目的:探讨品管圈活动对病房护士迷你中线导管一针穿刺成功率的影响。方法:按照品管圈十大步骤,确定主题为“提高迷你中线导管穿刺一针成功率”,分析病房护士迷你中线导管穿刺失败的原因,制订并实施策略,包括组织迷你中线导管穿刺培训、...目的:探讨品管圈活动对病房护士迷你中线导管一针穿刺成功率的影响。方法:按照品管圈十大步骤,确定主题为“提高迷你中线导管穿刺一针成功率”,分析病房护士迷你中线导管穿刺失败的原因,制订并实施策略,包括组织迷你中线导管穿刺培训、加强团队合作、开展专项健康教育、改善穿刺环境等,比较品管圈活动实施前后病房护士迷你中线导管一针穿刺成功率及患者迷你中线导管再次使用意愿。结果:实施迷你中线导管一针穿刺成功率品管圈活动前,病房护士迷你中线导管一针成功率为72.22%,患者迷你中线导管再次使用意愿为51.85%,品管圈活动实施后,病房护士迷你中线导管一针穿刺成功率为89.47%,患者再次使用意愿为77.58%,差异有统计学意义(P Objective: This paper aims to explore the influence of QC circle activities on the success rate of one-shot minicentre catheterization among ward nurses. Methods: In accordance with the ten steps of QC circle, the theme of “Improve the success rate of one-needle minicentre catheter puncture” was identified, the reasons for the failure of minicentre catheter puncture by ward nurses were analyzed, the strategies were formulated and implemented, including the organization of training on minicentre catheter puncture, the strengthening of teamwork, the carrying out of special health education, and the improvement of the puncture environment, etc., and the success rate of one-needle minicentre catheter puncture by ward nurses and patients’ willingness to use minicentre catheter again before and after the implementation of QC circle activities were compared. Results: Before the implementation of the QC circle activity, the success rate of one-needle puncture of mini midline catheter by ward nurses was 72.22%, and the patients’ willingness to reuse mini midline catheter was 51.85%;after the implementation of the QC circle activity, the success rate of one-needle puncture of mini midline catheter by ward nurses was 89.47%, and the patients’ willingness to reuse mini midline catheter was 77.58%, and the difference was statistically significant (P < 0.05). Conclusion: The implementation of QC circle activities can effectively improve ward nurses’ mini-median catheter puncture techniques and increase patients’ willingness to use mini-median catheters, which is worthy of further promotion.展开更多
目的总结成年患者中线导管留置与维护的最佳证据,为临床护理工作提供证据支持。方法采用PICO构建循证护理问题,按照“6S”证据金字塔系统检索建库至2021年2月在UpToDate、BMJ Best Practice、Cochrane Library、JBI循证卫生保健中心数...目的总结成年患者中线导管留置与维护的最佳证据,为临床护理工作提供证据支持。方法采用PICO构建循证护理问题,按照“6S”证据金字塔系统检索建库至2021年2月在UpToDate、BMJ Best Practice、Cochrane Library、JBI循证卫生保健中心数据库、美国国立指南库(National Guideline Clearinghouse,NGC)、美国疾病预防与控制中心(Centers for Disease Control and Prevention,CDC)、英国国家临床医学研究所指南库(National Institute for Health and Care Excellence,NICE)、国际指南协作网(Guideline International Network,GIN)、加拿大安大略注册护士协会(The Registered Nurses’Association of Ontario,RNAO)、CINAHL、EMbase、PubMed、美国静脉输液护理学会(Intravenous Nurses Society,INS)、万方数据库、中国知网、医脉通数据库有关成年患者中线导管留置与维护的文献。由2名循证护理师独立进行文献质量评价及证据筛查,证据汇总后由项目团队归类综合。结果共纳入文献6篇,包括指南4篇,系统评价2篇。从纳入的文献中共提取53条证据,最终综合成27条最佳证据共7个维度,分别是中线导管适应症及禁忌证、导管及穿刺部位选择、导管置入方法、管端位置、导管维护、拔除时机、培训与教育。结论本研究为临床医护人员规范化管理成年患者中线导管提供了循证依据,建议在评估机构环境及利益相关者的意愿后选择性应用最佳证据,以提升护理质量,保证患者安全。展开更多
目的检索成人中线导管堵塞预防的相关证据,并对最佳证据进行总结,为临床护士实施中线导管护理提供参考。方法计算机检索UpToDate、BMJ、JBI、Cochrane Library、NICE、GIN、SIGN、NGC、RNAO、INS、Embase、Web of Science、PubMed、CIN...目的检索成人中线导管堵塞预防的相关证据,并对最佳证据进行总结,为临床护士实施中线导管护理提供参考。方法计算机检索UpToDate、BMJ、JBI、Cochrane Library、NICE、GIN、SIGN、NGC、RNAO、INS、Embase、Web of Science、PubMed、CINAHL、SinoMed、医脉通、中国知网、万方数据库,根据纳入与排除标准对文献进行筛选。由2名研究员独立评价文献质量,提取和汇总证据。结果共纳入文献11篇,包括5篇指南、4篇专家共识、2篇系统评价,从导管堵塞识别、风险评估、导管置入、导管及附件、尖端位置、导管固定、冲管和封管、患者教育、组织政策9个方面汇总48条最佳证据。结论基于证据构建成人中线导管堵塞预防策略,可为护理人员规范中线导管的使用提供循证依据。在应用证据时需综合考虑证据级别、临床情境及患者意愿等,降低中线导管堵塞的发生风险。展开更多
