate and so on .Results The complications in A group treatment were 70 cases(60 .3% ) ,while there were 25 ca-ses in group B(26 .9% ) ,the group B was significantly lower than the group A (P<0 .05) .Mechanical phlebitis ,catheter occlusion , catheter ectopic and other aspects of ectopic group B were significantly lower than in group A (P<0 .05) .The rate of unplanned ex-tubation and catheter blockage in group B were significantly lower than A (P<0 .05) .The total rate of ectopic and right basilic vein ectopic rate in group B were all significantly lower in group A (P<0 .05) .Group B unplanned extubation rate and catheter blockage weresignificantlyloweringroupA(P<0.05).Gestationalagedidn′thaveimpactoncomplications(P>0.05),birthweightand catheter days had more impact on neonatal complications (P<0 .05) .Conclusion The cluster management can reduce the incidence of neonatal PICC complications ,reduce unplanned extubation rates ,better play the role of PICC ,try to arrange an experienced staff of medical operations for children of low birth weight newborns .
