患儿周边静脉输液导管阻塞问题与对策探析.docVIP

患儿周边静脉输液导管阻塞问题与对策探析 　　【摘要】 为降低儿科患儿周边静脉输液导管阻塞率，本院设计了改进方案。经现状分析问题为缺乏提醒时间的工具、找寻主责护士处理点滴的时间过长、静脉输液导管护理的作业标准内容不完善、缺乏儿童静脉输液导管维护的相关卫生教育和无适合于静脉输液导管留置患儿穿脱的病服等。因此，提出对策为使用静脉点滴时间提醒卡、计时器及无线对讲机，制作患儿静脉衣，制作卫生教育海报，修订作业标准，举办在职教育及执行工作督查等，以上对策能够有效地降低周边静脉输液导管阻塞率，使其从7.2%下降至3.4%，达到了改进方案的目的。故在今后的临床工作中，笔者建议加强临床导管护理，强化护理人员在职教育训练和嘱咐家属及早观察导管阻塞现象等。 　　【关键词】 儿童； 静脉导管阻塞； 预防策略 　　Exploration on the Problems and Countermeasures of Peripheral Intravenous Catheters Occlusion in Pediatric Ward/HUANG Xia.//Medical Innovation of China，2016，13（09）：092-096 　　【Abstract】 To reduce the occlusion rate of peripheral intravenous catheters in pediatric ward，the improvement schemes were designed by our hospital.According to the situations，the problems revealed to the following factors：the lack of a timer to remind staff，ineffective method of informing staff to manage intravenous administration，inappropriate standard operation procedure（SOP） for staff and patient education and unsuitable clothing for children with intravenous infusion catheters.Therefore，lots of preventions were implemented，such as the use of intravenous reminder cards，timers，walkie-talkies，suitable children’s clothing for intravenous catheters and health education posters，the revise of operation standard and the carrying out of in-service education as well as supervision.Then the peripheral intravenous occlusion rate decreased from 7.2% to 3.4%，achieved the goal of improving the quality of catheter care.Thus the strengthen of intravenous catheters nursing，the in-service education and enjoinment on patients’ families to notice the peripheral intravenous catheters as early as possible should be advised in the future clinical work. 　　【Key words】 Pediatric； Intravenous catheter occlusion； Prevention strategies 　　First-author’s address：Infirmary of Xinyang Normal University，Xinyang 464000，China 　　doi：10.3969/j.issn.1674-4985.2016.09.026 　　周边静脉导管是住院患者最常见的侵入性管路之一，因此要落实管路的护理，以提高管路置放安全性和减少相关伤害。对护理人员而言，周边静脉导管的护理是高负荷的护理活动，维护患儿静脉输液导管的护理质量更是一种挑战，且儿童护理的