静脉输液治疗中输液工具选择及其影响因素研究分析
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摘要
目的探讨分析静脉输液治疗中输液工具选择的影响因素,以期为护理工作提供理论依据和指导。方法选取2017年5月—2018年4月我院各临床科室所有住院并接受静脉治疗的1 500例患者作为研究对象,采用自行设计的调查问卷,对其输液工具选择情况及影响因素进行分析。结果共输液1 500例,钢针使用率46.47%,留置针使用率43.93%,PICC使用率为5.00%,CVC使用率为4.60%;共出现输液问题187例,贴膜卷边、不规范及出血占16.04%,延长管固定错误占14.44%,外渗占13.37%,穿刺点发红占13.37%,延长管内有血占12.83%,静脉炎占12.30%,时间记录错误占9.10%,堵管占8.56%;主要影响因素有药物因素,护理人员因素及患者因素。结论后续工作中应从影响输液工具选择的因素出发,采取针对性的措施,正确选择输液工具并进行正确维护,以期提高输液质量,降低不良事件发生。
Objective To explore the factors and selections of infusion devices. Methods 1 500 cases in the hospital from May 2017 to April 2018 were selected with self-designed questionnaire. The selections and factors were compared. Results In 1 500 cases, the actual utilization rate of draw point, indwelling needle, PICC and CVC was 46.47%, 43.93%, 5.00% and4.60% respectively. A total of 187 infusion problems appeared in all the cases which included foil curling, de-normalized or bleeding(16.04%),fixed bug of extension tube(14.44%), exosmosis(13.37%), redness of injection site(13.37%), remained bloodstains on extension tube(12.83%),phlebitis(12.30%), recorded the error time(9.10%) and tube plugging(8.56%). The main influence factors were drug, nursing stuffs and patients.Conclusion In the following work, nurses should pick the right infusion device for reducing the incidence of adverse events.
Objective To explore the factors and selections of infusion devices. Methods 1 500 cases in the hospital from May 2017 to April 2018 were selected with self-designed questionnaire. The selections and factors were compared. Results In 1 500 cases, the actual utilization rate of draw point, indwelling needle, PICC and CVC was 46.47%, 43.93%, 5.00% and4.60% respectively. A total of 187 infusion problems appeared in all the cases which included foil curling, de-normalized or bleeding(16.04%),fixed bug of extension tube(14.44%), exosmosis(13.37%), redness of injection site(13.37%), remained bloodstains on extension tube(12.83%),phlebitis(12.30%), recorded the error time(9.10%) and tube plugging(8.56%). The main influence factors were drug, nursing stuffs and patients.Conclusion In the following work, nurses should pick the right infusion device for reducing the incidence of adverse events.
引文
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[2]杨从艳,周英,张培培,等.某三甲医院耳鼻喉科静脉输液渗出情况及其影响因素分析[J].蚌埠医学院学报,2015,40(10):1423-1425.
[3]张红军,付敏.输液微粒污染因素分析及预防措施[J].医疗装备,2009,22(10):51-53.
[4]陈志东,章萍,陈燕.我国静脉药物配置中心现状的思考[J].中国药师,2009,12(6):785-787.
[5]张敏,何华,张亚婷,等.陕西地区部分医院静脉输液工具使用及维护的调查与对策[J].护理研究,2013,27(16):1575-1577.
[6]孙红,王蕾,关欣,等.全国部分三级甲等医院静脉治疗护理现状分析[J].中华护理杂志,2014,49(10):1232-1237.
[7]母艳玲,罗洋,李捷,等.护理行为干预对患者选择输液工具的影响[J].国际护理学杂志,2015,34(9):1165-1167.
[8]梅建玲.门诊长期静脉输液者血管的选择和保护方法的探讨[J].中国继续医学教育,2017,9(26):142-143.
[9]范雪茹.静脉输液治疗过程中输液工具选择及其影响因素研究分析[D].太原:山西医科大学,2016:8-23.