输液流程优化在新型冠状病毒肺炎患者中的应用效果分析

doi:10.3761/j.issn.0254-1769.2020.03.009

摘要/Abstract

摘要：

目的探究输液流程优化在新型冠状病毒肺炎患者中的应用效果。方法成立输液管理小组,以哈默流程改造理论为基础对输液流程进行优化,将其应用于新型冠状病毒肺炎患者的护理工作中,比较优化前后经济指标、输液工作效率、护士倦怠感和患者满意度。结果输液流程优化后,个人防护装备消耗和处理费用由每日46.67套、186.6元降低为36.17套、144.6元;药物准备时间、配药时间和患者平均等待时间由4.84 min、4.03 min和34.33 min分别缩短至3.50 min、2.60 min和30.87 min;护士倦怠感中的情绪疲惫感和工作冷漠感得分由42.08分和11.92分降低为35.08分和9.67分;患者满意度由66.7%提升至93.3%,差异均有统计学意义（P<0.05）。结论输液流程优化有效减少防护物资的消耗,提高了护士输液工作效率,降低了护士工作倦怠感,提高了患者满意度,为目前新型冠状病毒肺炎防治工作提供借鉴。

关键词: 流程改造理论, 静脉输液, 新型冠状病毒肺炎, 护理

Abstract:

Objective To explore the effect of infusion process optimization in patients infected by coronavirus disease 2019. Methods The infusion management team was set up to optimize the infusion process based on the Hamer’s Process Reengineering Theory,and the optimized process was applied to the nursing care of patients with coronavirus disease 2019. The economic indicators,infusion efficiency,nurses’ burnout and patients’ satisfaction were compared before and after optimization. Results After the infusion procedure was optimized,the consumption and disposing costs of personal protective equipment were reduced from 46.67 sets and 186.6 yuan per day to 36.17 sets and 144.6 yuan respectively. The medicine preparation time,dispensing time and average waiting time for patients were reduced from 4.84 minutes,4.03 minutes,and 34.33 minutes to 3.50 minutes,2.60 minutes,and 30.87 minutes respectively. The scores of emotional fatigue and work apathy of nurses decreased from 42.08 points and 11.92 points to 35.08 points and 9.67 points. The satisfaction of patients increased from 66.7% to 93.3%. The differences were statistically significant. Conclusion The optimization of the infusion process can effectively reduce the consumption of protective materials,save medical resources,improve the efficiency of nurse infusion,reduce the job burnout of nurses,and improve patients’ satisfaction.

Key words: Hamer’s Process Reengineering Theory;, Intravenous Infusion, Coronavirus Disease 2019, Nursing Care

宋艳, 王文慧, 张利君, 沙莉, 鲁桂兰. 输液流程优化在新型冠状病毒肺炎患者中的应用效果分析[J]. 中华护理杂志, 2020, 55(3): 362-367.

SONG Yan, WANG Wenhui, ZHANG Lijun, SHA Li, LU Guilan. Application effect analysis of infusion process optimization in patients with coronavirus cisease 2019[J]. Chinese Journal of Nursing, 2020, 55(3): 362-367.

图/表 5

图1 优化前新型冠状病毒肺炎患者输液流程图

图2 优化后新型冠状病毒肺炎患者输液流程图

表1 输液流程优化前后经济指标比较（n=6,$\bar{x}$±s）

表2 输液流程优化前后输液工作效率比较（n=30,min,$\bar{x}$±s）

表3 输液流程优化前后护士工作倦怠感量表得分比较（n=30,分,$\bar{x}$±s）

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