静脉输液质量监控小组对甘露醇致静脉炎的影响分析

Analysis of the influence of intravenous infusion quality control group on mannitolinduced phlebitis

目的分析科室建立静脉输液质量监控小组对甘露醇致静脉炎发生的影响。方法在建立静脉输液质量监控小组前后(2011年及2017年)观察某三甲医院神经外科使用甘露醇患者的静脉炎发生及分级情况,2011年观察结果作为建立质量监控小组前基线数据,将基线数据与建立质量监控小组后的2017年观察结果进行比较分析。结果建立静脉输液质量监控小组前(对照组)观察58例,建立后(观察组)59例。对照组有49例发生不同程度的静脉炎,发生率为84.0%,其中Ⅰ级13例,Ⅱ级25例,Ⅲ级7例,Ⅳ级4例;观察组有30例发生不同程度的静脉炎,发生率为50.8%,其中Ⅰ级12例,Ⅱ级13例,Ⅲ级5例;观察组静脉炎的发生率、发生级别均低于对照组,差异有统计学意义(均P<0.05);两组留置相同时间和使用相同量甘露醇静脉炎发生率及分级隋况比较,观察组均低于对照组,差异有统计学意义(均P<O.05)。结论科室建立静脉输液质量监控小组后,改善了静脉输液护理质量,提高了输液护理人员对静脉输液相关专业知识和技术的掌握程度,降低了甘露醇致静脉炎的发生率。

Objective To analyze the effect of the establishment of intravenous infusion quality monitoring group on the occurrence of mannitol-induced phlebitis.Methods Before and quality monitoring group(2011 and 2017),the occurrence and grading after the establishment of the intravenous infusion of phlebitis of patients using mannitol in the neurosurgery department of a Third-Grade A hospital were observed.The observation results in 2011 were taken as the baseline data before the establishment of thee quality monitoring group,and the baseline data were compared with the observation results in 2017 after the establishment of the quality monitoring group.Results A total of 58 cases were observed before the establishment of intravenous infusion quality monitoring group (control group).A total of 59 cases were established after the establishment (observation group).The control group had 49 patients with varying degrees phlebitis,the incidence was 84.0%.There were 13 cases of gradeⅠ,25 cases of grade Ⅱ,7 cases of grade Ⅲ and 4 cases of grade Ⅳ.In the observation group,30 patients had phlebitis of varying degrees,with an incidence of 50.8%.There were 12 cases of gradeⅠ,13 cases of gradeⅡ and 5 cases of grade Ⅲ.The incidence and gading of phlebitis were lower in the observation group than those in the control group,and the difference was statistically significant (P<0.05).Compared with the control group,the incidence and grade of mannitol phlebitis were lower in the observation group than in the control group,and the differences were statistically significant (P<0.05).Conclusions After the establishment of the intravenous infusion quality monitoring group,the quality of intravenous infusion nursing was improved,the professional knowledge and skills of intravenous infusion nursing staff were improved,and the incidence of phlebitis caused by mannitol was reduced.