文摘目的:探讨品管圈活动对病房护士迷你中线导管一针穿刺成功率的影响。方法:按照品管圈十大步骤,确定主题为“提高迷你中线导管穿刺一针成功率”,分析病房护士迷你中线导管穿刺失败的原因,制订并实施策略,包括组织迷你中线导管穿刺培训、加强团队合作、开展专项健康教育、改善穿刺环境等,比较品管圈活动实施前后病房护士迷你中线导管一针穿刺成功率及患者迷你中线导管再次使用意愿。结果:实施迷你中线导管一针穿刺成功率品管圈活动前,病房护士迷你中线导管一针成功率为72.22%,患者迷你中线导管再次使用意愿为51.85%,品管圈活动实施后,病房护士迷你中线导管一针穿刺成功率为89.47%,患者再次使用意愿为77.58%,差异有统计学意义(P Objective: This paper aims to explore the influence of QC circle activities on the success rate of one-shot minicentre catheterization among ward nurses. Methods: In accordance with the ten steps of QC circle, the theme of “Improve the success rate of one-needle minicentre catheter puncture” was identified, the reasons for the failure of minicentre catheter puncture by ward nurses were analyzed, the strategies were formulated and implemented, including the organization of training on minicentre catheter puncture, the strengthening of teamwork, the carrying out of special health education, and the improvement of the puncture environment, etc., and the success rate of one-needle minicentre catheter puncture by ward nurses and patients’ willingness to use minicentre catheter again before and after the implementation of QC circle activities were compared. Results: Before the implementation of the QC circle activity, the success rate of one-needle puncture of mini midline catheter by ward nurses was 72.22%, and the patients’ willingness to reuse mini midline catheter was 51.85%;after the implementation of the QC circle activity, the success rate of one-needle puncture of mini midline catheter by ward nurses was 89.47%, and the patients’ willingness to reuse mini midline catheter was 77.58%, and the difference was statistically significant (P < 0.05). Conclusion: The implementation of QC circle activities can effectively improve ward nurses’ mini-median catheter puncture techniques and increase patients’ willingness to use mini-median catheters, which is worthy of further promotion.
文摘目的总结成年患者中线导管留置与维护的最佳证据,为临床护理工作提供证据支持。方法采用PICO构建循证护理问题,按照“6S”证据金字塔系统检索建库至2021年2月在UpToDate、BMJ Best Practice、Cochrane Library、JBI循证卫生保健中心数据库、美国国立指南库(National Guideline Clearinghouse,NGC)、美国疾病预防与控制中心(Centers for Disease Control and Prevention,CDC)、英国国家临床医学研究所指南库(National Institute for Health and Care Excellence,NICE)、国际指南协作网(Guideline International Network,GIN)、加拿大安大略注册护士协会(The Registered Nurses’Association of Ontario,RNAO)、CINAHL、EMbase、PubMed、美国静脉输液护理学会(Intravenous Nurses Society,INS)、万方数据库、中国知网、医脉通数据库有关成年患者中线导管留置与维护的文献。由2名循证护理师独立进行文献质量评价及证据筛查,证据汇总后由项目团队归类综合。结果共纳入文献6篇,包括指南4篇,系统评价2篇。从纳入的文献中共提取53条证据,最终综合成27条最佳证据共7个维度,分别是中线导管适应症及禁忌证、导管及穿刺部位选择、导管置入方法、管端位置、导管维护、拔除时机、培训与教育。结论本研究为临床医护人员规范化管理成年患者中线导管提供了循证依据,建议在评估机构环境及利益相关者的意愿后选择性应用最佳证据,以提升护理质量,保证患者安全。
文摘目的检索成人中线导管堵塞预防的相关证据,并对最佳证据进行总结,为临床护士实施中线导管护理提供参考。方法计算机检索UpToDate、BMJ、JBI、Cochrane Library、NICE、GIN、SIGN、NGC、RNAO、INS、Embase、Web of Science、PubMed、CINAHL、SinoMed、医脉通、中国知网、万方数据库,根据纳入与排除标准对文献进行筛选。由2名研究员独立评价文献质量,提取和汇总证据。结果共纳入文献11篇,包括5篇指南、4篇专家共识、2篇系统评价,从导管堵塞识别、风险评估、导管置入、导管及附件、尖端位置、导管固定、冲管和封管、患者教育、组织政策9个方面汇总48条最佳证据。结论基于证据构建成人中线导管堵塞预防策略,可为护理人员规范中线导管的使用提供循证依据。在应用证据时需综合考虑证据级别、临床情境及患者意愿等,降低中线导管堵塞的发生风险。
