实施护理专案降低脑血管介入术后穿刺部位渗血发生率

Reducing hemorrhage at puncture site after cerebrovascular intervention through a nursing project

目的通过护理专案改善活动降低脑血管介入术后穿刺部位渗血发生率。方法成立护理专案小组,通过对160例患者的现况分析,确立"降低脑血管介入术后穿刺部位渗血发生率"为活动主题,对现况进行要因分析,确定问题,设定目标,制定对策及组织实施于150例患者。结果脑血管介入术后穿刺部位渗血发生率由专案改善活动前的8.8%降低至2.0%,护理缺漏率由专案改善活动前的9.1%降低至2.7%(均P<0.01)。结论针对脑血管介入术后穿刺部位渗血问题采取护理专案活动,有效降低了渗血率,提高了护理质量。

Objective To lower the incidence of hemorrhage at puncture site after cerebrovascular intervention through a nursing project.Methods A nursing team was built to work on the project of how to lower the incidence of hemorrhage at puncture site after cerebrovascular intervention.We recruited 160 patients to reflect the current status and associated causal factors,then identified problems,set goals,formulated countermeasures and implemented in 150 patients.Results The incidence of hemorrhage at puncture site was dropped from 8.8%to 2.0% after the intervention,and the rate of nursing omissions was decreased from 9.1%to 2.7%（P0.01 for both）.Conclusion The nursing project effectively reduces hemorrhage at puncture site after cerebrovascular invention and improves nursing quality.