持續(xù)質(zhì)量改進(jìn)護(hù)理在小兒靜脈留置針穿刺護(hù)理管理中的應(yīng)用效果

鐘曉莉 李華

[摘要]目的 研究持續(xù)質(zhì)量改進(jìn)（CQI）護(hù)理在小兒靜脈留置針穿刺護(hù)理管理中的應(yīng)用效果。方法 選取2017年8月～2018年8月我院收治的82例接受靜脈留置針穿刺的患兒作為研究對象，采用隨機(jī)分組的方式分為對照組和觀察組，每組各41例。對照組接受常規(guī)護(hù)理，觀察組接受CQI護(hù)理，比較兩組靜脈留置針的穿刺成功率、患兒家屬對護(hù)理工作的滿意度、不良癥狀總發(fā)生率。結(jié)果 護(hù)理干預(yù)后，觀察組靜脈留置針穿刺成功率高于對照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）；觀察組家屬護(hù)理總滿意度高于對照組，差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）；觀察組的不良癥狀總發(fā)生率低于對照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 患兒在接受靜脈留置針穿刺時，給予CQI護(hù)理，可顯著提升穿刺的成功率，值得臨床推廣應(yīng)用。

[關(guān)鍵詞]小兒靜脈留置針；穿刺；持續(xù)質(zhì)量改進(jìn)護(hù)理

[中圖分類號] R473.72 [文獻(xiàn)標(biāo)識碼] A [文章編號] 1674-4721（2019）5（a）-0228-03

Application effect of continuous quality improvement nursing in the management of venous indwelling needle puncture in children

ZHONG Xiao-li LI Hua

Department of Pediatrics， Xiangfan First People′s Hospital， Hubei Province， Xiangfan 441000， China

[Abstract] Objective To study the application effect of continuous quality improvement （CQI） nursing in the management of venous indwelling needle puncture in children. Methods Eighty-two children who underwent venous indwelling needle puncture from August 2017 to August 2018 in our hospital were enrolled. All children were divided into the control and the observation group by randomized group， 41 cases in each group. The control group received routine nursing， the observation group received CQI nursing ， and the success rate of the venous indwelling needles in the two groups， the satisfaction of the family members on the nursing work， and the total incidence of adverse symptoms were compared. Results After nursing intervention， the success rate of venous indwelling needle in the observation group was higher than that of the control group， the difference was statistically significant （P<0.05）. The total satisfaction of the family members in the observation group was higher than that of the control group， the difference was statistically significant （P<0.05）， the total incidence of adverse symptoms in the observation group was lower than that of the control group， the difference was statistically significant （P<0.05）. Conclusion Children undergoing CQI when receiving venous indwelling needles can significantly improve the success rate of puncture， which is worthy of popularization and application.

[Key words] Pediatric intravenous indwelling needle； Puncture； Continuous quality improvement nursing

靜脈留置針是現(xiàn)在臨床醫(yī)學(xué)上常用的輸液方式，其操作較為簡便，且可適用于患者的任何部位[1]。靜脈留置針的廣泛使用，減少了對患者反復(fù)穿刺的情況，有效減少患者的疼痛感，同時可降低護(hù)理人員的工作強(qiáng)度，對疾病的治療和搶救帶來較多的便利[2-3]。當(dāng)給小兒實(shí)施靜脈留置針穿刺時，護(hù)理人員要對患兒實(shí)施更為有效的護(hù)理，這主要是由于患兒的年齡小，其忍受疼痛的程度較低，治療依從性較差，在實(shí)施靜脈留置針穿刺時，容易出現(xiàn)穿刺不成功的現(xiàn)象，且穿刺后容易出現(xiàn)靜脈留置針脫落，對患兒疾病的治療造成負(fù)面影響[4-5]。本研究研究持續(xù)質(zhì)量改進(jìn)（CQI）護(hù)理在小兒靜脈留置針穿刺護(hù)理管理中的應(yīng)用效果，現(xiàn)報道如下。