Turn off MathJax
Article Contents
Yonglin QI, Lijuan YIN, Fang WANG, Xiangjuan KUANG. Impact of Temperature Intervention on Pain and Catheterization Outcomes in Premature Infants Undergoing PICC Placement[J]. Journal of Kunming Medical University.
Citation: Yonglin QI, Lijuan YIN, Fang WANG, Xiangjuan KUANG. Impact of Temperature Intervention on Pain and Catheterization Outcomes in Premature Infants Undergoing PICC Placement[J]. Journal of Kunming Medical University.

Impact of Temperature Intervention on Pain and Catheterization Outcomes in Premature Infants Undergoing PICC Placement

  • Received Date: 2024-07-31
  •   Objective   To investigate the impact of temperature intervention on pain and catheterization outcomes in premature infants undergoing peripherally inserted central catheter (PICC) placement.   Methods  A total of 70 premature infants who underwent PICC placement and met the inclusion criteria were selected from the Neonatology Department of a tertiary children's hospital in Kunming, Yunnan, from January 2023 to December 2023. They were randomly divided into a control group (n = 35) and an observation group (n = 35) using a random number table. The control group underwent the standard PICC placement procedure; the observation group underwent temperature intervention measures based on the control group, which included using iodine tincture warmed to 37 ℃ for disinfection, applying warm compresses to the catheterization site with heated hands of the operator, and using saline warmed to 37 ℃ during catheter insertion and skin cleansing. Pain scores measured by the Premature Infant Pain Profile (PIPP), blood oxygen saturation, heart rate, success rates of single puncture and single catheter insertion, incidence of complications, and occurrence of hypothermia post-catheterization were compared between the two groups.   Results  The PIPP during disinfection, puncture, catheter insertion, and cleansing were significantly lower in the observation group than in the control group (P < 0.05); the average blood oxygen saturation in the observation group was higher than that in the control group, with a lower difference compared to the control group (P < 0.05); the difference and average heart rate during catheterization in the observation group were both lower than those in the control group (P < 0.05); the success rates of single puncture and single catheter insertion, as well as the incidence of hypothermia post-catheterization in the observation group, were both lower than those in the control group (P < 0.05), while the comparison of complication rates between the two groups showed no statistically significant difference (P > 0.05).   Conclusion  Implementing temperature intervention during PICC placement in premature infants can effectively reduce pain, maintain stable vital signs, improve the success rates of single puncture and catheter insertion, and effectively prevent the incidence of hypothermia.
  • loading
  • [1]
    陈琼,李颖馨,胡艳玲,等. 新生儿经外周置入中心静脉导管操作及管理指南(2021)[J]. 中国当代儿科杂志,2021,23(3):201-212. doi: 10.7499/j.issn.1008-8830.2101087
    [2]
    李兰,温贤秀. 早产儿PICC置管研究进展[J]. 护理学杂志,2021,36(21):110-113. doi: 10.3870/j.issn.1001-4152.2021.21.110
