规范化安全质控干预在儿科外周静脉留置针护理管理中的应用价值

The application value of standardized safe quality control intervention in the nursing management of pediatric peripheral venous indwelling needle

目的探究规范化安全质控干预在行外周静脉留置针治疗患儿护理管理中的应用效果。方法选择2019年12月—2021年12月本院行护理管理工作期间收治的176例行外周静脉留置针治疗患儿作为研究对象,根据年限不同,将2019年12月—2020年12月收治的88例患儿作为对照组,实施常规护理管理模式干预;将2021年1—12月收治的88例患儿作为实验组,实施规范化安全质控护理管理模式干预。对两组护理服务质量、留置期间不良事件、家属满意度等变化情况进行比较分析。结果护理管理干预后,实验组在穿刺护理、健康教育、护理文书、管道护理、应急事件解决能力等护理服务质量水平,与对照组比较,评分均显著升高,差异具有统计学意义(t=3.543、3.630、3.426、3.504、3.476,P=0.001、0.002);与常规护理管理模式下对照组患儿(9.09%)相比,实验组患儿渗漏、静脉炎、意外脱管、堵管等不良事件发生情况(1.14%)显著减少,差异具有统计学意义(χ^(2)=4.216,P=0.40);实验组患儿家属满意度(94.31%)显著高于常规对照组(79.55%),差异具有统计学意义(χ^(2)=8.452,P=0.004)。结论对外周静脉留置针治疗患儿,采取规范化安全质控护理管理干预对策,可促使护理人员日常服务质量水平得以提升,减少患儿留置针留置期间并发症发生率,大幅度提高患儿家属对于医护人员的护理满意程度。

Objective To explore the application effect of standardized safety quality control intervention in the nursing management of children undergoing peripheral venous indwelling needle treatment.Methods From December 2019 to December 2021,nursing management work was carried out in our hospital,and the 176 children underwent peripheral venous indwelling needle treatment in the hospital during this period were enrolled as study subjects.According their hospitalization time,the 88 children visited the hospital during December 2019 and December 2020 were enrolled as the control group and they received routine nursing management model intervention.The 88 children visited the hospital during December 2021 and January 2021 were enrolled as the study group,and they received standardized safety quality control intervention.The changes of nursing service quality,adverse events during detention and satisfaction of family members were observed and analyzed.Results After nursing management intervention,the scores of nursing service quality levels on puncture care,health education,nursing documents,pipeline nursing,emergency response ability in the experimental group were higher than those of the control group,and the differences were statistically significant(t=3.543,3.630,3.426,3.504,3.476,P=0.001,0.002).Compared with the patients in control group those underwent conventional nursing management mode(9.09%),the incidence of adverse events such as leakage,phlebitis,accidental tube removal and tube blockage in the experimental group(1.14%),significantly reduced,the difference was statistically significant(χ^(2)=4.216,P=0.040).The satisfactory degree of the family members in the experimental group(94.31%)was higher than that in the conventional control group(79.55%),the difference was statistically significant(χ^(2)=8.452,P=0.004).Conclusions For children treated with peripheral venous indwelling needles in our hospital,adopting standardized safe quality control nursing management intervention measures could improve the quality of daily service of nursing staff,reduce the incidence of complications during the indwelling of indwelling needles,and greatly improve the nursing satisfaction of family members of children with indwelling needles on medical staff.