Application of "1+3" management mode in the management of pediatric venous indwelling needles
“1+3”管理模式在小儿静脉留置针管理中的应用

摘要

目的 探讨“1+3”管理模式在小儿静脉留置针管理中的应用效果。方法 运用“1+3”管理模式于小儿静脉留置针日常管理中，鼓励护士在工作中积极发现问题，并按照“1+3”的管理模式进行处理，并将实施前后静脉留置针留置时间及并发症发生情况进行对比。结果 实施“1+3”管理模式后，小儿静脉留置针平均留置时间（80.13±12.56）h，明显长于实施前平均留置时间（56.42±12.16）h(P<0.001)；回血、堵管、输液外渗、静脉炎的发生率均显著低于实施前(P＜0.05)。结论 “1+3”管理模式有效提高小儿静脉留置针护理管理质量，降低留置针留置过程中不良事件发生率，有效延长留置针的留置时间，值得临床应用和推广。

Abstract

Objective: To explore the application effect of "1+3" management mode in the management of infantile intravenous indwelling needle.
Methods: The "1+3" management mode was used in the daily management of intravenous indwelling needles in children, and nurses were encouraged to actively find problems in their work and deal with them according to the "1+3" management mode. The indwelling time and complications of intravenous indwelling needles before and after the implementation were compared.
Results: After the implementation of "1+3" management mode, the average indwelling time of intravenous indwelling needle in children was (80.13±12.56) h, significantly longer than the average indwelling time before the implementation of "1+3" management mode (56.42±12.16) h) (P The incidence of blood return, tube blockage, infusion extravasation and phlebitis were significantly lower than before implementation (P < 0.05).
Conclusion  : "1+3" management mode can effectively improve the quality of nursing management of pediatric intravenous indwelling needles, reduce the incidence of adverse events in the process of indwelling needles, and effectively prolong the indwelling time of indwelling needles, which is worthy of clinical application and promotion.