摘要
目的研究持续质量改进在降低急诊静脉输液穿刺失败率的应用效果。方法选取2016年1月—2018年1月本院急诊静脉输液的460例患者作为研究对象,其中,2016年1月—2017年1月收治的的230例患者作为对照组,采用常规静脉输液穿刺方法,2017年2月—2018年1月收治的230例患者作为研究组,采用持续质量改进护理模式,比较两组患者静脉穿刺情况及护理效果。结果研究组的一次穿刺失败率低于对照组,差异有统计学意义(P<0.05);研究组的患者满意度、穿刺成功平均使用时间、护理考核评分均优于对照组,差异有统计学意义(P<0.05)。结论急诊静脉输液穿刺失败与环境、操作者及患者等因素有关,采用持续质量改进法,可提高一次穿刺成功率,满足患者治疗与护理需求,具有推广意义。
Objective To study the application effect of continuous quality improvement in reducing the failure rate of emergency venous transfusion puncture.Methods 460 emergency patients treated with intravenous infusion during January,2016 and January,2018 was selected as research objects. 230 cases admitted during January,2016 and January,2017 were in the control group and were treated with the routine intravenous infusion puncture method,the other 230 cases admitted during February 2017 and January,2018 were in the study group and treated with continuous quality improvement nursing model,then the venous puncture station and nursing effects of the two groups were compared.Results Compared to the control group,the puncture failure rate of the study group was lower,however,the patients' satisfaction,puncture success average time,nursing assessment scores were better,all the differences were statistically significant(P<0.05). Conclusions The failure of emergency intravenous infusion puncture is related to the factors such as environment,operator and patients. The continuous quality improvement model could improve the success rate of the first puncture and meet the patients' needs,which is worth promoting.
作者
余叶嫦
宁炳雯
李共甜
赵珍喜
徐小青
YU Ye-chang(Department of emergency,the people's hospital of Jiangmen,Jiangmeny Guangdong, 529000,China)
出处
《齐齐哈尔医学院学报》
2019年第13期1698-1700,共3页
Journal of Qiqihar Medical University
关键词
急诊
静脉输液
穿刺失败
持续质量改进
Emergency department
Intravenous infusion
Puncture- failure
Reason
Continuous quality improvement
