关键词: 早产儿；肠外营养；PICC；持续质量改进

Abstract: Objective: To study the effect of nursing team management in parenteral nutrition management of preterm infants via PICC. Methods: A total of 507 preterm infants who underwent parenteral nutrition using PICC in the neonatal intensive care unit of one Children's Hospital in Beijing were selected as the subjects. Totally 240 premature infants admitted from January 2013 to December 2015 were included in the control group and implemented with routine care. The 267 premature infants admitted from January 2016 to December 2018 were included in the observation group and performed team nursing management. The incidence of PICC catheter-related complications were compared between the two groups. Results: The median catheter indwelling time (19 days) in the observation group was significantly longer than the control group (16 days) (Z=-2.947, P=0.003). The incidence of PICC catheter complications in the observation group (2.25%) was significantly lower than the control group (9.58%) (χ2=13.651, P<0.001). Conclusion: Team management of the nutrition of the premature infants with PICC can reduce the incidence of PICC catheter-related complications and improve the quality of life in preterm infants.

Key words: preterm infants; parenteral nutrition; Peripherally Inserted Central Catheter; team management