静脉输液治疗小组模式在儿童医院的应用

Application of intravenous infusion treatment team in a children＇s hospital

目的 探讨静脉输液治疗小组模式在儿童医院的应用效果.方法 郑州市儿童医院2015年成立静脉输液治疗小组,制定工作目标、岗位职责并实施.比较实施前（2014年1—12月）疑难穿刺患儿1511例和实施后（2015年1—12月）疑难穿刺患儿1581例一次成功率、平均穿刺时间、患儿家长对静脉穿刺技术的满意度、因穿刺失败被投诉的次数.结果 实施后全院疑难静脉穿刺的一次成功率由84.58%提升至92.60%,平均穿刺时间由（6.43±2.71）min降至（5.47±1.88）min,患儿家长对静脉穿刺技术的满意度由93.72%提升至98.87%,因穿刺失败被投诉的次数由37次降至18次.结论 静脉输液治疗小组在儿童医院中的有效运行能够有效解决疑难穿刺问题、促进儿科静脉治疗的专业化发展.

Objective To explore the effects of intravenous infusion treatment team in a children＇s hospital.Methods Children＇s Hospital of Zhengzhou established an intravenous infusion treatment team in 2015 along with formulating and implementing job objective and responsibilities. And then, we compared the success rate of first puncture, average puncture time, satisfaction of the children patients with the venipuncture skill and times complained due to puncture failure before （January 2014 to December 2014, 1511 children with difficult puncture） and after （January 2015 to December 2015, 1581 children with difficult puncture） implementation.Results After implementation, the success rate of first puncture for difficult puncture raised from 84.58% to 92.60%. The average puncture time decreased from （6.43±2.71） min to （5.47±1.88） min. The satisfaction of the children patients with the venipuncture skill improve from 93.72% to 98.87%. The times complained due to puncture failure decreased from 37 times to 18 times.Conclusions The effective operation of the intravenous infusion treatment team in a children＇s hospital can effectively solve the problem of difficult puncture, promote the professional development of intravenous infusion treatment in paediatrics department.