Abstract:

Objective　To explore the nursing experiences of home continuous nursing mode in outpatients using indwelling needle. Methods　A total of 728 outpatients with indwelling needle in Beijing Boai Hospital, China Rehabilitation Research Center from May to July 2021 were selected as the research objects, and were divided into two groups according to different nursing methods, with 364 cases in each group. In the control group, there were 184 males and 180 females, aged (54.65±3.83) years; in the study group, there were 176 males and 188 females, aged (55.77±3.93) years. The control group received regular care, and the study group received home continuous nursing mode. The nursing quality score, time of intravenous indwelling needle, nursing satisfaction, and incidence of complications were compared between the two groups. Independent sample t test and chi-square test were used. Results　The scores of nursing attitude, professional knowledge, operation standards, and operation feeling of the study group were (91.42±8.31) points, (93.52±8.11) points, (90.95±7.81) points, and (92.36±7.39) points, respectively, which were higher than those of the control group [(76.63±7.61) points, (80.31±7.42) points, (77.63±6.39) points, and (80.93±8.55) points], with statistically significant differences (all P<0.05). The time of intravenous indwelling needle in the study group was (53.24±4.55) h, which was longer than that in the control group [(43.68±3.37) h], with a statistically significant difference (P<0.05). The nursing satisfaction of the study group was significantly higher than that of the control group [90.11% (328/364) vs. 74.73% (272/364)], with a statistically significant difference (P<0.05). The incidences of tube blockage [3.57% (13/364)], phlebitis [2.47% (9/364)], and puncture site infection [2.20% (8/364)] in the study group were all lower than those in the control group [7.97% (29/364), 6.32% (23/364), and 5.49% (20/364)], with statistically significant differences (all P<0.05). Conclusion　Home continuous nursing mode can improve the nursing satisfaction and reduce the incidence of complications in outpatients using indwelling needle.

Key words: Home continuous nursing, Indwelling needle, Complications, Outpatient service, Satisfaction

摘要： 目的　研究居家延续护理模式在门诊患者使用留置针中的应用体会。方法　选取中国康复研究中心北京博爱医院2021年5月至7月期间进行静脉治疗的728例门诊留置针输液患者为研究对象，根据不同护理方法将患者分成两组，每组各364例。对照组男184例、女180例，年龄（54.65±3.83）岁，采取常规护理；研究组男176例、女188例，年龄（55.77±3.93）岁，在此基础上采取居家延续护理模式。比较两组患者护理质量评分、静脉留置针时间、护理满意度及并发症发生率。采用独立样本t检验、χ²检验。结果　研究组护理态度、专业知识、操作规范、操作感受评分分别为（91.42±8.31）分、（93.52±8.11）分、（90.95±7.81）分、（92.36±7.39）分，均高于对照组［（76.63±7.61）分、（80.31±7.42）分、（77.63±6.39）分、（80.93±8.55）分］，差异均有统计学意义（均P<0.05）；研究组静脉留置针时间为（53.24±4.55）h，长于对照组［（43.68±3.37）h］，差异有统计学意义（P<0.05）。研究组护理满意度明显高于对照组［90.11%（328/364）比74.73%（272/364）］，差异有统计学意义（P<0.05）。研究组堵管［3.57%（13/364）］、静脉炎［2.47%（9/364）］、穿刺点感染［2.20%（8/364）］发生率均低于对照组［7.97%（29/364）、6.32%（23/364）、5.49%（20/364）］，差异均有统计学意义（均P<0.05）。结论　居家延续护理模式在门诊患者留置针护理中能够提升患者护理满意度，降低并发症发生率。

关键词: 居家延续护理, 留置针, 并发症, 门诊, 满意度