钟晓莉 李华

[摘要]目的 研究持续质量改进（CQI）护理在小儿静脉留置针穿刺护理管理中的应用效果。方法 选取2017年8月～2018年8月我院收治的82例接受静脉留置针穿刺的患儿作为研究对象，采用随机分组的方式分为对照组和观察组，每组各41例。对照组接受常规护理，观察组接受CQI护理，比较两组静脉留置针的穿刺成功率、患儿家属对护理工作的满意度、不良癥状总发生率。结果 护理干预后，观察组静脉留置针穿刺成功率高于对照组，差异有统计学意义（P<0.05）；观察组家属护理总满意度高于对照组，差异具有统计学意义（P<0.05）；观察组的不良症状总发生率低于对照组，差异有统计学意义（P<0.05）。结论 患儿在接受静脉留置针穿刺时，给予CQI护理，可显著提升穿刺的成功率，值得临床推广应用。

[关键词]小儿静脉留置针；穿刺；持续质量改进护理

[中图分类号] R473.72 [文献标识码] A [文章编号] 1674-4721（2019）5（a）-0228-03

Application effect of continuous quality improvement nursing in the management of venous indwelling needle puncture in children

ZHONG Xiao-li LI Hua

Department of Pediatrics， Xiangfan First People′s Hospital， Hubei Province， Xiangfan 441000， China

[Abstract] Objective To study the application effect of continuous quality improvement （CQI） nursing in the management of venous indwelling needle puncture in children. Methods Eighty-two children who underwent venous indwelling needle puncture from August 2017 to August 2018 in our hospital were enrolled. All children were divided into the control and the observation group by randomized group， 41 cases in each group. The control group received routine nursing， the observation group received CQI nursing ， and the success rate of the venous indwelling needles in the two groups， the satisfaction of the family members on the nursing work， and the total incidence of adverse symptoms were compared. Results After nursing intervention， the success rate of venous indwelling needle in the observation group was higher than that of the control group， the difference was statistically significant （P<0.05）. The total satisfaction of the family members in the observation group was higher than that of the control group， the difference was statistically significant （P<0.05）， the total incidence of adverse symptoms in the observation group was lower than that of the control group， the difference was statistically significant （P<0.05）. Conclusion Children undergoing CQI when receiving venous indwelling needles can significantly improve the success rate of puncture， which is worthy of popularization and application.

[Key words] Pediatric intravenous indwelling needle； Puncture； Continuous quality improvement nursing

静脉留置针是现在临床医学上常用的输液方式，其操作较为简便，且可适用于患者的任何部位[1]。静脉留置针的广泛使用，减少了对患者反复穿刺的情况，有效减少患者的疼痛感，同时可降低护理人员的工作强度，对疾病的治疗和抢救带来较多的便利[2-3]。当给小儿实施静脉留置针穿刺时，护理人员要对患儿实施更为有效的护理，这主要是由于患儿的年龄小，其忍受疼痛的程度较低，治疗依从性较差，在实施静脉留置针穿刺时，容易出现穿刺不成功的现象，且穿刺后容易出现静脉留置针脱落，对患儿疾病的治疗造成负面影响[4-5]。本研究研究持续质量改进（CQI）护理在小儿静脉留置针穿刺护理管理中的应用效果，现报道如下。