儿科住院患儿外周静脉留置针首日使用现况调查分析

Investigation on the use of peripheral venous indwelling needle in pediatric inpatients on the first day

目的:调查住院患儿首日外周留置针使用中存在的问题,为规避护理风险提供依据。方法:采用自行设计问卷进行横断面调查,对某儿童医院新入院606例留置外周静脉留置针输液的患儿调查。结果:小儿外周静脉留置针穿刺部位以四肢为主,占73.93%;住院患儿年龄以0~3岁婴幼儿为主,占85.31%;穿刺护士:高年资占69.81%,低年资占22.94%;贴膜规范固定573例,占94.55%;无辅助固定占54.46%;有导管附加装置502例,占82.84%。有无使用附加装置、存在问题如贴膜有无卷边,差异均有统计学意义(P<0.05)。结论:住院患儿外周静脉留置针首日存在问题以延长管回血和敷贴卷边为主,提示护士需加强留置针安全使用健康教育并采取措施对风险问题进行过程管控确保留置效果。

Objective:To investigate the problems existing in the use of peripheral indwelling needles in hospitalized children on the first day to provide evidence for avoiding nursing risks.Methods:A self-designed questionnaire was used to conduct a cross-sectional survey.A total of 606 children who were newly admitted to a children's hospital were investigated with indwelling peripheral venous injection.Results:The main site of peripheral venous indwelling needle puncture in children was limbs,accounting for 73.93%.The majority of hospitalized children were 0-3 years old,accounting for 85.31%;Puncture nurses:high seniority accounted for 69.81%,low seniority accounted for 22.94%;573 cases(94.55%)were fixed by plastic film standard.54.46%without auxiliary fixation;502 cases(82.84%)had catheter attachment device.in the use of additional devices,there was a problem in whether the film had rolled edge or not,the difference was statistically significant(P<0.05).Conclusion:The problems of peripheral venous indwelling needles in hospitalized children on the first day are mainly to the blood return of the catheter and apply the coiling edge.It is strongly suggested that nurses should strengthen health education on the safe use of the indwelling needles and take measures to control the risk problems in the process to ensure the effect of the indwelling.