护理安全路径在儿童门诊输液中的应用效果分析  

Effect of nursing safety pathway on transfusion in child outpatients

作　　者：胡惠惠[1] 王洪侠[1] 张小曼[1] 韩静[1] 史德利 

机构地区：[1]徐州医学院护理学院,江苏徐州221000 [2]徐州市儿童医院护理部

出　　处：《中国校医》2014年第9期677-679,共3页Chinese Journal of School Doctor

基　　金：2012年徐州市科技计划指导项目(XZZD1226)

摘　　要：目的构建儿童门诊输液的护理安全路径,并分析其临床应用效果。方法选择本市儿童医院门诊输液的患儿260例,随机分为试验组(130例)和对照组(130例),试验组采用护理安全路径进行静脉输液护理,对照组进行常规输液护理。比较2组患儿输液等候时间、护理安全事件发生率及患儿家属对护理工作的满意度。结果与对照组相比,试验组输液等候时间缩短,差异有统计学意义;试验组、对照组护理安全事件发生的总频次分别为27次和129次,试验组1次穿刺不成功、液体外渗、擅自调速的护理安全事件发生率降低,差异有统计学意义;试验组患儿(家属)对护理安全路径的满意度为93.8%,试验组患儿(家属)对护士的态度和沟通的满意度优于对照组,差异有统计学意义。结论在儿童门诊输液过程中运用护理安全路径可显著缩短患儿等候输液时间,提高输液护理的安全性和患者满意度,在临床护理工作中值得推广。Objective To build a nursing safety pathway for transfusion in child outpatients and evaluate its effect. Methods A total of 260 child outpatients were divided into an experimental group and a control group randomly. The nursing safety pathway was applied in the experimental group, while the routine transfusion nursing was applied in the control group. The waiting time of transfusion, incidences of nursing events, and the satisfaction of relations were evaluated and compared between the 2 groups. Results Compared with the control group, the waiting time of transfusion was significantly shorter in the experimental group. The total frequencies of nursing events were 27 and 129 in the experimental group and control group respectively. The incidences of nursing events about once puncture failure, liquid leakage, and adjust speed themselves significantly declined in the experimental group. The satisfaction of the relations for the nursing safety pathway was 93.8 % in the experimental group, which was superior to that in the control group. Conclusions The nursing safety pathway used in the transfusion of child outpatients can shorten the waiting time, improve the security and the satisfaction of relations.

关 键 词：儿童 输注 静脉内 危险因素 危险处理 门诊医疗 

分 类 号：R473[医药卫生—护理学]