围手术期外周静脉通路链式管理方案在外科手术患者中的应用效果  

Application effect of perioperative peripheral venous pathway chain management scheme in surgical patients

作　　者：李雪静[1] 刘晓黎 刘媛媛 卢祎宁 田杨 曹晓燕 李婧[1] Li Xuejing;Liu Xiaoli;Liu Yuanyuan;Lu Yining;Tian Yang;Cao Xiaoyan;Li Jing(Central Operating Room,Peking University People's Hospital,Beijing 100044,China;Department of Obstetrics and Gynecology,Peking University People's Hospital,Beijing 100044,China)

机构地区：[1]北京大学人民医院中心手术室,北京100044 [2]北京大学人民医院妇产科,北京100044

出　　处：《中华现代护理杂志》2022年第7期957-962,共6页Chinese Journal of Modern Nursing

基　　金：北京大学人民医院研究与发展基金项目(RDN 2017-06)。

摘　　要：目的探讨围手术期外周静脉通路链式管理方案在外科手术患者中的应用效果。方法本研究为历史对照研究。采用便利抽样法,选取2018年3—7月北京大学人民医院收治的外科手术患者为对照组,接受常规静脉护理;选取2019年1—6月收治的外科手术患者为观察组,在对照组基础上实施围手术期外周静脉通路链式管理方案。共纳入528例患者,因患者更改治疗方案脱落5例,手术临时取消脱落5例,住院期间检查科室未收集到相关数据脱落3例,最终纳入515例患者,对照组247例,观察组268例,其中观察组患者共留置589个留置针,对照组患者共留置474个留置针。比较两组患者留置针留置部位、留置针型号、重新置管率、留置针失效率、留置时间、静脉穿刺耗材费用及护理费用。结果观察组患者在前臂内侧静脉、前臂外侧静脉留置留置针数量多于对照组,差异均有统计学意义(P<0.01)。观察组患者留置20 G留置针数量多于对照组,留置18 G留置针数量少于对照组,差异均有统计学意义(P<0.01)。观察组患者留置针失效率、重新置管率、静脉穿刺耗材费用及护理费用均低于对照组,差异均有统计学意义(P<0.01)。结论围手术期外周静脉通路链式管理方案能够有效降低外科手术患者留置针失效率、重新置管率,减少相关费用,提高外周静脉护理质量。Objective To explore the application effect of perioperative peripheral venous pathway chain management scheme in surgical patients.Methods This study was a historical control study.Using the convenient sampling method,surgical patients who were admitted to Peking University People's Hospital from March to July 2018 were selected as the control group and they were given routine intravenous care.The surgical patients who were admitted from January to June 2019 were selected as the observation group,and they were given perioperative peripheral venous pathway chain management scheme on the basis of the control group.A total of 528 patients were included,including 5 cases of detachment due to patient change of treatment plan,5 cases of detachment due to temporary cancellation of operation,and 3 cases of detachment without relevant data collected by puncture inspection during hospitalization.Finally,515 patients were included,including 247 cases in the control group and 268 cases in the observation group.A total of 589 indwelling needles were indwelled in the observation group and 474 indwelling needles in the control group.The indwelling needle site,indwelling needle model,re-catheterization rate,indwelling time,failure rate of indwelling needles,venipuncture consumables costs and nursing costs were compared between the two groups.Results The number of indwelling needles in the medial forearm vein and lateral forearm vein in the observation group was more than that in the control group,and the differences were statistically significant(P<0.01).The number of indwelling 20 G indwelling needles in the observation group was more than that in the control group,and the number of indwelling 18 G indwelling needles in the observation group was less than that in the control group,and the differences were statistically significant(P<0.01).The failure rate of indwelling needle,re-catheterization rate,venipuncture consumables costs and nursing costs in the observation group were lower than those in the control group,and the diff

关 键 词：围手术期护理 外周静脉通路 链式管理 护理质量 

分 类 号：R473.6[医药卫生—护理学]