儿科重症监护室标准化动脉采血程序的效果分析

中国小儿急救医学 Pub Date : 2019-12-20 DOI:10.3760/CMA.J.ISSN.1673-4912.2019.12.016

Guangyu Li, Xiaohui Wang, Suyun Qian, Jie Zhang

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引用次数: 0

摘要

目的制定和落实PICU动脉采血操作的标准化流程，以期提高单次采血成功率和患者家属满意度。方法制定标准化操作流程(standardized operation process，SOP)。SOP规定使用一次性动脉采血器，动脉采血部位首选桡动脉，桡动脉穿刺点进针角度为与皮面呈15°～30°。培训科室人员使用SOP，对比SOP实施前后单次动脉采血成功率等护理指标，验证效果。结果国内23家儿童专科医院的29个ICU参与调查，PICU占比79.3%，6.9%的PICU未开展过动脉取血的规范培训，48%的PICU不使用一次性动脉采血针，4.0%的PICU血气分析时取血首选部位不是桡动脉。SOP实施后上述不规范操作的发生例次降至0。在我院PICU病房开展SOP培训和落实，对比SOP实施前后单次穿刺成功率提高了10%(93.33%比83.33%，P<0.05)，患者满意度提高了11.67%(96.67%比85.00%，P<0.05)。结论动脉采血SOP可提高动脉取血的操作成功率和患者满意度。

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Effect analysis of standardized arterial blood collection procedure in pediatric intensive care units

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来源期刊

中国小儿急救医学

自引率

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发文量

6226

期刊介绍： Chinese Journal of Neurology was established in 1955, the predecessor of which is Chinese Journal of Neurology and Psychiatry. Chinese Journal of Neurology and Psychiatry has been indexed by MEDLINE until 1996, when it was divided into two journals, Chinese Journal of Neurology, and Chinese Journal of Psychiatry. Chinese Journal of Neurology is now indexed by EM, SCOPUS, AJ, WPRIM, CNKI, Wanfang Data, CSCD, etc. The impact factor of the journal is 2.755 in 2017, ranking the first among all neurological and psychological journals in China and among all the 142 medical journals published by the Chinese Medical Association. The journal is available both in print and online.