根本原因分析法在提高婴幼儿静脉采血成功率中的应用及护理伦理思考

摘要

Objective:To explore the application effect of root cause analysis (RCA) and nursing ethics theory on improving the success rate of venipuncture blood collection in infants.Methods:In January 2016,150 infantswho were punctured for venous blood collection in the out-patient blood collection room in our hospital were selected as the control group.The root cause analysis was used to determine the root cause of the success rate of infant venipuncture blood collection,and the feasible measures were formulated.And 150 infants after 6 months of the implementation of RCA were selected as the observation group.The success rate of puncture and the satisfaction of the families were compared in both two groups.Results:The success rate of venipuncture blood collection in observation group (93.3％) was significantly higher than the control group(76.7％),and the families' satisfaction of the observation group (95％) was also significantly higher than those in the control group (70％).Conclusions:The application of root cause analysis and nursing ethics theory,effective nursing measures and psychological care can improve the success rate of infant venipuncture blood collection.%目的 探讨根本原因分析法及护理伦理理论在提高婴幼儿静脉采血成功率中的应用效果.方法 选取2016年1月在某医院门诊采血室行静脉穿刺采血的150例婴幼儿作为对照组.应用根本原因分析法确定影响婴幼儿静脉采血成功率的根本原因,并制定出切实可行的措施.选取RCA实施后6个月的150例患儿作为观察组,比较2组患儿的穿刺成功率及患儿家属的满意度.结果 观察组的婴幼儿静脉穿刺采血一次成功率为93.3％,明显高于对照组76.7％,家属满意度观察组为95％,高于对照组的70％,P＜0.05,比较结果具有显著性差异.结论 应用根本原因分析法及护理伦理理论,采取相应有效的护理措施及心理护理,能够提高婴幼儿静脉穿刺采血的成功率.