关键词: 输液管理, 前馈控制理念, 输液外渗, 应激反应, 新生儿

Abstract: ObjectiveTo investigate the effects of transfusion safety management under the feedforward control concept on transfusion extravasation risk and stress hormone levels in neonates. MethodsA total of 105 neonates requiring intravenous infusion from January 2021 to September 2022 in our department were selected as research subjects and randomly divided into control group(52 cases) and observation group(53 cases). The control group was given routine intravenous infusion nursing, and the observation group was given infusion nursing based on feedforward control. The scores of infusion, stress and infusion response were compared between the two groups.ResultsThe success rate of one puncture in observation group was 92.45%(49/53), higher than that in control group(69.23%，36/52), and the total complication rate was 1.89%(1/53), lower than that in control group(19.23%,10/52), the difference being statistically significant (P<0.05). The heart rate, mean arterial pressure, epinephrine and norepinephrine levels of the two groups were higher after infusion than before infusion, and the control group was higher than the observation group, the difference being statistically significant(P<0.05). The scores of facial expression, crying, reflexive avoidance, struggling and restlessness in the observation group were lower than those in the control group, and the difference was statistically significant(P<0.05).ConclusionInfusion safety management under the feedforward control concept can improve the infusion situation of newborn infants, reduce the risk of complications such as infusion extravasation, alleviate the stress reaction during infusion, and alleviate the infusion reaction of newborn infants.

Key words:

 , Transfusion management, Feedforward control concept, Infusion extravasation, Stress response, Newborn