规范化流程再造在6岁内患儿静脉输液中的应用效果及对风险事件的影响

Application Effect of Standardized Process Reengineering in Intravenous Infusion of Children under 6 Years Old and Its Impact on Risk Events

目的探讨规范化流程再造在6岁内患儿静脉输液中的应用效果及对风险事件的影响。方法随机选取2019年12月—2020年6月期间在该院儿科住院部200例静脉输液的患儿为对照组,随机选取2020年7—12月期间在该院儿科住院部200例静脉输液的患儿为观察组。对照组按照常规静脉输液流程及护理方式干预,观察组实施静脉输液规范化流程再造干预。比较两组患儿静脉穿刺依从性、一次性穿刺成功率、静脉输液等待时间、每次输液呼叫护士频率、风险事件发生率和护理满意度。结果观察组患儿静脉输液依从率高于对照组(93.0%vs 84.5%),差异有统计学意义(χ^(2)=7.236,P=0.007)。观察组一次性穿刺成功率高于对照组(80.5%vs 70.0%),且静脉输液等待时间[(18.78±6.53)min vs(24.51±8.11)min]、每次输液呼叫护士频率[(0.73±0.34)次vs(1.34±0.59)次]均低于对照组,差异有统计学意义(χ^(2)=5.920,t=7.783、12.669,P<0.05)。观察组患儿静脉输液期间风险事件总发生率低于对照组(5.5%vs 15.0%),差异有统计学意义(χ^(2)=9.810,P=0.002)。观察组患儿护理满意度高于对照组(92.5%vs 86.0%),差异有统计学意义(χ^(2)=4.404,P=0.036)。结论对静脉输液进行规范化流程再造后有助于提高静脉穿刺效率,降低患儿输液期间风险事件的发生,保障患儿用药安全。

Objective To investigate the application effect of standardized process reengineering in intravenous fluid infusion in children under 6 years old and its impact on risk events.Methods From December 2019 to June 2020,200 children with intravenous infusion were randomly selected from the pediatric inpatient department of the hospital as the control group.From July to December 2020,200 children with intravenous infusion were randomly selected in the pediatric inpatient department of the hospital as the observation group.The control group was intervened according to the routine intravenous infusion process and nursing methods,and the observation group was intervened by the standardized intravenous infusion process reconstruction intervention.The compliance of venipuncture,the success rate of one-time puncture,the waiting time for intravenous infusion,the frequency of calling nurses for each infusion,the incidence of risk events and nursing satisfaction were compared between the two groups.Results The compliance rate of intravenous infusion in the observation group was higher than that in the control group(93.0%vs 84.5%),and the difference was statistically significant(χ^(2)=7.236,P=0.007).The success rate of one-time puncture in the observation group was higher than that in the control group(80.5%vs 70.0%);the waiting time for intravenous infusion[(18.78±6.53)min vs(24.51±8.11)min]and the frequency of calling nurses for each infusion[(0.73±0.34)times vs(1.34±0.59)times]were lower than that of the control group,and the difference was statistically significant(χ^(2)=5.920,t=7.783,12.699,P<0.05).The total incidence of risk events during intravenous infusion in the observation group was lower than that in the control group(5.5%vs 15.0%),and the difference was statistically significant(χ^(2)=9.810,P=0.002).The nursing satisfaction of the children in the observation group was higher than that in the control group(92.5%vs 86.0%),the difference was statistically significant(χ^(2)=4.404,P=0.036).Conclusion Reconstructing the standardized procedure of intravenous infusion can help to improve the efficiency of venipuncture,to reduce the occurrence of risk events during infusion in children,and ensure the safety of children's medication.