儿科门诊静脉输液护理风险管理及作用分析  

Nursing Risk Management and Function Analysis of Pediatric Outpatient Department Venous Transfusion

作　　者：胡海燕[1] 王瑶[1] 

机构地区：[1]中国人民解放军海军总医院,北京100048

出　　处：《儿科药学杂志》2016年第4期31-34,共4页Journal of Pediatric Pharmacy

摘　　要：目的:探讨儿科门诊静脉输液护理风险管理的作用。方法:选取2013年4月至2014年4月在我院儿科门诊进行静脉输液治疗的患儿472例,其中2013年4月至2013年10月入院治疗的236例患儿为对照组,2013年11月至2014年4月入院治疗的患儿236为观察组。对照组静脉输液采用常规护理,观察组静脉输液采用系统化风险管理,对两组患儿在输液过程中静脉输液不良事件、危险事件发生情况以及两组患儿家属对护理的满意度进行评价。结果:对照组反复穿刺、纠纷发生率显著高于观察组(P<0.05);对照组针头脱落、刺伤发生率与观察组比较差异无统计学意义(P>0.05)。两组给药错误发生率比较差异无统计学意义(χ2=1.011,P>0.05);对照组静脉炎、感染、液体渗漏发生率显著高于观察组(P<0.05)。结论:通过对儿科门诊静脉输液实施系统化风险管理措施,可显著降低各类静脉输液不良事件、危险事件发生率,提高护理满意度。Objective： To investigate the effect of nursing risk management for venous transfusion in pediatric clinic. Methods： Two hundreds and thirty six children cured in our hospital from April 2013 to October 2013 were selected as control group,the control group was adopted the traditional model of care in nursing. Two hundreds and thirty six children cured in pediatric of our hospital from November 2013 to April 2014 were select as the observatien group,which was adopted the systemic risk management for venous transfusion in nursing. Adverse events of venous transfusion,the occurrence of dangerous events and the satisfaction of family in two groups for nursing were evaluated. Results： The incidence of repeatedly puncture and disputes in control group were significantly higher than those in observation group（ P〈0.05）. The differences of the needle fall off and stabbed between two groups was not significantly（ P〉0.05）. The difference of the drug delivery error between two groups was not significantly（ χ2= 1.011,P〉0.05）. The incidences of phlebitis,infection,fluid leakage in control group were significantly higher than those in observation group（ P〈0.05）. Conclusion： The systemic risk management for venous transfusion in nursing could decline the incidence of dangerous events,and improve the satisfaction of nursing.

关 键 词：儿科 静脉输液 护理风险 管理 

分 类 号：R473.72[医药卫生—护理学]