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品管圈活动在提高小儿静脉留置针一次性穿刺成功率中的应用(修)
作者:俞曦 李志君 倪郝林  
单位:南京二院
关键词:质量控制 小儿 留置针 静脉穿刺 
分类号:
出版年·卷·期(页码):2017·45·第一期(127-130)
摘要:

目的:探讨如何提高小儿静脉留置针一次性穿刺的成功率。方法:2015年1月成立品管圈小组,采取分层管理,确立圈主题,分析原因,并制定对策,赋予实施,进行效果评价。结果:2015年5月至8月共调查留置针穿刺476人次,成功412人次,一次性成功率为86.56%,显著高于改善前的69.4%(χ2=41.520,P=0.000)。进针太深戳破血管、判断失误未戳到血管、退针太多送管失误、护士心理压力、患儿合作性等都得到一下程度的改善。结论:品管圈活动可提高小儿静脉留置针一次性穿刺成功率和护理质量,增强护士的综合能力,提高患儿或患儿家属的满意度。

Objective: To study how to improve the venepuncture success rate of children with indwelling needle. Methods: Quality control circle team were set up in January 2015, then adopt the layered management, established the theme, analyzed the reason, developed countermeasures, gave the implementation and evaluated effect. Results: There were 476 times of venepuncture in children with measles from May 2015 to August 2015, 412 times were success, the one-time success rate was 86.56%, significantly higher than 69.4% before (χ2= 41.520, P = 41.520). Too deep into and pricking blood vessel, wrong judgment leading to not poke the right blood vessel, the needle was too back to send tube failure, nurses psychological pressure, cooperation of children were also mproved after quality control circle activity. Conclusion: Quality control circle activity can improve the venepuncture success rate of children with indwelling needle and nursing quality, strengthen nurses' comprehensive ability, improve the satisfaction of children or their parents. [key words] quality control; Children;indwelling needle; venepuncture

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