摘要
目的 探讨护理风险管理在小儿头皮静脉输液中的应用疗效。方法 选取我院收治的150例小儿头皮静脉输液患儿 为研究对象,随机将其分为对照组和实验组,每组75例。对照组患儿给予常规护理,实验组患儿在对照组基础上 给予护理风险管理。比较护理干预前后,两组患儿静脉输液过程中不良事件发生率,护理人员基础护理水平,操 作熟练度,风险管理控制能力以及家属满意度。结果 实验组患儿静脉输液过程反复穿刺率(2.67%)、液体渗漏率 (2.67%)、针头脱落率(4%)均低于对照组(12%、13.33%、14.67%),护理人员基础护理水平、操作熟练度、风险控制 能力评分均显著高于对照组(P<0.05),患儿家属满意度实验组(93.83%)高于对照组(72.5%)。结论 护理风险管理在 小儿头皮静脉输液过程护理效果好,不良事件发生率小,护理人员整体素质高,护理满意度好,可显著改善临床护 理质量。
Objective To study the application of nursing risk management in children undergoing scalp vein infusion. Methods A total of 150 children undergoing scalp vein infusion in our hospital were taken as the clinical research objects, and they were divided into experimental group (75 cases) and control group (75 cases). Both groups accepted traditional nursing. Besides, the experimental group accepted additional nursing risk management in order to compare their adverse event rates during intravenous infusion, basic nursing level of nursing staff, operating proficiency, control ability of risk management and satisfaction degree of family numbers before and after nursing intervention. Results During intravenous infusion, the repeated puncture rate, liquid leakage rate and needle dropping rate in the experimental group were respectively 2.67%, 2.67% and 4% which were lower than those in the control group 12%, 13.33% and 14.67%, the basic nursing level of nursing staff, operating proficiency and control ability of risk management in the experimental group were all significantly higher than those in the control group(P<0.05), the satisfaction degree of family numbers in the experimental group was 93.83% which was higher than that in the control group 72.5%. Conclusion Nursing risk management in children undergoing scalp vein infusion which has better nursing effect, lower adverse event rates, higher overall quality of the nursing staff and satisfaction degree can significantly improve the clinical quality of nursing.
【关键词】护理风险管理;小儿头皮静脉输液;护理质量
【中图分类号】R322.1+23
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2016.05.004
前言
小儿头皮静脉输液是临床治疗的常见操作,由于 小儿头皮血管细小,皮肤组织松弛且小儿好动等,常 引发反复穿刺、液体渗漏、针头脱落等不良事件发 生[1]。输液风险的增加不仅对患儿治疗不利,更可能 引起不必要的护患纠纷。护理风险管理是指医护人员 对现行存在的或可能发生一切不安全是事件的一个评 估并制定方案解决的过程,可有效的减少因社会因 素、医院因素、患者因素引起的各种纠纷,有效减少 患者和医院的经济损失和危害[2]。
罕少疾病杂志
第23卷, 第 6 期
2019年11月
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