重庆市静脉治疗护理联盟外周静脉留置针贯标宣标管理成效评价  

Management effect of standards implementation and publicity of peripheral venous indwelling needle in Chongqing Intravenous Therapy Nursing Alliance

作　　者：聂莹[1] 张旭[2] 胡鸾娇 刘光维[2] Nie Ying;Zhang Xu;Hu Luanjiao;Liu Guangwei(Department of Hematology,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院血液内科,重庆400016 [2]重庆医科大学附属第一医院神经内科,重庆400016

出　　处：《护理学杂志》2023年第8期50-53,共4页Journal of Nursing Science

基　　金：重庆市渝中区软科学研究项目(20170149)。

摘　　要：目的探讨重庆市静脉治疗护理联盟开展外周静脉留置针贯标宣标管理成效,为完善静脉治疗质量控制方案提供参考。方法对重庆市静脉治疗护理联盟内27所三级医院和39所二级医院实施外周静脉留置针贯标宣标管理,包括“点线面”三维培训和静脉治疗护理联盟-区域-医院三级质量控制。管理前后分别调研13984例和14040例住院患者,比较管理前后联盟内外周静脉留置针应用情况。结果管理后,外周静脉留置针以上肢作为穿刺部位占比从管理前的86.63%提高至89.31%,固定不规范由26.07%降至13.80%,维护不规范由40.84%降至20.58%,留置针总并发症现患率由10.10%降至7.43%,安全型输液装置选择率显著高于管理前(均P<0.05)。结论重庆市静脉治疗护理联盟搭建贯标宣标培训和质量控制平台进行管理,规范了联盟内留置针选择和使用,促进留置针固定和维护规范化,降低留置针并发症,推广了安全型输液装置应用。Objective To explore the management effect of standards implementation and publicity of Peripheral Venous Indwelling Needle(PVIN)in Chongqing Intravenous Therapy Nursing Alliance(CITNA),and to provide a reference for improving the quality control scheme of intravenous therapy.Methods The management of standards implementation and publicity of PVIN was conducted in 27 tertiary hospitals and 39 second-class hospitals in CITNA,which including point-line-plane three-dimensional training and alliance-district-hospital three-level quality control.A total of 13984 and 14040 inpatients were investigated before and after the management to compare the application of PVIN.Results After the management,the proportion of using upper extremity as the puncture site during PVIN insertion increased from 86.63%to 89.31%,the proportion of non-standardized fixation decreased from 26.07%to 13.80%,the non-standardized maintenance rate dropped from 40.84%to 20.58%,the complication incidence associated with PVIN reduced from 10.10%to 7.43%,and the proportion of selecting safety device was significantly higher(all P<0.05).Conclusion The implementation and publicity standards training pattern and quality control management issued by CITNA standardizes the right selection and use of PVIN,facilitates the standardization of PVIN fixation and maintenance,reduces associated complications and promotes the application of safety device.

关 键 词：静脉治疗护理联盟 外周静脉留置针 行业标准 质量控制 贯标宣标 并发症 输液安全 

分 类 号：R47[医药卫生—护理学] C931.2[医药卫生—临床医学]