Observation on the effect of nursing process management in reducing the incidence of phlebitis complicated by indwelling needle
护理流程管理降低留置针并发静脉炎发生率的应用效果观察

摘要

目的 探究开展护理流程管理对降低留置针并发静脉炎发生率的效果。方法 抽取2022年10月至2024年5月期间我院收治的留置针穿刺住院患者110例为研究对象，按照随机信封法均衡分成对照组与试验组两组，将应用常规护理干预的55例患者纳入对照组，将应用护理流程管理的55例患者纳入试验组。对比指标：留置针并发症发生情况、留置针留置时间与输液疼痛度评分、护理满意度以及护理不良事件发生率。结果 经过干预，试验组患者静脉炎等留置针并发症发生率（5.45%）远远低于对照组（21.82%）（P＜0.05）；试验组留置针留置时间明显长于对照组，疼痛度评分低于对照组（P＜0.05）；两组患者护理满意度比较，试验组（96.36%）远高于对照组（81.82%）（P＜0.05）；试验组护理不良事件发生率（3.64%）比对照组（18.18%）更低。结论 在留置针穿刺住院患者中实展护理流程管理能显著减少静脉炎发生情况，延长留置针时间，减轻患者输液疼痛程度，提升患者对护理工作质量的满意程度，降低不良事件发生率。

Abstract

Objective To explore the effect of nursing process management on reducing the incidence of phlebitis complicated by indwelling needle.
Methods A total of 110 inpatients with indenture needle puncture admitted to our hospital from October 2022 to May 2024 were selected as research objects, and evenly divided into control group and experimental group according to random envelope method. 55 patients receiving routine nursing intervention were included in the control group, and 55 patients receiving nursing process management were included in the experimental group. Comparison indicators: Complications of indwelling needle, indwelling needle duration and infusion pain score, nursing satisfaction and nursing adverse event rate.
Results After intervention, the complication rate of the experimental group (5.45%) was much lower than that of the control group (21.82%) (P < 0.05). The indentation time of experimental group was significantly longer than that of control group, and the pain score was lower than that of control group (P < 0.05). The nursing satisfaction of the experimental group (96.36%) was much higher than that of the control group (81.82%) (P < 0.05). The incidence of nursing adverse events in the experimental group (3.64%) was lower than that in the control group (18.18%).
Conclusion   In inpatients with indwelling needle puncture, practical nursing process management can significantly reduce the occurrence of phlebitis, prolong the time of indwelling needle, alleviate the pain of infusion, improve the satisfaction of patients with the quality of nursing work, and reduce the incidence of adverse events.