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目的:探讨提高儿科静脉留置针应用成功率和患者满意度的方法。方法:将浙江省舟山医院2014年3~5月进行静脉穿刺的1200例患儿作为研究对象,对影响静脉穿刺成功的因素进行分析,提出护士分级培训、严格制度管理、规范操作等管理措施。2014年3~4月的600例未实施管理措施,4~5月的600例实施管理措施,比较实施前后静脉留置针的成功率。结果:实施前小儿静脉留置针成功率为84.3%,实施后为94.7%(P<0.05);患儿家属满意度从实施前的87.5%提高到98.4%(P<0.05)。结论:完善管理,采取护士分级制、规范各项操作等措施,能够有效提高留置针的成功率,提高患者满意度,进而提高整体护理质量。
Objective: To explore ways to improve the success rate of application of pediatric intravenous catheter and patient satisfaction. Methods: 1,200 children who underwent venipuncture from March to May 2014 in Zhoushan Hospital of Zhejiang Province were selected as the research objects. The factors influencing the success of venipuncture were analyzed. Nursing staff were provided with such measures as graduation training, strict system management and standardized operation. From March to April in 2014, 600 cases of management measures were not implemented, and in April-May of 600 cases, the success rate of intravenous injection of needles was compared. Results: The success rate of pediatric venous indwelling needle before implementation was 84.3%, 94.7% after the implementation (P <0.05). The satisfaction of family members increased from 87.5% to 98.4% (P <0.05). Conclusion: The improvement of management, adoption of nursing graduation system and standardization of various operations can effectively improve the success rate of indwelling needles, improve patient satisfaction and then improve the overall quality of nursing.