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新生儿经外周静脉穿刺中心静脉置管护理质量评价体系的构建

Construction of Neonatal PICC Nursing Quality Evaluation System.

作者信息

Xiaoli Shi, Weiyan Hao, Li Dandan

机构信息

The Neonatal Intensive Care Unit of Pediatric Internal Medicine of the Laizhou People's Hospital in YanTai City of Shandong Province, ZP: 261400, China.

The Pediatric Neonatal Intensive Care Unit of Laizhou Municipal People's Hospital, YanTai City of Shandong Province, 261400, China.

出版信息

Appl Bionics Biomech. 2022 Jan 31;2022:8290526. doi: 10.1155/2022/8290526. eCollection 2022.

Abstract

OBJECTIVE

In order to improve the quality of neonatal care, this study analyzed the construction of PICC and scientifically evaluated the quality of PICC.

METHODS

A total of 100 neonatal patients admitted to the Pediatric Medical Intensive Care Unit of the People's Hospital in Laizhou City of Shandong Province between January 2015 and December 2018 were selected for nursing intervention. They were randomly divided into 50 cases in the observation group and 50 cases in the reference group. In the observation group, 50 were neonatal patients who received and completed PICC catheterization care, and in the reference group, 50 were neonatal patients with traditional conventional puncture care, PICC nursing quality evaluation index system, and nursing quality standard were applied, and questionnaire survey and patient satisfaction survey were conducted in the treatment. The two groups were compared for the success rate of one puncture, catheter detachment, treatment of local bleeding, incidence of nursing risk during other treatment, and other related nursing quality results.

RESULTS

The incidence of related medical and nursing risks in neonatal patients such as one-time puncture success rate, catheter detachment during treatment, and local bleeding was significantly lower than those in neonatal patients receiving conventional nursing methods. The incidence of nursing risk events during puncture was effectively reduced. It is shown in the comparison of adverse events in neonatal pediatric nursing in the fourth quarter of 2017 and 2018. In 2018, the proportion of adverse events in neonatal nursing is decreasing, the quality index of nursing is improving, and the satisfaction of patients' families and relevant personnel in treatment is increasing.

CONCLUSION

The construction and application of neonatal PICC nursing quality evaluation system can improve the success rate of one-time puncture, reduce the pain of newborns, improve the nursing quality evaluation system, scientifically and reasonably provide effective methods and basis for hospital PICC nursing, and play an important role in the development of pediatric nursing.

摘要

目的

为提高新生儿护理质量,本研究对新生儿经外周静脉穿刺中心静脉置管(PICC)的构建进行分析,并对PICC质量进行科学评估。

方法

选取2015年1月至2018年12月在山东省莱州市人民医院儿科重症监护病房收治的100例新生儿患者进行护理干预。将其随机分为观察组50例和对照组50例。观察组为接受并完成PICC置管护理的新生儿患者,对照组为采用传统常规穿刺护理的新生儿患者,应用PICC护理质量评价指标体系及护理质量标准,在治疗过程中进行问卷调查及患者满意度调查。比较两组一次穿刺成功率、导管脱落、局部出血处理、其他治疗期间护理风险发生率等相关护理质量结果。

结果

新生儿患者一次性穿刺成功率、治疗期间导管脱落、局部出血等相关医护风险发生率明显低于采用传统护理方法的新生儿患者。有效降低了穿刺过程中护理风险事件的发生率。在2017年第四季度与2018年新生儿儿科护理不良事件比较中显示,2018年新生儿护理不良事件占比在下降,护理质量指标在提升,患者家属及相关人员对治疗的满意度在提高。

结论

新生儿PICC护理质量评价体系的构建与应用可提高一次性穿刺成功率,减轻新生儿痛苦,完善护理质量评价体系,科学合理地为医院PICC护理提供有效方法和依据,在儿科护理发展中发挥重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11a6/8820936/2aba9f9d29fc/ABB2022-8290526.001.jpg

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