延长外周静脉留置针留置时间的方法探讨

Methods for prolonging retention time of peripheral venous indwelling needle

目的 探讨外周静脉留置针输液患者留置针留置时间的延长方法.方法 2016年6月至2017年6月本院收住及使用外周静脉留置针的360例输液患者,随机分为实验组和对照组,每组180例.对照组实施常规护理,实验组运用品管圈的管理方法,比较两组患者的留置针留置时间、静脉炎例数、堵管例数、意外拔管例数、总满意率.结果 实验组患者的留置针留置时间为（5.6±2.0）d,对照组为（2.0±1.2）d,两组留置针留置时间比较,P＜ 0.05;实验组患者的静脉炎例数、堵管例数、意外拔管例数分别为4例、4例、2例,对照组分别为20例、20例、22例,均P＜ 0.05;实验组患者的总满意率为95.00％,对照组为77.78％,P＜0.05.结论 在外周静脉留置针输液患者中应用管圈能将留置针的留置时间延长,存在应用价值.

Objective To investigate the methods in the prolongation of indwelling needle retention time in patients taking peripheral venous catheter infusion.Methods From June 2016 to June 2017,360 patients with peripheral venous indwelling needle were randomly divided into a control group and an experimental group,180 cases for each group.The control group were routine care;and the experimental group were intervened by quality control circle management.The duration of indwelling needle,number of phlebitis,number of tube blockage,number of accidental extubation,and total satisfaction rate were compared between the two groups.Results The indwelling time was （5.6 ± 2.0） d in the experimental group,and was （2.0 ± 1.2） d in the control group,with a statistical difference （P 〈 0.05）.4 cases got phlebitis,4 occlusion,and 2 accidental extubation in the experimental group;and 20,20,and 22 in the control group （P 〈 0.05）.The total satisfaction rate was 95.00% in the experimental group,and was 77.78% in the control group （P 〈 0.05）.Conclusion The needle indwelling time can be lengthened in the patients with infusion of peripheral venous catheter by quality control circle management methods,which have the value of application.