摘要
目的探讨护理流程优化在降低小儿急诊输液意外风险中的应用效果。方法采用方便抽样法,将2018年6-9月首都医科大学附属北京天坛医院接收的220例患儿设为对照组,采用传统的护理流程;将2018年10月一2019年1月我院接收的220例患儿设为观察组,实施护理流程优化。比较两组患儿对静脉输液一次穿刺成功率及输液期间风险事件发生率,输液等候时间、接诊时间、穿刺时间、拔针时间,护理满意度以及护理投诉、护患纠纷事件发生情况。结果观察组患儿的一次穿刺成功率高于对照组,输液期间风险事件发生率低于对照组,两组比较差异均有统计学意义(P<0.05);观察组的输液等候时间、接诊时间、穿刺时间以及拔针时间均短于对照组,两组比较差异有统计学意义(P<0.05);观察组的患儿家长满意度高于对照组,医疗纠纷及护理投诉事件均低于对照组,两组比较差异均有统计学意义(P<0.05)。结论优化护理流程可有效降低小儿急诊输液意外风险发生率,提高患儿一次穿刺成功率,减少患儿痛苦,改善患儿的就医体验,保证了患儿安全,并提高了家长对医疗服务行业的满意度评价,营造了积极良好的医院整体形象。
Objective To explore the effects of nursing process optimization on reducing accidental risks of Emergency Department infusion in children.M ethods By convenient sampling,totally 220 children admitted in Beijing Tiantan Hospital,Capital Medical University between June and September 2018 were selected into the control group by convenient sampling,who received routine nursing process,while another 220 children admitted from October 2018 to January 2019 were selected into the observation group,who received optimized nursing process.The success rate of one-time puncture of intravenous infusion,the incidence of risk events during the infusion,waiting time for infusion,consultation time,puncture time,needle extraction time,the rate of nursing satisfaction and the cases of nursing complaints and incidents of nurse-patient disputes between the two groups were compared.Results The one-time success rate of puncture among the children in the observation group was higher than that in the control group;the incidence of risk events during infusion was significantly lower than that in the control group,and the differences were statistically significant(P<0.05).The waiting time,admission time,puncture time,and needle extraction time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The rate of nursing satisfaction and the parents of the children in the observation group was higher than that in the control group;the cases of medial tangles and complaints about nursing work were lower than those in the control group,and the differences were st atistically significant(P<.0.05).Conclusions Optimizing the nursing process can effectively reduce the accidental risks of emergency infusion in children,improve the onetime success rate of puncture,reduce the pain of children,improve the experience of seeking medical service,ensure the safety of children,and increase parents'satisfaction with the medical service industry,thus creating a positive image of the hospital.
作者
张华筠
Zhang Huaynn(Emergency Department,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)
出处
《中华现代护理杂志》
2020年第4期530-533,共4页
Chinese Journal of Modern Nursing
关键词
儿童
急诊室
医院
护理流程
输液
意外
Child
Emergency service,hospital
Nursing process
Infusion
Accident
