护理专案在人工耳蜗植入术患儿围术期输液安全管理中的应用研究  

Application of nuring project on the improvement of transfusion safety for children with cochlear implantation

作　　者：冷芸坤[1] 李娜[2] LENG Yun-kun;LI Na(The First Affiliated Hospital of Nanchang University,Nanchang 330006,China;Outpatient department of Stomatology,The First Affiliated Hospital of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第一附属医院,江西南昌330006 [2]南昌大学第一附属医院门诊口腔科,江西南昌330006

出　　处：《吉林医学》2022年第5期1410-1414,共5页Jilin Medical Journal

基　　金：江西省卫生健康委员会科技计划[项目编号:20203142]。

摘　　要：目的:提高人工耳蜗植入术患儿围术期输液安全质量。方法:选择耳鼻喉头颈外科收治的人工耳蜗植入术患儿共88例,按照实施护理专案改善方法干预的前后顺序,分为对照组44例和试验组44例。运用护理专案改善方法,分析对照组人工耳蜗植入术患儿围术期输液安全风险发生的原因,制定提高患儿输液安全质量的标准化方案对试验组进行干预。比较两组间外周静脉留置针留置时间、脱管率、堵管率、静脉炎发生率、患儿配合度、护士杜绝不合理用药率、患者满意度的变化。结果:对照组外周静脉针留置时间、脱管率、堵管率、患儿配合度、护士杜绝不合理用药率分别为(17.36±8.59)h、84.1%(37/44)、63.6%(28/44)、13.6%(6/44)、9.1%(4/44),试验组分别为(65.59±19.17)h、2.3%(1/44)、9.1%(4/44)、68.2%(30/44)、45.5%(20/44),差异有统计学意义(P<0.001);对照组穿刺技术、身份核查执行情况、解决问题、沟通交流、护理人员服务态度得分分别为(1.34±0.57)、(2.07±0.26)、(1.09±0.29)、(1.32±0.60)、(2.11±0.44)分,试验组分别为(2.55±0.70)、(3.0±0.00)、(2.91±0.29)、(2.77±0.52)、(2.84±0.37)分,差异有统计学意义(P<0.001);干预后输液安全护理质量改善显著。两组静脉炎发生率(P=0.645)无明显差异。结论:护理专案能有效提高人工耳蜗植入术患儿围术期输液安全质量,减少护理缺陷发生,提升患者就医体验。Objective To improve the safety and quality management of perioperative transfusion for children with cochlear implantation.Method Totally 88 cases of children from Otolaryngology Head and Neck Surgery,in accordance with the fore-and-aft sequence of implementing nursing project management, they were divided into experimental group(44 cases) and control group(44 cases).Through the nursing project improvement management, analyzing the reason of high incidence of adverse events related with the transfusion safety for children with cochlear implantation in control group. Formulating standardized solutions to improve the quality of transfusion safety. To compare the length of catheter indwelling、the incidence of unplanned extubation、catheter blockage, phlebitis, coordination degree of children、nurse prevent irrational rates of drug use, parents satisfaction.Results The length of catheter indwelling, the incidence of unplanned extubation, catheter blockage, coordination degree of children, nurse prevent irrational rates of drug use of the control group were(17.36±8.59)h, 84.1%(37/44),63.6%(28/44),13.6%(6/44),9.1%(4/44),respectively, the experimental group were(65.59±19.17)h, 2.3%(1/44),9.1%(4/44),68.2%(30/44),45.5%(20/44),respectively, the difference was statistically significant(P<0.001);The scores of venipuncture technique, identity verificion, solve the problem, communication, nurse service attitude in the control group were(1.34±0.57),(2.07±0.26),(1.09±0.29),(1.32±0.60),(2.11±0.44),respectively, the experimental group were(2.55±0.70),(3.0±0.00),(2.91±0.29),(2.77±0.52),(2.84±0.37),respectively, the difference was statistically significant(P<0.001);After the intervention, the nursing project can improve the safety and quality management of perioperative transfusion. There was no significant in the incidence of phlebitis difference(P=0.645) between two groups.Conclusion Nursing project management can effectively improve the quality of transfusion safety for children with cochlear implantation,reduce

关 键 词：护理专案 人工耳蜗 患儿 输液安全 

分 类 号：R473.76[医药卫生—护理学]