基于示范案例建设的静脉治疗护理质量持续改进
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女,本科,主任护师,副主任

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辽宁省自然科学基金(辽科发[2018]25号-82)


Continuous nursing quality improvement of intravenous therapy based on demonstration cases construction
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    目的 探讨基于示范案例建设的静脉治疗护理质量持续改进方法及效果。 方法 建立静脉治疗专科小组,完善静脉治疗护理操作规范,开展多层级静脉治疗护理质量持续改进。比较实施前(469例)与实施后(558例)患者穿刺部位、静脉治疗工具使用情况、导管固定方式及并发症。 结果 实施后,护士静脉穿刺部位选择、穿刺工具选择、输液附加装置使用、导管的固定与维护等指标显著改善,患者静脉治疗并发症发生率下降,与实施前比较,差异有统计学意义(P<0.05,P<0.01)。 结论 基于示范案例建设的静脉治疗护理质量持续改进,可提高护士静脉治疗质量,保障患者治疗安全。

    Abstract:

    Objective To explore the methods and effects of continuous nursing quality improvement of intravenous therapy based on demonstration cases construction. Methods We established an intravenous therapy team, improved the intravenous therapy nursing operation standard, and conducted continuous nursing quality improvement of multi-level intravenous therapy. The puncture site, the use of intravenous therapy tools, catheter fixation methods and complications for the patients before (n=469) and after (n=558) the intervention were compared. Results After the intervention, the nurses′ choice of venous puncture site, choice of puncture tools, use of additional infusion devices, catheter fixation and maintenance were significantly improved, and the incidence of complications was significantly lower than that before the intervention (P<0.05,P<0.01). Conclusion The continuous nursing quality improvement of intravenous therapy based on demonstration cases construction, can enhance the quality of intravenous therapy, and ensure patient safety during the therapy.

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孙莉,史铁英,李艳娇,刘蕊,曹文卓,庄长娟,赵静晗,田薇,王瑞.基于示范案例建设的静脉治疗护理质量持续改进[J].护理学杂志,2020,35(7):40-42+46

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  • 收稿日期:2019-12-02
  • 最后修改日期:2020-01-09
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  • 在线发布日期: 2022-09-06