6S管理模式在预防手臂式输液港港座感染中的应用  

Application of the 6S management mode to prevent the infection of arm infusion port

作　　者：闫艳芳[1] 耿立荣 李亚萍 YAN Yanfang;GENG Lirong;LI Yaping(Department of Glandular Surgery,the Second Hospital of Hebei Medical University,Hebei,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第二医院腺体外科,石家庄市050000

出　　处：《河北医药》2024年第15期2386-2389,共4页Hebei Medical Journal

摘　　要：目的 观察6S管理模式指导下的护理干预措施降低手臂式输液港感染率的影响。方法 选取2019年3月至2020年3月植入手臂式输液港的患者101例为研究对象,2019年3~8月收治的乳腺癌患者42例作为对照组,2019年9月至2020年3月收治的乳腺癌患者59例作为干预组。对照组给予植入手臂式输液港常规护理,干预组给予6S管理模式指导下的护理干预,比较2组患者港座感染率、导管尖端位置,首针穿刺成功率、专科质量合格率,静脉治疗护理质量,护理安全、护士技能水平、6S理念的认知、设备管理规范率、置港时间,患者满意度,健康教育掌握率情况。结果 干预组港座感染率低于对照组,干预组首次穿刺成功率和导管尖端最佳位置情况明显高于对照组,差异有统计学意义(P<0.05)。干预组专科质量合格率,静脉治疗护理质量,护理安全明显高于对照组,差异均有统计学意义(P<0.01)。干预组在护士技能水平、6S理念的认知和设备规范率方面明显优于对照组,差异有统计学意义(P<0.05)。干预组置港时间、患者满意度、健康教育掌握率明显优于对照组,差异有统计学意义(P<0.01)。结论 6S管理模式指导下的护理干预措施能够明显降低手臂式输液港感染率,保证护理安全,提高护理质量及患者的满意度。Objective To observe the effect of nursing intervention under the guidance of 6S management mode on reducing the infection rate of arm infusion port.Methods A total of 101 breast cancer patients implanted with an arm infusion port from March 2019 to March 2020 were the study objects.Patients admitted from March 2019 to August 2019 were enrolled in the control group(n=42) and managed by routine nursing for arm infusion port,and those admitted from September 2019 to March 2020 were enrolled in the intervention group(n=59) and managed by nursing intervention under the guidance of 6S management mode.The infection rate of arm infusion port,catheter tip location,first-attempt success rate of needle puncture,specialty quality pass rate,intravenous therapy nursing quality,nursing safety,nursing skill level,cognition of 6S management,equipment management standard rate,port infusion time,patient satisfaction,and health education mastery rate were compared.Results Patients in the intervention group had significantly lower infection rate of arm infusion port,higher first-attempt success rate of needle puncture and better catheter tip location than those of control group(P<0.05).Specialty quality pass rate,intravenous therapy nursing quality,and nursing safety were significantly higher in the intervention group than those of control group(P<0.01).Nursing skill level,cognition of 6S management,and equipment management standard rate were significantly higher in the intervention group than those of control group(P<0.05).Port infusion time,patient satisfaction,and health education mastery rate were significantly superior in the intervention group than those of control group(P<0.01).Conclusion Nursing intervention under the guidance of 6S management mode can significantly reduce the infection rate of arm infusion port,ensure nursing safety,improve nursing quality and patient satisfaction.

关 键 词：6S管理模式 手臂式输液港 感染 护理 

分 类 号：R472[医药卫生—护理学]