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題名:降低兒科病童週邊靜脈輸液導管阻塞率
書刊名:榮總護理
作者:林品樺張美玉陳孟琪張雲英洪淑真
作者(外文):Lin, Pin-huaChang, Mei-yuChen, Meng-chiChang, Yung-yingHung, Shu-chen
出版日期:2015
卷期:32:1
頁次:頁21-30
主題關鍵詞:兒童靜脈導管阻塞率預防靜脈導管阻塞策略PediatricIntravenous catheter occlusion ratePrevention of venous catheter occlusion strategy
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:10
  • 點閱點閱:3
本專案目的降低兒科病童週邊靜脈輸液導管阻塞率,單位週邊靜脈輸液導管阻塞率7.2%。經現況分析問題為:缺乏提醒時間的工具、找尋主責護理師處理點滴的時間過久、靜脈輸液導管護理之標準作業內容不完善、缺乏兒童靜脈輸液導管之照顧相關衛教及無適合靜脈輸液導管留置病童穿脫的病服等問題。於2012年5月提出對策為使用靜脈點滴時間提醒卡、計時器及無線對講機、製作病童靜脈衣、製作衛教海報、修訂照護標準作業、舉辦在職教育及執行稽核等對策,有效降低週邊靜脈輸液導管阻塞率,從7.2%下降至3.4%,達成專案目標。建議臨床導管照護應持續護理人員在職教育訓練及教導家屬及早觀察導管阻塞現象的能力。
The purpose of this project was to reduce the occlusion rate of peripheral intravenous catheters in a pediatric ward. In the investigated unit there was an initial peripheral intravenous catheter occlusion rate of 7.2%. An analysis of the collected variables revealed that the following factors contributed to increased occlusion rate: the lack of a timer to remind staff, an ineffective method of informing staff to manage intravenous administration, inappropriate standard operation procedure (SOP) for staff and patient education, and unsuitable clothing for children with intravenous infusion catheters. The use of intravenous reminder cards, timers, walkie-talkies, suitable children's clothing for intravenous catheters, health education posters, revised standard of procedure, in-service education as well as audits were implemented. As a result, the peripheral intravenous occlusion rate decreased from 7.2% to 3.4%, achieving the goal of project to improve the quality of catheter care.
期刊論文
1.謝宜娟、劉惠姿、卓燕華(20120600)。降低學齡前期兒童接受靜脈注射恐懼程度之專案。護理雜誌,59(3),79-86。new window  延伸查詢new window
2.陳韻如、陳素芳、陳薇蓁、陳麗貞(20100200)。提昇急診兒科病患靜脈注射安全及照護完整性。志為護理--慈濟護理雜誌,9(1),80-90。  延伸查詢new window
3.羅雅珍、李倩倩、吳麗織、翁新惠(20080900)。兒科病房工級人員出勤作業缺失改善專案。榮總護理,25(3),215-223。new window  延伸查詢new window
4.溫玉燕、陳郁琪、李翠萍(2013)。降低某兒科病房非預期性靜脈重注率。馬偕護理雜誌,7(1),41-51。  延伸查詢new window
5.Fang, L.、Fang, S. H.、Chung, Y. H.(2011)。Factors affecting the unplanned peripheral reinsertion in pediatric patients from a teaching hospital in Taiwan。Journal of Infusion Nursing,34(6),366-372。  new window
6.Gorski, L. A.、Hallock, D.、Kuehn, S. C.、Morris, P.、Russell, J. M.、Skala, L. C.(2012)。Recommendations for frequency of assessment of the short peripheral catheter site。Journal of Infusion Nursing,35(5),290-292。  new window
7.Hetzler, R.、Wilson, M.、Hill, E. K.、Hollenback, C.(2011)。Securing pediatric peripheral i.v. catheters--application of an evidence-based practice model。Journal of Pediatric Nursing,26(2),143-148。  new window
8.Hulse, A. L.(2013)。Clinical competency assessment in intravenous therapy and vascular access。British Journal of Nursing,22(17),1008-1013。  new window
9.Laudenbach, N.、Braun, C. A.、Klaverkamp, L.、Hedman-Dennis, S.(2014)。Peripheral i.v. stabilization and the rate of complications in children: An exploratory study。Journal of Pediatric Nursing,29(4),348-353。  new window
10.Reigart, J. Routt、Chamberlain, Katie H.、Eldridge, David、O'Brien, Elizabeth S.、Freeland, Katherine D.、Larsen, Pamela、Hartzog, Timothy H.、Goff, David(2012)。Peripheral intravenous access in pediatric inpatients。Clinical Pediatrics,51(5),468-472。  new window
11.Shimandle, R. B.、Johnson, D.、Baker, M.、Stotland, N.、Karrison, T.、Arnow, P. M.(1999)。Safety of peripheral intravenous catheters in children。Infection Control & Hospital Epidemiology,20(11),736-740。  new window
12.Tofani, B. F.、Rineair, S. A.、Gosdin, C. H.、Pilcher, P. M.、McGee, S.、Varadarajan, K. R.、Schoettker, P. J.(2012)。Quality improvement project to reduce infiltration and extravasation events in a pediatric hospital。Journal of Pediatric Nursing,27(6),682-689。  new window
 
 
 
 
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