静脉留置针操作技术的改良与效果研究

Improvement and effect study on the technique of intravenous indwelling needle

目的探究静脉留置针操作技术的改良与应用效果。方法选取2017年7月至2018年6月我院收治的需静脉输液的患者218例,采用随机数字法平均分为对照组和观察组,各109人;对照组予传统的留置针操作技术,观察组配合采取改良后的操作技术。比较两组贴膜脱落率、留置时间、封管效果、并发症及护士对改良效果满意度情况。结果对照组109例予传统的留置针操作技术,观察组109例配合采取改良后的操作技术。其中男103例,女115例。年龄1~80(35±6.2)岁。两组患者一般资料(包括年龄、性别、一般状况、家庭条件等)比较,差异均无统计学意义(均P>0.05),有可比性。观察组贴膜脱落率低于对照组[6(5.50%)比35(32.11%)],观察组静脉留置针留置时间高于对照组[(39±25)h比(31±23)h],差异均有统计学意义(均P<0.05)。观察组静脉炎[0(0.00%)比4(3.67%)]、液体渗漏[2(1.83%)比10(9.17%)]、皮下血肿[2(1.83%)比10(9.17%)]、皮肤撕脱[0(0.00%)比2(1.83%)]以及感染[0(0.00%)比3(2.75%)]发生率均显著少于对照组,差异均有统计学意义(均P<0.05)。观察组护士满意度评分(95±7.92)分高于对照组的(85±6.73)分,差异有统计学意义(P<0.05)。对照组正常拔管率低于观察组[14(12.84)比95(87.16)],回血堵管率高于观察组[107(98.17)比2(1.83)],差异有统计学意义(P<0.05)。结论本研究改良静脉留置针穿刺技术可以有效的减少静脉留置针操作并发症,留置时间延长,贴膜脱落率低,减少了透明贴膜的更换,大大减少了成本浪费,护士对改良效果的满意度高,应当积极推广应用。

Objective To explore the improvement and application of venous indwelling needle operation technology.Methods A total of 218 patients requiring intravenous infusion from July 2017 to June 2018 were enrolled in the hospital.They were randomly divided into the control group and the observation group by 109 patients.The control group was given traditional indwelling needle operation technique.The observation team cooperated with the improved operation technique.The film peeling rate,indwelling time,sealing effect,complications and nurses’satisfaction with the improvement effect were compared between the two groups.Results 109 cases of the control group were given the traditional indwelling needle operation technique,and 109 cases of the observation group were combined with the improved operation technique.There were 103 males and 115 females.Age 1 to 80(35±6.2)years old.There were no significant differences in the general data(including age,gender,general condition,family condition,etc.)between the two groups(all P>0.05),which were comparable.The rate of film detachment in the observation group was lower than that in the control group[6(5.50%)vs 35(32.11%)].The indwelling time of the venous indwelling needle in the observation group was higher than that in the control group[(39±25)h ratio(31±23)h],The differences were statistically significant(P<0.05).Observation group phlebitis[0(0.00%)vs 4(3.67%)],fluid leakage[2(1.83%)vs 10(9.17%)],subcutaneous hematoma[2(1.83%)vs 10(9.17%)].The incidence of skin avulsion[0(0.00%)vs 2(1.83%)]and infection[0(0.00%)vs 3(2.75%)]was significantly lower than that of the control group,and the difference was statistically significant(both P<0.05).The nurse satisfaction score(95±7.92)in the observation group was higher than that in the control group(85±6.73),and the difference was statistically significant(P<0.05).The normal extubation rate of the control group was lower than that of the observation group[14(12.84)vs 95(87.16)],and the rate of blood clogging was higher than that of the observation group[107(98.17)vs 2(1.83)],and the difference was statistically significant(P<0.05).Conclusion The improved intravenous indwelling needle puncture technique can effectively reduce the complications of intravenous indwelling needle operation,prolong the indwelling time,reduce the rate of film peeling,reduce the replacement of transparent film,greatly reduce the cost waste,and the nurses have high satisfaction with the improvement effect.Should be actively promoted and applied.