持续改进中心静脉导管护理质量对中心静脉置管患者的影响

The Influence of Continuous Improvement of Nursing Quality for Central Venous Catheter Patients

目的:探析持续改进中心静脉导管护理质量的临床价值与意义。方法:把笔者所在医院从2017年5月-2018年7月收治的50例需要接受中心静脉置管的患者当作此次研究的观察样本。通过随机数字表的方式把50例患者分成试验组25例与参照组25例。参照组的护理模式是常规护理,试验组的护理模式是持续改进中心静脉导管护理。把这两组患者的并发症发生率、护理满意度、一次穿刺成功率作为此次研究的观察指标。结果:试验组的护理总满意度是96.00%(24/25),明显高于参照组的72.00%(18/25),差异有统计学意义(P<0.05);试验组的一次穿刺成功率是96.00%(24/25),明显高于参照组的76.00%(19/25),差异有统计学意义(P<0.05);试验组的并发症发生率是8.00%(2/25),明显低于参照组的32.00%(8/25),差异有统计学意义(P<0.05)。结论:把持续改进中心静脉导管护理应用于中心静脉置管患者中,能够提高一次穿刺成功率,降低置管相关的并发症发生概率,提高患者对此次护理的满意程度。

Objective:To explore the clinical value and significance of continuous improvement of nursing quality of central venous catheter.Method:50 patients who needed central venous catheterization in author’s hospital from May 2017 to July 2018 were selected as the observation samples for this study.The 50 patients were divided into the experimental group(25 cases)and the control group(25 cases)by random number table.The nursing mode in the control group was routine nursing,while in the experimental group was continuous improvement of central venous catheter nursing.The incidence of complications,nursing satisfaction and success rate of one puncture in the two groups were taken as the observation indicators in this study.Result:The nursing total satisfaction of the experimental group was 96.00%(24/25),which was significantly higher than 72.00%(18/25)of the control group.The difference was statistically significant(P<0.05).The success rate of one puncture the experimental group was 96.00%(24/25),which was significantly higher than 76.00%(19/25)of the control group.The difference was statistically significant(P<0.05).The incidence of complications in the experimental group was 8.00%(2/25),significantly lower than 32.00%(8/25)in the control group,and the difference was statistically significant(P<0.05).Conclusion:Continuous improvement of central venous catheter nursing in patients with central venous catheterization can improve the success rate of one puncture,reduce the incidence of catheter-related complications,and improve the satisfaction of patients with this nursing.