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首页> 外文期刊>The journal of maternal-fetal & neonatal medicine >Impact of a dedicated nursing team on central line-related complications in neonatal intensive care unit
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Impact of a dedicated nursing team on central line-related complications in neonatal intensive care unit

机译：专用护理团队对新生儿重症监护单位中央线相关并发症的影响

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Aim:To evaluate the impact of a dedicated nursing team on central line insertion success and catheter-related complications. Methods:Five nurses were trained in central line insertion and maintenance practices and replaced a team primarily comprised of neonatal-perinatal medicine fellows. A prospective observational cohort study with pre/post-intervention analysis was designed to compare certain aspects of central line insertion and related complications between the two models. Results:Six hundred and twenty peripherally inserted central catheters were attempted preintervention (period 1) in 325 infants, and 630 were attempted in 406 infants postintervention (period 2). Successful central line placement on the first attempt increased significantly from 56.6% in period 1-71.4% in period 2 (p < .001), and needle sticks per attempt decreased (3.5 versus 3;p = .03). All central line-related complications decreased from 12.8 per 1000 line days in period 1 to 5.5 in period 2 (rate ratio = 0.40; 95% confidence interval: 0.29, 0.65). The most significant reduction was noted in phlebitis (4.9-0.5 per 1000 line days; rate ratio = 0.10; 95% confidence interval: 0.03, 0.30) Conclusion:Implementation of a dedicated nursing-based central line team, skilled in insertion and certain aspects of catheter maintenance, significantly improved insertion rates and reduced line-related complications.
机译：目的：评估专用护理团队对中央线插入成功和导管相关的并发症的影响。方法：在中央线路插入和维护实践中培训五名护士，并取代了主要由新生儿 - 围产药研究员组成的团队。具有前/干预后分析的前瞻性观察队列研究旨在比较中央线插入的某些方面和两种模型之间的相关并发症。结果：在325名婴儿中尝试了六百二十个外周插入的中央导管，并在406名婴儿初期尝试了630名（第2期）。第一次尝试成功的中央线路安置在2期（P <0.001）期间的56.6％上增加了56.6％（P <.001），每次尝试的针头杆下降（3.5与3; p = .03）。所有中央线路相关的并发症在第2期中每1000个线天数减少到每1000个线，在第2期（率比率= 0.40; 95％置信区间：0.29,0.65）。胸膜炎中最显着的减少（每1000线4.9-0.5;率比率= 0.10; 95％置信区间：0.03,0.30）结论：实施专门的护理型中心线团队，熟练插入和某些方面导管维护，显着提高插入率和减少的线相关并发症。

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