以RCA为指导的干预策略对老年住院患者静脉输液药液外渗的影响  

Effect of RCA-Guided Intervention Strategy on Extravasation of Intravenous Infusion in Elderly Hospitalized Patients

作　　者：梁维航 张恒[1] 李娜[2] 朱怡芳[3] 胡光珍[4] 贾雪飞 LIANG Weihang;ZHANG Heng;LI Na;ZHU Yifang;HU Guangzhen;JIA Xuefei(Department of Thyroid Surgery,Henan Provincial People’s Hospital,Zhengzhou 450000,China;Department of Pediatric Surgery,Henan Provincial People’s Hospital,Zhengzhou 450000,China;Day Ward,Henan Provincial People’s Hospital,Zhengzhou 450000,China;Department of Hemangioma,Henan Provincial People’s Hospital,Zhengzhou 450000,China;Henan Nursing Vocational College,Zhengzhou 450000,China)

机构地区：[1]河南省人民医院甲状腺外科,河南郑州450000 [2]河南省人民医院小儿外科,河南郑州450000 [3]河南省人民医院日间病房,河南郑州450000 [4]河南省人民医院血管瘤科,河南郑州450000 [5]河南护理职业学院,河南郑州450000

出　　处：《河南医学研究》2025年第1期147-150,共4页Henan Medical Research

基　　金：2023年度河南省医学科技攻关计划联合共建项目(LHGJ20230029)。

摘　　要：目的观察以根本原因分析法(RCA)为指导的干预策略对老年住院患者静脉输液药液外渗的影响。方法选取2023年8月至2024年4月河南省人民医院收治的168例老年住院患者为研究对象,根据入院先后顺序,将2023年8—12月入院的患者作为对照组,将2024年1—4月入院的患者作为观察组,各84例。对照组接受常规护理,观察组在常规基础上接受以RCA为指导的干预策略,干预至出院。比较两组静脉输液外渗发生率、外渗分级、静脉留置质量及自我护理能力测定量表(ESCA)评分。结果观察组静脉一次穿刺成功率、Kolcaba简化舒适状况量表(GCQ)评分高于对照组,留置时间长于对照组(P<0.05);观察组输液外渗发生率低于对照组(P<0.05);干预后观察组自护能力高于对照组(P<0.05)。结论通过RCA对老年住院患者展开防控策略,可有效提升静脉留置质量,增强患者自护能力,降低输液外渗风险。Objective To observe the effect of intervention strategy guided by root cause analysis(RCA)on extravasation of intravenous infusion in elderly hospitalized patients.Methods A total of 168 elderly hospitalized patients in Henan Provincial People’s Hospital from August 2023 to April 2024 were selected as the study objects.According to the order of admission,patients admitted from August to December 2023 were selected as the control group,and patients admitted from January to April 2024 were selected as the observation group,with 84 cases in each group.The control group received routine nursing,the observation group received RCA-guided intervention strategy on the basis of routine,intervention until discharge.The incidence of intravenous infusion extravasation,extravasation grade,quality of intravenous indwelling,and exercise of self-care agency scale(ESCA)before and after intervention were compared between the two groups.Results The success rate and Kolcaba’s general comfort questionnaire(GCQ)score of intravenous puncture in observation group were higher than those in control group,and the indentation time was longer than that in control group(P<0.05).The incidence of infusion extravasation in observation group was lower than that in control group(P<0.05).After intervention,the self-care ability of observation group was higher than that of control group(P<0.05).Conclusion The prevention and control strategy of RCA for elderly inpatients in this study can effectively improve the quality of venous indenture,enhance the self-care ability of patients,reduce the risk of transfusion extravasation.

关 键 词：静脉输液 输液外渗 老年 根本原因分析法 

分 类 号：R473.6[医药卫生—护理学]