PICC继发性异位管理方案构建及在极低出生体重儿中的应用

doi:10.3761/j.issn.2096-7446.2025.10.005

Abstract

Abstract:

Objective To construct a secondary ectopic management program for PICC and to evaluate its application effects in very low birth weight infants. Methods A systematic search and quality evaluation of the evidence related to secondary ectopia of PICC in very low birth weight infants were conducted，and the first draft of the protocol was prepared. From May to June 2024，the Delphi method was used to conduct two rounds of expert consultation with 15 experts to determine the final program. Very low birth weight infants with PICC catheters inserted through the upper limbs who were admitted to the neonatal intensive care unit of a tertiary hospital in Henan Province from July to October 2024 were selected as the study subjects. The children enrolled form July to August 2024 were the control group，and the children enrolled from September to October 2024 were the observation group. The control group was treated with routine screening and nursing，and the observation group was given a management program for PICC secondary ectopic with ultrasound combined with arthroprotractor as the intervention method，and its application effect in the management of PICC in very low birth weight infants was evaluated. Results The questionnaire recovery rates were 88.24% and 100%，respectively，and the expert authority coefficient was 0.91. The final intervention program comprised eight intervention timing and six aspects of intervention content. The incidence of secondary ectopia of PICC in the control group was 39.47%，and the extubation rate of secondary ectopia PICC was 18.42%. The incidence of secondary ectopia of PICC in the observation group was 17.07%，and the extubation rate was 2.44%. The differences between the two groups were statistically significant（P<0.05）. Conclusion The application of PICC secondary ectopic management program can reduce the incidence and extubation rate of PICC secondary ectopia in very low birth weight infants，and provide a reference for the clinical management of PICC secondary ectopia.

Key words: Very Low Birth Weight Infants, Peripherally Inserted Central Venous Catheter, Secondary Ectopia, Delphi Techniques, Nursing Care

LI Pingping, LI Ying, SU Xin, CUI Lulu. Construction of a program for PICC secondary ectopic management and its application in very low birth weight infants[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(10): 1183-1188.

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References 21

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Construction of a program for PICC secondary ectopic management and its application in very low birth weight infants

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