基于示范案例建设的静脉治疗护理质量持续改进  

Continuous nursing quality improvement of intravenous therapy based on demonstration cases construction

作　　者：孙莉[1] 史铁英[1] 李艳娇[2] 刘蕊 曹文卓 庄长娟[4] 赵静晗[5] 田薇[6] 王瑞 Sun Li;Shi Tieying;Li Yanjiao;Liu Rui;Cao Wenzhuo;Zhuang Changjuan;Zhao Jinghan;Tian Wei;Wang Rui(Nursing Department,The First Affiliated Hospital of Dalian Medical University,Dalian 116011,China)

机构地区：[1]大连医科大学附属第一医院护理部,辽宁大连116011 [2]大连医科大学附属第一医院肝胆外科,辽宁大连116011 [3]大连医科大学附属第一医院心律失常科,辽宁大连116011 [4]大连医科大学附属第一医院肿瘤一科,辽宁大连116011 [5]大连医科大学附属第一医院胃肠外科,辽宁大连116011 [6]大连医科大学附属第一医院神经外科,辽宁大连116011 [7]大连医科大学附属第一医院急诊科,辽宁大连116011

出　　处：《护理学杂志》2020年第7期40-42,46,共4页Journal of Nursing Science

基　　金：辽宁省自然科学基金(辽科发[2018]25号-82)。

摘　　要：目的探讨基于示范案例建设的静脉治疗护理质量持续改进方法及效果.方法建立静脉治疗专科小组,完善静脉治疗护理操作规范,开展多层级静脉治疗护理质量持续改进.比较实施前(469例)与实施后(558例)患者穿刺部位、静脉治疗工具使用情况、导管固定方式及并发症.结果实施后,护士静脉穿刺部位选择、穿刺工具选择、输液附加装置使用、导管的固定与维护等指标显著改善,患者静脉治疗并发症发生率下降,与实施前比较,差异有统计学意义(P<0.05,P<0.01).结论基于示范案例建设的静脉治疗护理质量持续改进,可提高护士静脉治疗质量,保障患者治疗安全.Objective To explore the methods and effects of continuous nursing quality improvement of intravenous therapy based on demonstration cases construction.Methods We established an intravenous therapy team,improved the intravenous therapy nursing operation standard,and conducted continuous nursing quality improvement of multi-level intravenous therapy.The puncture site,the use of intravenous therapy tools,catheter fixation methods and complications for the patients before(n=469)and after(n=558)the intervention were compared.Results After the intervention,the nurses′choice of venous puncture site,choice of puncture tools,use of additional infusion devices,catheter fixation and maintenance were significantly improved,and the incidence of complications was significantly lower than that before the intervention(P<0.05,P<0.01).Conclusion The continuous nursing quality improvement of intravenous therapy based on demonstration cases construction,can enhance the quality of intravenous therapy,and ensure patient safety during the therapy.

关 键 词：静脉治疗 国家标准 示范案例 护理质量 持续改进 

分 类 号：R472[医药卫生—护理学]