FOCUS-PDCA法对儿科静脉留置针所致静脉炎发生情况的影响  

Effect of FOCUS-PDCA method on the occurrence of phlebitis caused by intravenous indwelling needle

作　　者：王梦琳 周燕[1] WANG Menglin;ZHOU Yan(Pediatric Infusion Room,Nanjing First HospitalNanjing Medical University,Nanjing First Hospital,Jiangsu Province,Nanjing210000,China)

机构地区：[1]南京医科大学附属南京医院、南京市第一医院儿科输液室,江苏南京210000

出　　处：《中国医药导报》2023年第6期153-156,共4页China Medical Herald

基　　金：江苏省卫生健康委员会科研项目(LGY2019009)。

摘　　要：目的探讨焦点管理循环(FOCUS-PDCA)法降低儿科静脉留置针所致静脉炎发生率的效果。方法选取2021年1月至6月南京医科大学附属南京医院儿科实施FOCUS-PDCA法循环前61例接受静脉留置针输液的患儿为常规组,2021年7月至12月实施FOCUS-PDCA法循环后61例接受静脉留置针输液的患儿为观察组。其中常规组采用常规护理管理,观察组在常规组的基础上实施FOCUS-PDCA法管理,比较两组患儿留置针留置时间及导管堵塞情况、静脉炎发生率、静脉炎发生原因及患儿家属满意度。结果观察组患儿的留置针留置时间长于常规组,留置针堵管率低于常规组(P<0.05)。观察组患儿的静脉炎发生率低于常规组(P<0.05)。观察组导致患儿静脉炎发生原因少于常规组(P<0.05)。观察组患儿家属满意度优于常规组(P<0.05)。结论FOCUS-PDCA法降低儿科静脉留置针所致静脉炎发生率的效果较好,不仅可降低留置针堵管率,还可以提高患儿家属满意度。Objective To explore the effect of FOCUS-PDCA method on the occurrence of phlebitis caused by intravenous indwelling needle.Methods A total of 61 children who received intravenous indwell needle infusion before the implementation of FOCUS-PDCA method cycle in the Department of Pediatrics,Nanjing First Hospital from January to June 2021 were selected as the routine group,and the observation group included 61 children who received intravenous indwelling needle infusion after the implementation of FOCUS-PDCA method cycle from July to December 2021.Among them,the routine group adopted routine nursing management,and the observation group implemented FOCUS-PDCA method management on the basis of the routine group.The indwelling time of needle,catheter blockage,phlebitis incidence,causes of phlebitis,and family satisfaction of the children were compared between the two groups.Results The indwelling time of needle observation group was longer than that of routine group,and the tube plugging rate of indwelling needle was lower than that of routine group(P<0.05).The incidence of phlebitis in the observation group was lower than that in the routine group(P<0.05).The causes of phlebitis in the observation group were less than those in the conventional group(P<0.05).The satisfaction of family members in the observation group was better than that in the conventional group(P<0.05).Conclusion FOCUS-PDCA method has a good effect on reducing the incidence of phlebitis caused by intravenous indwelling needles in children,which can not only reduce the tube plugging rate of indwelling needles,but also improve the satisfaction of children’s families.

关 键 词：焦点管理循环 导管堵塞情况 静脉炎发生率 护理满意度 

分 类 号：R473[医药卫生—护理学]