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
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女,硕士在读,主管护师

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重庆市渝中区软科学研究项目(20170149)


Management effect of standards implementation and publicity of peripheral venous indwelling needle in Chongqing Intravenous Therapy Nursing Alliance
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    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13 984例和14 040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。

    Abstract:

    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 13 984 and 14 040 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.

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聂莹,张旭,胡鸾娇,刘光维.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[J].护理学杂志,2023,38(8):50-53

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  • 收稿日期:2022-11-14
  • 最后修改日期:2023-01-10
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  • 在线发布日期: 2023-12-29