神经科住院患者留置针留置安全的持续质量管理  

Continuous Quality Administrations of the Safety of Vein Detained Needles for Inpatients in the Department of Neurology

作　　者：石弘[1] 陈德智[1] 冯灵[1] 杨蓉[1] 

机构地区：[1]四川大学华西医院神经内科,成都610041

出　　处：《华西医学》2012年第12期1875-1877,共3页West China Medical Journal

摘　　要：目的探讨神经科住院患者留置针安全的持续质量管理。方法选择2011年8月-10月100例神经科住院患者,按入院时间先后排序分为对照组和试验组,每组50例。对照组运用静脉留置针的常规护理方法进行护理,试验组在给予常规护理方法的同时实施一系列持续质量管理的措施,包括安排护理业务查房、组织操作示范、应用留置安全健康宣传小卡片对患者进行宣教、定期不定期的留置质量检查、将留置针安全作为一项交班内容、强调优质护理指针。留置针留置第3天对两组患者使用同一自制量表调查留置期间的安全问题及患者对护理的评价,并对两组调查结果进行统计分析。结果试验组留置期间不良事件发生率为6.0%,对照组为34.0%,两组差异有统计学意义(χ2=12.250,P=0.000);试验组对留置针留置安全知识的4个方面知晓情况均优于对照组(P=0.000);试验组对护理满意度较对照组好(P=0.000)。结论持续质量管理增加了神经科住院患者留置针留置安全、增进了患者对相关健康知识的掌握,提高了患者对护理的满意,值得临床推广。Objective To explore the quality administration of the safety of vein detained needles for inpatients in the department of neurology.Methods One hundred patients admitted to our department from August to October 2011 were divided into control group and experimental group with 50 in each,according to the time of admission.Patients in the control group accepted regular care of the vein detained needles,while patients in the experimental group received not only regular care but continuous quality administrations,such as making the rounds of the wards by nurses,organizing operation demonstrations,educating the patients,periodical quality inspections,making the safety of vein detained needles a necessity in shifting,and emphasizing excellent nursing guidance.On the third day of using the needles,we used the same self-made questionnaires to investigate safety problems of the needle and patients＇ assessment of the nursing,and the results were compared between the two groups.Results The adverse incidences during the three days were 6.0% in the experimental group and 34.0% in the control group,with a significant difference between the two groups（χ2=12.250,P=0.000）.The awareness rate about all four aspects of vein detained needles was significantly better in the experimental group than the control group（P=0.000）.Furthermore,the satisfaction rate in the experimental group was also significantly higher than that in the control group（P=0.000）.Conclusion Continuous quality administration of vein detained needles for inpatients in the department of neurology increases the safety of the needles,promotes patients＇ knowledge on related health,raises patients＇ satisfaction rate,which is worthy of being popularized.

关 键 词：留置针 安全 持续质量管理 

分 类 号：R47[医药卫生—护理学]