Application effect of perioperative peripheral venous pathway chain management scheme in surgical patients
10.3760/cma.j.cn115682-20210813-03587
- VernacularTitle:围手术期外周静脉通路链式管理方案在外科手术患者中的应用效果
- Author:
Xuejing LI
1
;
Xiaoli LIU
;
Yuanyuan LIU
;
Yining LU
;
Yang TIAN
;
Xiaoyan CAO
;
Jing LI
Author Information
1. 北京大学人民医院中心手术室，北京 100044
- Keywords:
Perioperative nursing;
Peripheral venous pathway;
Chain management;
Quality of nursing
- From:
Chinese Journal of Modern Nursing
2022;28(7):957-962
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of perioperative peripheral venous pathway chain management scheme in surgical patients.Methods:This study was a historical control study. Using the convenient sampling method, surgical patients who were admitted to Peking University People's Hospital from March to July 2018 were selected as the control group and they were given routine intravenous care. The surgical patients who were admitted from January to June 2019 were selected as the observation group, and they were given perioperative peripheral venous pathway chain management scheme on the basis of the control group. A total of 528 patients were included, including 5 cases of detachment due to patient change of treatment plan, 5 cases of detachment due to temporary cancellation of operation, and 3 cases of detachment without relevant data collected by puncture inspection during hospitalization. Finally, 515 patients were included, including 247 cases in the control group and 268 cases in the observation group. A total of 589 indwelling needles were indwelled in the observation group and 474 indwelling needles in the control group. The indwelling needle site, indwelling needle model, re-catheterization rate, indwelling time, failure rate of indwelling needles, venipuncture consumables costs and nursing costs were compared between the two groups.Results:The number of indwelling needles in the medial forearm vein and lateral forearm vein in the observation group was more than that in the control group, and the differences were statistically significant ( P<0.01) . The number of indwelling 20 G indwelling needles in the observation group was more than that in the control group, and the number of indwelling 18 G indwelling needles in the observation group was less than that in the control group, and the differences were statistically significant ( P<0.01) . The failure rate of indwelling needle, re-catheterization rate, venipuncture consumables costs and nursing costs in the observation group were lower than those in the control group, and the differences were statistically significant ( P<0.01) . Conclusions:The perioperative peripheral venous access chain management scheme can effectively reduce the failure rate andre-catheterization rate of indwelling needles in surgical patients, reduce related costs, and improve the quality of peripheral venous care.