    [3]
    Maxwell L G,Fraga M V,Malavolta C P. Assessment of pain in the newborn: An update[J]. Clin Perinatol,2019,46(4):693-707. doi: 10.1016/j.clp.2019.08.005
    [4]
    王盘妹,王金秀,丁雪晶,等. 早产儿行PICC术的疼痛干预研究[J]. 护理研究,2015,29(2):218-220.
    [5]
    王亚静,李杨,孙静,等. 新生儿重症监护病房患儿操作性疼痛现状调查[J]. 护理学杂志,2019,34(11):20-23. doi: 10.3870/j.issn.1001-4152.2019.11.020
    [6]
    卢淑亚,王洁,赵迎娟. 集束化体温管理模式在早产儿经外周静脉穿刺置入中心静脉导管置管中的应用[J]. 中西医结合护理(中英文),2020,6(5):144-146.
    [7]
    北京市儿童医院《实用儿科学》编辑组主编. 实用儿科学[M]. 北京: 人民卫生出版社,1973.10.
    [8]
    Stevens B,Johnston C,Petryshen P,et al. Premature infant pain profile: Development and initial validation[J]. Clin J Pain,1996,12(1):13-22. doi: 10.1097/00002508-199603000-00004
    [9]
    王小永,魏艳. 新生儿疼痛的评价和管理[J]. 中国疼痛医学杂志,2012,18(8):502-504.
    [10]
    Morris E E,Howell M J,Pickup E,et al. Pediatric sleep and pain: etiologies,consequences,and clinical considerations[J]. J Clin Sleep Med,2022,18(9):2281-2289. doi: 10.5664/jcsm.10008
    [11]
    Valeri B O,Holsti L,Linhares M B. Neonatal pain and developmental outcomes in children born preterm: A systematic review[J]. Clin J Pain,2015,31(4):355-362. doi: 10.1097/AJP.0000000000000114
    [12]
    Wang J,Liu W,Fu H. Effects of traditional Chinese herb hot compress combined with therapeutic exercise on pain,proprioception,and functional performance among older adults with knee osteoarthritis: A randomized controlled trial[J]. Front Physiol,2022,13:1070754. doi: 10.3389/fphys.2022.1070754
    [13]
    孔超男,姜红. 加温复合碘消毒液降低PICC穿刺早产儿疼痛[J]. 护理学杂志,2018,33(24):42-43.54.
    [14]
    Yavanoglu Atay F,Guran O,Sahin O,et al. Pain during PICC insertion in preterm infants: The needle is not the only problem[J]. J Matern Fetal Neonatal Med,2023,36(1):2222205. doi: 10.1080/14767058.2023.2222205
    [15]
    张婧晶,段小凤,李胜玲,等. 温盐水热敷配合送管对早产儿PICC所致机械性静脉炎及一次穿刺成功率的影响[J]. 护士进修杂志,2020,35(11):1040-1042.
    [16]
    鲁琦. 热敷在早产儿PICC穿刺置管中的应用效果观察[J]. 护理学报,2013,20(1):55-56. doi: 10.3969/j.issn.1008-9969.2013.01.020
    [17]
    杨以平,余蓉,傅建南. 术中加温生理盐水的安全使用有效期研究[J]. 现代医药卫生,2020,36(24):3991-3992.
    [18]
    李红,王芳,熊云兰. PICC置管送管困难的护理研究进展[J]. 护理研究,2019,33(7):1176-1179. doi: 10.12102/j.issn.1009-6493.2019.07.020
    [19]
    Hatfield L A,Ely E A. Measurement of acute pain in infants: A review of behavioral and physiological variables[J]. Biol Res Nurs,2015,17(1):100-111. doi: 10.1177/1099800414531448
    [20]
    Jiang M,Mieronkoski R,Syrjälä E,et al. Acute pain intensity monitoring with the classification of multiple physiological parameters[J]. J Clin Monit Comput,2019,33(3):493-507. doi: 10.1007/s10877-018-0174-8
    [21]
    Jones L,Laudiano-Dray M P,Whitehead K,et al. EEG,behavioural and physiological recordings following a painful procedure in human neonates[J]. Sci Data,2018,5:180248. doi: 10.1038/sdata.2018.248
    [22]
    Donnellan D,Moore Z,Patton D,et al. The effect of thermoregulation quality improvement initiatives on the admission temperature of premature/very low birth-weight infants in neonatal intensive care units: A systematic review[J]. J Spec Pediatr Nurs,2020,25(2):e12286. doi: 10.1111/jspn.12286
  • Relative Articles

