专职巡视护士在急诊输液室婴幼儿输液安全中的影响分析

Analysis of the Influence of Full-time Patrolling Nurses on the Safety of Infants and Young Children Infusion in the Emergency Infusion Room

目的分析专职巡视护士在急诊输液室婴幼儿输液安全中的影响。方法选择该院2019年1—12月急诊输液室收治的1 000例输液婴幼儿作为研究对象,将患儿按照入院时间先后顺序进行编辑,随机分为两组,即对照组、干预组各500例。对照组给予常规护理,干预组联合专职巡视护士管理,对比不良事件发生概率、家属护理满意度、护理质量评分。结果干预组液体渗出、针头滑脱、输液后处理不当发生率分别为1.0%、0.4%、0.4%,明显低于对照组4.4%、3.0%、2.0%,差异有统计学意义(χ^(2)=11.001、10.113、5.398,P<0.05);干预组家属护理满意度(护理态度、工作能力、健康指导、心理护理、换药拔针及时、巡视规范)评分高于对照组,差异有统计学意义(P<0.05);干预组各项护理质量(基础护理、专科护理、操作技术、输液管理)评分均高于对照组,差异有统计学意义(P<0.05)。结论在急诊输液室婴幼儿输液安全护理中,配合专职巡视护士管理,不仅能够减少不良事件发生概率,还能提高家属护理满意度及护理质量,值得临床借鉴。

Objective To analyze the influence of full-time patrolling nurses on the safety of infants and young children in the emergency infusion room.Methods From January to December 2019,1000 infusion infants and young children admitted to the emergency infusion room of the hospital were selected as the research objects.The youny children were edited in the order of admission time and randomly divided into two groups,namely the control group and the intervention group 500 cases each.The control group was given routine care,and the intervention group was managed by a full-time patrolling nurse to compare the incidence of adverse events,family care satisfaction,and nursing quality scores.Results The incidences of fluid exudation,needle slippage,and improper handling after infusion in the intervention group were 1.0%,0.4%,and 0.4%,which were significantly lower than those in the control group of 4.4%,3.0%,and 2.0%.The difference was statistically significant(χ^(2)=11.007,10.1131,5.3981,P<0.05);family members of the intervention group's nursing satisfaction(nursing attitude,work ability,health guidance,psychological care,timely dressing and needle removal,and inspection standards)scores were higher than those of the control group,the difference was statistically significant(P<0.05);The scores of various nursing quality(basic nursing,specialist nursing,operation technique,infusion management)of the intervention group were higher than those of the control group,the difference was statistically significant(P<0.05).Conclusion In the safety nursing of infants and young children in the emergency infusion room,cooperating with the management of full-time patrolling nurses can not only reduce the probability of adverse events,but also improve the satisfaction and quality of nursing care of family members,which is worthy of clinical reference.