新生儿静脉置管实施DMAIC护理干预的临床研究  

Clinical Study on DMAIC Nursing Intervention in Newborn Patients with Intravenous Catheterization

作　　者：柯香兰 苏平 KE Xianglan;SU Pin(Children's Hospital of Quanzhou Maternal and Child Health Hospital,Quanzhou 362000,China)

机构地区：[1]泉州市妇幼保健院儿童医院,福建泉州362000

出　　处：《中国医药指南》2023年第9期168-170,共3页Guide of China Medicine

摘　　要：目的探究六西格玛改进模式(Define,Measure,Analyze,Improve and Control,DMAIC)护理应用于新生儿外周留置针静脉置管的临床运用效果。方法选择2022年7~12月在我院新生儿科病房接受外周留置针静脉置管治疗的120例患儿作为研究对象。用随机数字表法随机分为对照组(n=60)及试验组(n=60)。对照组给予常规护理措施,如常规健康教育、合理选择置管方法等;试验组给予基于DMAIC管理理念的护理干预,如成立专项护理小组,制定护理干预计划,从定义、测量、分析、改善、控制5个方面改进护理流程。比较两组患儿的一次穿刺成功率、置管操作时间、不良事件发生率。结果试验组一次穿刺成功率(96.67%)高于对照组(86.67%),差异有统计学意义(χ^(2)=8.571,P<0.05)。试验组静脉置管操作时间(6.24±0.24)min显著短于对照组的(9.64±1.01)min,差异有统计学意义(t=25.361,P<0.05)。试验组不良事件发生率(0)低于对照组(13.33%),差异有统计学意义(χ^(2)=8.571,P<0.05)。结论DMAIC护理干预方案可以提高新生儿外周留置针静脉置管的一次穿刺成功率、缩短置管操作时间、降低不良事件发生率,值得推广。Objective To explore the clinical application effect of Define,Measure,Analyze,Improve,and Control(DMAIC)nursing applied to neonatal peripheral indwelling needle and venous catheterization.Methods From July 2022 to December 2022,120 children who received peripheral indwelling needle and venous catheterization in the neonatal pediatric ward of our hospital were selected as the study subjects.Using a random number table method,they were randomly divided into a control group(n=60)and a test group(n=60).The control group was given routine nursing measures,such as routine health education,reasonable selection of catheterization methods,etc;The test group was given nursing interventions based on DMAIC management concepts,such as establishing a special nursing team,formulating a nursing intervention plan,and improving the nursing process from five aspects:definition,measurement,analysis,improvement,and control.The one-time puncture success rate,intubation operation time,and incidence of adverse events were compared between the two groups.Results The one-time puncture success rate in the test group was 96.67%higher than that in the control group(86.67%),with a statistically significant difference(χ^(2)=8.571,P<0.05).The operation time of venous catheterization in the test group was significantly shorter than that in the control group(6.24±0.24)min,with a statistically significant difference(t=25.361,P<0.05).The incidence of adverse events in the test group was 0 lower than 13.33%in the control group,with a statistically significant difference(χ^(2)=8.571,P<0.05).Conclusion DMAIC nursing intervention program can improve the success rate of once puncture,shorten the operation time of catheterization,and reduce the incidence of adverse events in the nursing of newborn vein catheterization.The newborn has high compliance,which is worth popularizing.

关 键 词：新生儿 静脉置管 DMAIC理念 

分 类 号：R473.72[医药卫生—护理学]