    [1] Shuang FANG, Libo ZHU, Ling LIU, Yanhua XU, Xue HU. Meta-analysis of the Impact of Early Enteral Nutrition on the Clinical Outcomes of Very Low Birth Weight Premature Infants. Journal of Kunming Medical University,  doi: 10.12259/j.issn.2095-610X.S20240920
    [2] Li MA, Zhaoyu YANG, Junyao LI, Jiahui JIANG, Jiali NING, Yi MA. Effects of Tactile/Motor Stimulation Massage on Feeding Outcomes and Neuromotor Development in Preterm Infants. Journal of Kunming Medical University,
    [3] Xue ZHANG, Weiwei CHEN, Cuihua LI, Haitao CAO. Effect of Rehabilitation Training Based on Mechanics Concept Combined with Ilizarov Technical Orthopedics on Knee Joint Stability and Lower Limb Weight Bearing in Elderly Patients with Knee Osteoarthritis. Journal of Kunming Medical University,  doi: 10.12259/j.issn.2095-610X.S20230326
    [4] Tuan LI, Yu’e ZHOU, Yue LI. Application of White Noise in Neonatal Peripheral Venipuncture Pain. Journal of Kunming Medical University,  doi: 10.12259/j.issn.2095-610X.S20230310
    [5] Yongyi ZOU, Zhiye QI, Dongmei SUN, Chunmei Wan, Kun LIANG. Effects of Different Vitamin D Doses on Bone Metabolism and Growth and Development Indicators of Preterm infants:A Cohort Study. Journal of Kunming Medical University,  doi: 10.12259/j.issn.2095-610X.S20231111
    [6] Xi GUO, Xiaoqing TANG, Jie WANG, Yan WAN, Bin XU, Yu LUO. Effect of Early Interventional Palliative Treatment on Pain and Anxiety in Patients with Hepatitis-Related Liver Cancer. Journal of Kunming Medical University,  doi: 10.12259/j.issn.2095-610X.S20220813
    [7] Yanzheng YANG, Yue ZHOU, Tuan LI, Shuangyan CHEN. Efficacy of Pentatone Therapy Combined with Non-nutritive Sucking in Feeding Premature Infants. Journal of Kunming Medical University,  doi: 10.12259/j.issn.2095-610X.S20220622
    [8] Jiarong YUAN, Ying LIANG, Jian MA, Chao QI, Nan LI. Effect of Early Physical Instruction on Development of Preterm Infants. Journal of Kunming Medical University,  doi: 10.12259/j.issn.2095-610X.S20220323
    [9] Ting HU, Da-zhi CHEN, Jin-rong MA, Ping LI, Ze-lan MENG, Chun-hua LEI, Lei ZENG, Ju-ying PU, Fang GUO. Efficacy of Oral Immunotherapy with Colostrum on Preterm Very Low Birth Weight Infants. Journal of Kunming Medical University,  doi: 10.12259/j.issn.2095-610X.S20210433
    [10] Jing ZHANG, Hui-song WANG, Lei WANG. Effect of Independent Breakthrough Rehabilitation Method on Postoperative Rehabilitation Effect and Quality of Life in Patients with Complicated Ankle Fracture and Dislocation. Journal of Kunming Medical University,  doi: 10.12259/j.issn.2095-610X.S20211121
    [11] Zhou Yu E , Yin Li Juan , Yang Hui Bo . . Journal of Kunming Medical University,
    [12] Jiang Yan , Mi Hong Ying , Shi Xu Li , Yang Jing Hui , Yang Yong Mei , Tian Yun Fen . . Journal of Kunming Medical University,
    [13] Lin Zhong Ju . . Journal of Kunming Medical University,
    [14] Zhang Jing . . Journal of Kunming Medical University,
    [15] Zhang Jing . . Journal of Kunming Medical University,
    [16] . Comparison of the Clinical Characteristics of Newborn Respiratory Distress Syndrome between Full-term and Premature Infants. Journal of Kunming Medical University,
    [17] He Li . . Journal of Kunming Medical University,
    [18] Zhang Yi . . Journal of Kunming Medical University,
    [19] . . Journal of Kunming Medical University,
    [20] . . Journal of Kunming Medical University,
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(7)

    Article Metrics

    Article views (17) PDF downloads(0) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return