儿科门急诊输液室中优化输液流程的应用研究

Study on the application of optimized infusion process in pediatric outpatient emergency department

目的观察儿科门急诊输液室应用优化输液流程的效果。方法湖南省儿童医院2011年6月至2014年6月收治输液治疗的患儿共700例,随机分为观察组和对照组各350例。观察组患儿给予优化输液流程,对照组患儿给予常规输液流程,对比分析两组患儿的输液效果,具体包括输液等待时间、患儿家属对输液治疗的满意程度以及输液过程中发生的不良护理事件概率。结果观察组输液平均等待时间为(10.98±3.49)分,显著低于对照组(31.04±4.12)分,差异有统计学意义(P<0.05);观察组患儿家属治疗满意度为97.7%(342/350),显著高于对照组86.9%(304/350),差异有统计学意义(P<0.05);观察组发生不良护理事件概率为5.7%(20/350),显著低于对照组17.7%(62/350),差异有统计学意义(P<0.05)。结论优化输液流程在儿科门急诊输液室中的应用效果比常规流程更为有效,值得临床推广。

Objective To observe the effect of optimized infusion process in pediatric outpatient emergency department.Methods A total of 700 children received infusion in Hunan Children＇s Hospital from June 2011 to June 2014,and they were divided into two groups：the observation group（350cases）and the control group（350cases）.The observation group was given optimized infusion process,and the control group received conventional one.Compare and analyze infusion result of the two groups,including infusion waiting time,families＇ satisfaction with the infusion treatment and nursing accidents during infusion.Results The average waiting time for infusion was（10.98±3.49）min in the observation group,significantly shorter than that of the control group（31.04±4.12）min,the difference being statistically significant（P〈0.05）.Families＇ satisfaction degree was 97.7%（342/350）in the observation group,significantly higher than that of the control group[86.9%（304/350）],and the difference was statistically significant（P〈0.05）.The rate of nursing accidents was 5.7%（20/350）in the observation group,which was greatly lower than that of the control group[17.7%（62/350）],with statistical difference（P〈0.05）.Conclusion Optimized infusion process has better effect than conventional one in the pediatric outpatient emergency department and should be clinical used.