重点环节干预在降低留置针堵管发生率中应用的效果评价-中国护理管理.PDF

实践探索 Practice and Exploration 重点环节干预在降低留置针堵管发生率中 应用的效果评价 杨洋 王欣然 寇京莉 [ 摘 要 ] 留置针堵管是造成留置针不能达到有效留置时间的一个重要原因，我科成立质量控制小组，从导管功能评估、 冲封管时机及方法、固定夹位置及夹闭方法、健康教育四个方面实施重点环节干预。结果显示，干预后留置针堵管发生率由干 预前的 48.5% 降为19.1%，差异有统计学意义（P0.001）。说明加强重点环节干预，可有效降低留置针堵管发生率，并可保证 质量持续改进。 [ 关键词 ] 重点环节；导管插入术，外周；堵管率 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2015.09.031 Effect evaluation of key-link interventions on reducing the incidence rate of indwelling needle catheter blockage / YANG Yang, WANG Xinran, KOU Jingli // General Surgery Department, Xuanwu Hospital of Capital Medical University, Beijing, 100053 China /// Chinese Nursing Management-2015,15(9): 1122-1124 [Abstract] Indwelling needle catheter blockage is an important reason of failing to achieve the effective duration of the indwelling needle. Our department established a quality team and carried out the key-link interventions from four key aspects, including the catheter function evaluation, flushing and sealing catheter time and method, fixed clamping position and method, and health education. The incidence rate of indwelling needle catheter blockage after intervention decreased significantly from 48.5% to 19.1% (P0.001). Strengthening the key-link intervention could reduce the incidence rate of indwelling needle catheter blocking and guarantee a continuous improvement of the nursing quality. [Keywords] key-link; catheterization,peripheral; incidence rate of catheter blockage 外周静脉输液是临床中最普遍的操 践中，真正能达到留置天数的却不多。其 床实践中，缺乏使用前对导管功能的正 作，留置针的广泛应用在一定程度上缓 中堵管是留置失败的主要原因之一，从而 确评估、留置针冲封管方法不正确、固 解了患者反复穿刺的痛苦，有保护血管、 影响了留置针的使用时间，重新穿刺会 定夹位置不当及健康宣教不到位等因素 [1] 便于抢救、减轻护士工作量等优点。留 给患者带来