摘要
目的探讨儿科留置针非计划拔管率持续监测的意义。方法调查并分析儿科留置针非计划拔管原因,实施留置针非计划拔管护理敏感指标监测,对监测数据进行分析,拟定改进措施并进行PDCA循环。对比实施前(2017年2月—4月)和实施后(2017年8月—10月)儿科留置针非计划拔管率。结果实施护理敏感指标持续监测前调查患儿232例,非计划拔管率27.16%(63/232);实施后调查患儿228例患儿,非计划拔管率10.96%(25/228),实施活动后非计划拔管率较实施前下降(P<0.01)。结论针对留置针非计划拔管率指标开展持续监测,能降低儿科留置针非计划拔管率,提升护理质量。
Objective To evaluate the continuous monitoring on the unplanned extubation rate of indwelling needle in pediatric nursing.Methods The potential reasons for unplanned extubation rate of indwelling needle were investigated and analyzed,and the monitoring on sensitive indicators of unplanned extubation was carried out.The monitoring data of nursing sensitive indicators was analyzed,and the improvement measures were formulated by using PDCA cycle.To compare the unplanned extubation rate before and after implementation of continuous monitoring.Results There were 232 pediatric patients observed before implementation,with a unplanned extubation rate of 27.16%(63/232).The extubation rate dropped to 10.96%of 228 cases after implementation of continuous monitoring,with a significant difference(P<0.01).Conclusion The continuous monitoring can effectively reduce the unplanned extubation rate of the indwelling needle and improve the quality of pediatric nursing.
作者
杨华芬
高艳
YANG Huafen;GAO Yan(Department of Pediatrics,Nanjing Hospital Affiliated to Nanjing Medical University,Nanjing,Jiangsu,210006)
出处
《中西医结合护理（中英文）》
2018年第3期130-132,共3页
Journal of Clinical Nursing in Practice
关键词
留置针
非计划拔管
持续监测
护理质量
indwelling needle
unplanned extubation
continuous monitoring
quality of nursing
