儿科门诊输液中浅静脉留置针的应用与风险管理
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摘要
目的探讨儿科门诊输液中浅静脉留置针的应用及风险管理效果。方法接受浅静脉留置针输液的患儿112例根据入院时间先后分为对照组(2017年11月—2018年5月)和观察组(2018年5月—11月),各56例。对照组给予常规管理模式,观察组给予风险管理模式。观察组2组一次性穿刺成功率和留置针相关护理风险发生情况。结果观察组一次性穿刺成功率89.29%(50/56),高于对照组的75.00%(42/56),差异有统计学意义(P<0.05)。观察组静脉留置针堵管、针头滑脱等护理不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论针对儿科门诊输液实施风险管理,能有效提高浅静脉留置针一次性穿刺成功率,降低常见风险问题发生风险。
Objective To investigate the effect of risk management of intravenous infusion via vein indwelling catheter in pediatric patients. Methods Totally 112 pediatric patients with treatment of intravenous infusion via vein indwelling catheter were assigned to the control group(n=56) and the observation group(n=56) according to the sequence of hospital admission. The routine management was adopted in the control group, and the risk management model was carried out in the observation group. The one-time puncture success rate and incidence of adverse events associated with indwelling catheter were compared between two groups. Results The one-time puncture success rate was 89.29%(50/56) in the observation group and 75.00%(42/56) in the control group, with a significant difference(P<0.05). The incidence rate of catheter blocking, catheter dislocation and other adverse events was lower in the observation group than that in the control group, with a significant difference(P<0.05). Conclusion The risk management is an effective tool to improve the one-time puncture success rate in pediatric patients with treatment of intravenous infusion.
Objective To investigate the effect of risk management of intravenous infusion via vein indwelling catheter in pediatric patients. Methods Totally 112 pediatric patients with treatment of intravenous infusion via vein indwelling catheter were assigned to the control group(n=56) and the observation group(n=56) according to the sequence of hospital admission. The routine management was adopted in the control group, and the risk management model was carried out in the observation group. The one-time puncture success rate and incidence of adverse events associated with indwelling catheter were compared between two groups. Results The one-time puncture success rate was 89.29%(50/56) in the observation group and 75.00%(42/56) in the control group, with a significant difference(P<0.05). The incidence rate of catheter blocking, catheter dislocation and other adverse events was lower in the observation group than that in the control group, with a significant difference(P<0.05). Conclusion The risk management is an effective tool to improve the one-time puncture success rate in pediatric patients with treatment of intravenous infusion.
引文
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[11] 朱振云,叶天惠,王颖,等.护理专案行动降低儿科外周静脉留置针不规范使用率[J].护理学杂志,2017,32(3):40-42.
[2] 左雪梅,齐悦,叶鸥.可塑型固定板在婴儿四肢浅静脉留置针中的应用[J].护理实践与研究,2016,13(1):145-146.
[3] 梁熙德,刘励璇,刘嫣媚,等.护理专案在降低全院静脉留置针堵管发生率中的应用[J].中华现代护理杂志,2017,23(5):698-700.
[4] KREIKEMEIER R M,GOSNELL H,HALBUR L M,et al.A retrospective review of initial bisphosphonate infusion in an inpatient vs.outpatient setting for bisphosphonate naive patients[J].J Pediatr Endocrinol Metab,2017,30(10):1105-1110.
[5] 范燕华,王春燕,刘重斌,等.正压接头在浅静脉留置针输液中应用的Meta分析[J].护理研究,2017,31(18):2225-2229.
[6] 胡明明,顾平,陈璐,等.神经内科患者外周浅静脉留置针相关性静脉炎危险因素的Cox回归模型分析[J].护理学报,2016,23(11):5-8.
[7] 孔旭,吉莉.小儿静脉留置针改良固定法的应用效果评价[J].中西医结合护理(中英文),2018,4(4):125-127.
[8] 熊亮,刘花艳,张晓,等.无痛技术在儿科外周静脉留置针中的应用[J].中国临床护理,2018,10(3):11-13.
[9] HOPPS S,MEDINA P,PANT S,et al.Cetuximab hypersensitivity infusion reactions:Incidence and risk factors[J].J Oncol Pharm Pract,2013,19(3):222-227.
[10] 谭艳,李旭英,袁忠,等.静脉留置针临床应用的研究进展[J].中华现代护理杂志,2018,24(21):2595-2599.
[11] 朱振云,叶天惠,王颖,等.护理专案行动降低儿科外周静脉留置针不规范使用率[J].护理学杂志,2017,32(3):40-42.