护理风险管理在患儿外周静脉留置针输液中的应用

Application of nursing risk management in peripheral intravenous transfusion via indwelling needle in children.

目的探讨护理风险管理在患儿外周静脉留置针输液中的应用效果。方法选择2011年3月至2012年3月在我院儿科住院治疗的866例外周静脉留置针输液患儿为研究对象,根据有无实施风险管理分为对照组和观察组,对照组仅给予常规护理措施,而观察组则根据经验总结患儿外周静脉留置针输液风险种类制定的护理干预措施进行护理,比较对照组和观察组外周静脉留置针输液不良事件发生率和家属对护理服务的满意度。结果观察组外周静脉留置针输液不良事件发生率明显低于对照组(P<0.05),基础护理合格率和患者家属对护理服务的满意度均明显高于对照组(P<0.05)。结论护理风险管理能够明显减少外周静脉留置针输液患儿输液不良事件发生,提高基础护理质量和患者及患者家属对护理服务的满意度,值得进一步推广。

Objective To investigate clinical effect of nursing risk management in peripheral intravenous transfusion via indwelling needle in children. Methods The clinical data of eight hundred and sixty-six children un- dergoing peripheral intravenous transfusion in the Department of Pediatrics in our hospital from March 2011 to March 2012 were collected. The children were divided into the control group and the observation group. Children in the control group were given conventional nursing measures, children in the observation group were given specific nursing measures on the basis of risk management. The incidence of adverse reactions and the satisfaction of children＇ family were evaluated. Results The incidence of adverse reactions in the observation group were significantly lower than that in the control group （P〈0.05）. The basic nursing qualified rate and the satisfaction of children＇ family in the observation group were significantly higher than that in the control group （P〈0.05）. Conclusion The nursing risk management can obviously reduce the adverse events of children with peripheral intravenous transfusion, and improve the basic nursing qualified rate and the patients＇ satisfaction for the nursing service, which is worthy to be extended.