摘要
目的探讨儿科门诊静脉输液存在的风险,并总结其风险管理措施。方法选取2015年1月1日至12月31日在本院门诊进行静脉输液治疗的212例患儿作为对照组,2016年1月1日至12月31日在本院进行输液治疗的222例患儿作为研究组,对照组采用常规护理,研究组采用积极的针对性干预,比较两组儿童护理不良事件的发生率以及对护理服务的满意度。结果研究组反复静脉穿刺、针头脱落、刺伤以及纠纷等静脉输液不良反应发生率明显低于对照组(P<0.05),给药差错、静脉炎、药物渗漏和感染等输液危险事件发生率均明显低于对照组(P<0.05),患儿及其家长对护理服务的满意度评分[(93.6±3.5)分]明显高于对照组[(85.1±5.3)分],差异有显著性(t=19.799,P=0.000)。结论加强对门诊静脉输液不良反应和输液危险事件的原因分析,并积极采取干预措施有助于减少静脉输液不良反应以及提高护理满意度。
Objective To investigate the risk of intravenous infusion in pediatric outpatient clinics and to summarize its risk management measures. Method A total of 212 children who underwent intravenous infusion in our hospital from January 1 to December 31, 2015 were selected as the control group. Infusion therapy was also performed in our hospital from January 1 to December 31, 2016. 222 children were used as study group, and the control group received routine nursing. The study group took active targeted interventions and compared the incidence of child care adverse events and satisfaction with nursing services in different groups. Result The incidence of adverse reactions such as repeated venipuncture, needle detachment, stab wound and disputes in the study group was significantly lower than that in the control group（P〈0.05）. The study group was given infusion risk events such as errors, phlebitis, drug leakage and infection. The incidence rate was significantly lower than that of the control group（P〈0.05）. The nursing service satisfaction scores of the study group and their parents were significantly higher than the control group [（93.6±3.5） points vs（85.1±5.3） points, t=19.799, P=0.000], the nursing service satisfaction scores of the study group and their parents were significantly higher than the control group（P〈0.05）. Conclusion Strengthening the analysis of the causes of adverse reactions and infusion risk events in outpatients, and actively taking interventions can help reduce the incidence of adverse reactions and improve the satisfaction of nursing. It is worthy of promotion.
作者
张英
林冰
葛新顺
ZHANG Ying;LIN Bing;GE Xin-shun(Department of OUIVA,Beijing Children＇s Hospital Affiliated to Capital Medical University,Beijing 100045,China;Department of Emergency,Beijing Children＇s Hospital Affiliated to Capital Medical University,Beijing 100045,China)
出处
《中国医刊》
CAS
2018年第8期928-930,共3页
Chinese Journal of Medicine
关键词
门诊
静脉输液
输液不良事件
风险管理
Outpatient Clinic
Intravenous infusion
Infusion adverse events
Risk management
