|
|
Effect of FOCUS-PDCA method on the occurrence of phlebitis caused by intravenous indwelling needle |
WANG Menglin ZHOU Yan▲ |
Pediatric Infusion Room, Nanjing First Hospital Nanjing Medical University, Nanjing First Hospital, Jiangsu Province, Nanjing 210000, China
|
|
|
Abstract Objective To explore the effect of FOCUS-PDCA method on the occurrence of phlebitis caused by intravenous indwelling needle. Methods A total of 61 children who received intravenous indwell needle infusion before the implementation of FOCUS-PDCA method cycle in the Department of Pediatrics, Nanjing First Hospital from January to June 2021 were selected as the routine group, and the observation group included 61 children who received intravenous indwelling needle infusion after the implementation of FOCUS-PDCA method cycle from July to December 2021. Among them, the routine group adopted routine nursing management, and the observation group implemented FOCUS-PDCA method management on the basis of the routine group. The indwelling time of needle, catheter blockage, phlebitis incidence, causes of phlebitis, and family satisfaction of the children were compared between the two groups. Results The indwelling time of needle observation group was longer than that of routine group, and the tube plugging rate of indwelling needle was lower than that of routine group (P<0.05). The incidence of phlebitis in the observation group was lower than that in the routine group (P<0.05). The causes of phlebitis in the observation group were less than those in the conventional group (P<0.05). The satisfaction of family members in the observation group was better than that in the conventional group (P<0.05). Conclusion FOCUS-PDCA method has a good effect on reducing the incidence of phlebitis caused by intravenous indwelling needles in children, which can not only reduce the tube plugging rate of indwelling needles, but also improve the satisfaction of children’s families.
|
|
|
|
|
[1] 金璐艳,张慧,魏晋,等.一次性采血针与静脉留置针采血导致溶血及对检验结果影响的Meta分析[J].护理研究,2020,34(14):9-10.
[2] 周秀莲,何好臣,付晓辉,等.留置针脐静脉插管在新生儿窒息复苏中的应用[J].中国医药导报,2020,17(5):177- 180.
[3] 庞海燕,王兰英,柴学红,等.多功能留置针敷贴在小儿外周静脉留置针固定中的应用[J].中华现代护理杂志,2020,26(22):4-5.
[4] 孔旭,陈敏娟,武海燕.互联网平台在门急诊输液患儿外周静脉留置针家庭照护中的应用[J].实用临床医药杂志,2021,25(9):5-6.
[5] 李秀琳,闫晓丽,王会肖,等.改良固定静脉留置针在儿科中的应用价值[J].河北医药,2021,43(23):24.
[6] 王樱儒,刘洋.静脉留置针联合采血器用于儿童患者采血的可行性分析[J].血栓与止血学,2022,28(6):13-14.
[7] 马胜华,刘玉君.FOCUS-PDCA循环管理对心血管内科门诊高风险病人识别率的影响[J].实用老年医学,2020,34(9):14.
[8] 韩小萌.FOCUS-PDCA程序在护理管理中的应用效果评价[J].贵州医药,2020,44(7):12.
[9] 王鸟,刘红林,王小利,等.FOCUS-PDCA质量管理工具在提升病案归档率中的应用[J].中国病案,2021,22(1):14-15.
[10] 娄阳,张龙,孔康辉,等.FOCUS-PDCA模型在除颤仪应急调配中的应用[J].医疗卫生装备,2020,41(2):5.
[11] 樊睿,赵瑞玲.运用FOCUS-PDCA法降低儿童医院静脉用药集中调配中心不合理医嘱发生率[J].中国药物与临床,2021,21(1):4-5.
[12] 程智慧.静脉炎的预防与护理[J].局解手术学杂志,2008, 1(3):2-7.
[13] 吕迎春,郝静.内外科护理学[M].太原:山西科学技术出版社,2012:150-154.
[14] 杨巧芳,张灵芳,张新,等.不同穿刺部位静脉留置针渗出外渗的发生现状及结局差异分析[J].中华现代护理杂志,2020,26(36):5-6.
[15] 杨诗月,雍彩霞,席慧菊.临床护理路径在小儿静脉留置针穿刺护理中的应用效果[J].检验医学与临床,2020, 17(7):3-6.
[16] 徐曼,陈小芬,张玉娟,等.胶体敷料代替薄膜敷贴固定静脉留置针对输注脂肪乳发生静脉炎的疗效观察[J].中国急救复苏与灾害医学杂志,2022,17(12):1642- 1644.
[17] 李巍,季韶艳,魏力.皮肤保护膜在1~3岁静脉输液幼儿留置针固定中的应用效果[J].中国医学创新,2022, 19(19):109-113.
[18] 王丹,尹娜,肖文萍,等.不同静脉留置针固定方式在产程中的应用效果比较[J].中国当代医药,2022,29(7):46-48.
[19] 熊芬,刘金平,熊薇娜.水胶体敷料合并预冲式导管冲洗器在静脉留置针中的应用研究[J].当代医学,2021, 27(31):182-184.
[20] 白梦娇,臧苑彤,刘莹丽,等.护理干预对老年患者静脉留置针堵管率的影响[J].内蒙古医科大学学报,2021, 43(1):4-5.
[21] 王艳,赵元会.PICU患儿静脉导管留置致感染及血栓形成的护理[J].血栓与止血学,2021,27(6):1055-1056.
[22] 林会芳,刘美妮.护理风险管理对小儿静脉留置针血栓形成的影响[J].血栓与止血学,2021,27(6):1059-1060.
[23] 王素敏.小儿外周静脉留置针使用中的风险管理[J].中国药物与临床,2020,20(24):2-3.
[24] 陈绵绵,许珊珊,洪菊应,等.FOCUS-PDCA程序在慢性伤口风险管理中的应用[J].护理学报,2019,32(22):4-5.
[25] 宁晓东,张永炼,张娟,等.基于FOCUS-PDCA的新护士规范化培训管理体系的构建[J].山西医药杂志,2019, 47(6):14-16.
[26] Zhang X,Jin Y,Cui J. Effect of FOCUS-PDCA procedure on improving self-care ability of patients undergoing colostomy for rectal cancer [J]. Rev Esc Enferm USP,2021, 23(2):37-39.
[27] Redick EL. Applying FOCUS-PDCA to solve clinical problems [J]. Dimens Crit Care Nurs,2019,18(6):30-34.
[28] Gerard JC,Arnold FL. Performance improvement with a hybrid FOCUS-PDCA methodology [J]. Comm J Qual Improv,2019,22(10):660-672.
[29] Schneider PD. FOCUS-PDCA ensures continuous quality improvement in the outpatient setting [J]. Oncol Nurs Forum,2019,24(6):966.
[30] Velletri J,Boyle K. Beating the mandatory blues:using the FOCUS PDCA process [J]. Nurs Staff Dev Insid,2019,5(3):19-20. |
|
|
|