新生儿科经外周静脉穿刺中心静脉置管不良位置诊断的临床验证
Clinical validation of the diagnosis adverse location of peripherally inserted central catheter in neonatology.
作者信息
Prado Nanete Caroline da Costa, Silva Richardson Augusto Rosendo da, Menezes Harlon França de, Santos Isabele Silva Dos, Santos Rebecca Stefany da Costa, Juraci Sérgio Danillo Santana de Lima, Raimundo Dhyanine Morais de Lima, Almino Romanniny Hévillyn Silva Costa
机构信息
Universidade Federal do Rio Grande do Norte, Programa de Pós-graduação em Enfermagem, Natal, RN, Brazil.
出版信息
Rev Esc Enferm USP. 2025 Aug 4;59:e20250117. doi: 10.1590/1980-220X-REEUSP-2025-0117en. eCollection 2025.
OBJECTIVE
To determine the accuracy measures of clinical indicators of Nursing Diagnosis (ND) of the International Classification of Nursing Practice (ICNP)®, Adverse Location of Peripherally Inserted Central Catheter in a Neonatal Intensive Care Unit (NICU).
METHODS
Diagnostic accuracy study carried out with 40 neonates admitted to a NICU in Northeastern Brazil. Data collection was performed through clinical examination and application of an institutional instrument. The clinical indicators analysis of the respective ND was performed using accuracy measures.
RESULTS
Among the study participants, the majority were female and had low birth weight. The prevalence of ND was 57.5%. The clinical indicators 'difficulty in catheter progression' and 'absence of blood return' showed high specificity values. The catheter insertion site, prematurity, and the occurrence of adverse events presented higher sensitivity values.
CONCLUSION
Accurate diagnostic inference allows the early identification of inadequate catheter tip positioning, supporting nurses in developing precise and effective interventions to avoid complications.
目的
确定国际护理实践分类法（ICNP）®中护理诊断（ND）的临床指标在新生儿重症监护病房（NICU）外周静脉穿刺中心静脉导管位置不当方面的准确性指标。
方法
对巴西东北部一家NICU收治的40例新生儿进行诊断准确性研究。通过临床检查和应用机构工具进行数据收集。使用准确性指标对相应ND的临床指标进行分析。
结果
在研究参与者中，大多数为女性且出生体重低。ND的患病率为57.5%。临床指标“导管推进困难”和“无回血”显示出高特异性值。导管插入部位、早产和不良事件的发生呈现出较高的敏感性值。
结论
准确的诊断推断有助于早期识别导管尖端位置不当，支持护士制定精确有效的干预措施以避免并发症。
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