急诊综合留观病房患者中心静脉治疗的护理专案管理

Nursing project management of central venous therapy for patients in emergency observation ward

目的 探讨急诊综合留观病房患者中心静脉治疗的护理专案管理效果。方法 在对2018年7~12月(实施前组)收治的236例患者静脉治疗现状调查及要因分析基础上,对2019年7~12月、2020年7~12月收治的253例(实施后1组)、219例患者(实施后2组)开展中心静脉治疗护理专案改善工作。结果 实施专案管理后,实施后组静脉治疗工具选择合理率显著提高,中心静脉治疗导管并发症中导管相关性感染率显著下降,中心静脉治疗维护督导质量显著提升(P<0.05,P<0.01)。结论 护理专案管理可提高急诊留观病房患者静脉治疗工具选择及中心静脉治疗使用的合理性,规范中心静脉治疗维护,降低中心静脉治疗管路并发症发生率。

Objective To explore the effect of nursing project management of central venous therapy for patients in emergency observation ward. Methods The current situation of intravenous therapy of 236 patients(the pre-implement group) from July to December 2018 were investigated, and cause analysis was carried out. Then 253 patients(the implement group 1) from July to December, and 219 patients(the implement group 2) from July to December 2020 were selected to participate in a central venous therapy improvement nursing project. Results After implement of nursing project management, the rate of rational intravenous therapy tool selection was significantly improved, the rate of catheter-related infection as a complication of central venous therapy decreased significantly, the quality of central venous therapy and maintenance supervision was improved significantly in the implement groups, as compared with the pre-implement group(P<0.05, P<0.01). Conclusion Through nursing project management, the rationality in the selection of intravenous therapy tools and the use of central venous therapy in emergency observation ward was enhanced, the therapy protocol and maintenance of central venous catheter was standardized, and the incidence rate of central venous catheter related complications was reduced.