Department of Neonatology, Nanning Maternty and Child Health Hospital, Nanning, China.
Outpatient Department, Nanning Maternity and Child Health Hospital, Nanning, China.
Sci Rep. 2024 Jul 4;14(1):15448. doi: 10.1038/s41598-024-66218-3.
Infusion extravasation has an increased incidence in newborns, which can result in various adverse outcomes. This study aimed to investigate the effects of different types of temperament on infusion extravasation in newborns. A total of 209 newborns aged 4-7 days who were treated with infusion therapy were assessed for temperament type using the neonatal behavioral assessment scale score (NBAS). The 2009 Infusion Nurses Society clinical grading criteria for extravasation were used, and the clinical data of the newborns, such as gestational age and body weight, were collected. Out of 209 newborns assessed, 107 developed infusion extravasations, with an incidence rate of 51.2%. Newborns with intermediate temperament type were more prone to develop infusion extravasation. Newborns with low body weight, amniotic fluid aspiration syndrome, or meconium aspiration syndrome were prone to develop infusion extravasation. Body weight, temperament type of consolability, temperament type of peak of excitement, diseases, general temperament type, and NBAS total scores of the neonates were independent risk factors for infusion extravasation. Thus, different types of temperament can have an impact on neonatal extravasation.
输液外渗在新生儿中的发生率增加，可导致各种不良后果。本研究旨在探讨不同气质类型对新生儿输液外渗的影响。采用新生儿行为评估量表评分（NBAS）对 209 例年龄 4-7 天、接受输液治疗的新生儿进行气质类型评估。采用 2009 年输液护士协会外渗临床分级标准，收集新生儿的临床资料，如胎龄和体重等。在接受评估的 209 例新生儿中，有 107 例发生输液外渗，发生率为 51.2%。中间气质类型的新生儿更容易发生输液外渗。低体重、羊水吸入综合征或胎粪吸入综合征的新生儿容易发生输液外渗。新生儿的体重、安慰型气质类型、兴奋型气质类型、疾病、一般气质类型和 NBAS 总分是输液外渗的独立危险因素。因此，不同的气质类型可能对新生儿外渗有影响。
