Analysis of the influence of continuous quality improvement on the success rate and satisfaction of intravenous indwelling needle puncture in standard nursing
静脉留置针规范护理中持续质量改进的应用对留置针穿刺成功率、满意度的影响分析

摘要

目的 探讨静脉留置针规范护理中应用持续质量改进的效果，评估留置针穿刺成功率与满意度。方法 从本院2021年5月至2022年5月一年中，我院收治的静脉留置针患者中，选取68例用作本项研究对象，以随机数字抽签法对患者分成两组进行护理，34例患者纳入对照组，应用常规护理，另外34例患者纳入观察组，实施持续质量改进规范护理，对两组患者的留置针穿刺成功率、不良反应及满意度等指标展开比对，分析2组护理效果的差异。结果 观察组患者的穿刺成功率要比对照组明显更高，且皮肤感染、静脉炎与管堵塞的不良反应发生率，相比对照组显著较低，（P＜0.05）；此外，通过两组患者对护理的评价，明显观察组满意度更高于对照组，（P＜0.05）。结论 对于静脉留置针患者的护理，应用持续质量改进规范护理的效果最佳，利于提高患者的留置针穿刺成功率与满意度，值得推广。

Abstract

Objective To evaluate the effect of continuous quality improvement in intravenous welling needle standard nursing, and to evaluate the success rate and satisfaction of indwelling needle puncture.
Methods From May 2021 to May 2022, 68 patients with intravenous indwelling needles admitted to our hospital were selected as the objects of this study, and the patients were divided into 2 groups for nursing by random number drawing method. 34 patients were included into the control group with the application of routine care, while another 34 patients were included into the observation group with the implementation of continuous quality improvement standard nursing. Compare the success rate of indentation needle puncture, adverse reactions and satisfaction indicators, and analyze the difference of nursing effect of 2 groups.
Results The puncture success rate of the observation group was significantly higher than that of the control group, and the incidence of adverse reactions of skin infection, phlebitis and tube blockage was significantly lower than that in the control group, (P <0.05); in addition, through the evaluation of the two groups, the observed group satisfaction was significantly higher than that of the control group, (P <0.05).
Conclusion   For the nursing of patients with intravenous indwelling needle, the application of continuous quality improvement and standard nursing has the best effect, which is conducive to improving the success rate and satisfaction of patients with indwelling needle puncture, which is worth promoting.