Objective To study the causes and risk factors of neonatal PICC catheter-related phlebitis, to provide evidence for nursing care. Methods 300 neonatal patients with PICC catheter indwelling admitted to the hospital from March 2017 to March 2018 were selected as research objects to understand the occurrence of phlebitis and analyze the influencing factors. Results The incidence of phlebitis among the research objects was 11.67%. Univariate analysis found that there were statistically significant differences between the two groups in neonatal body weight at the time of birth and catheterization, catheterization vein, whether the catheter was soaked before catheterization and ectopic catheter end (P < 0.05). Multivariate analysis showed that body weight during catheterization, ectopic catheter end,and whether the catheter was soaked with 0.9% sodium chloride solution before catheterization were independent influencing factors (P < 0.05), and body weight during catheterization and immersion of the catheter with 0.9% sodium chloride solution before catheterization were protective factors, while ectopic catheter end was a risk factor. Conclusion Before the PICC catheterization, the catheter was soaked with 0.9% sodium chloride solution and ectopic catheterization was eliminated as far as possible to reduce the incidence of neonatal phlebitis. When placing the catheter for the lighter neonates, the operation should be gentle, so as not to damage the blood vessels.
China Continuing Medical Education