Application of evidence-based nursing in the prevention and treatment of catheter ectopia during neonatal PICC catheterization
循证护理在新生儿PICC置管中导管异位的预防与处理中的应用

摘要

目的 新生儿经外周静脉置入中心静脉导管（PICC）置管中采用循证护理，探讨其在导管异位的预防与处理的应用效果。方法 选择80例PICC置管新生儿（2024年3月-2025年3月），随机分2组，各40例，对照组采用常规护理，观察组采用循证护理，比较两组置管一次性到位、成功置管率、原发性导管异位情况。结果 观察组置管一次性到位、成功置管率高于对照组，原发性导管异位低于对照组，组间对比差异显著（P＜0.05）。结论 在新生儿PICC置管中采用循证护理能够有效预防导管异位，显著提高置管成功率，确保血管通路的安全，具有极高的临床应用价值，值得大力推广。

Abstract

Objective To explore the application effects of evidence-based nursing in preventing and managing catheter malposition during PICC (Peripherally Inserted Central Catheter) placement in newborns.
Methods A total of 80 newborns with PICC catheter placement (March 2024-March 2025) were randomly divided into two groups, each with 40 cases. The control group received routine care, while the observation group received evidence-based nursing. The study compared the one-time placement success rate, primary catheter malposition, and the success rate of successful catheter placement between the two groups.
Results The one-time placement success rate and primary catheter malposition in the observation group were higher than those in the control group, with significant differences (P<0.05).
Conclusion   Evidence-based nursing in PICC catheter placement for newborns can effectively prevent catheter malposition, significantly improve the success rate of catheter placement, ensure the safety of vascular access, and has high clinical value, making it worthy of widespread promotion.