降低临床静脉输液港连接以及分离蝶翼针操作针刺伤发生率的研究
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摘要
目的改进连接以及分离静脉输液港蝶翼针的方法,设计分离蝶翼针时使用的安全防护设备,以降低该操作的针刺伤发生率。方法通过自制调查问卷,收集本科3个病区64名护理人员在改进连接以及分离蝶翼针操作前、后的针刺伤发生情况数据,并进行统计学分析。结果改进措施后,患者、护士的针刺伤发生率均较改进措施前显著降低(P<0.01)。结论改进连接静脉输液港蝶翼针的技巧,设计新型安全防护设备,进一步强化职业防范安全体系,可降低此操作过程中护理人员的针刺伤发生率,一定程度保护临床护理人员的安全。
Objective To investigate the methods in improving connection and separation the butterfly wing-shaped needles of intravenous infusion port,and to design safety protection equipment to separate the butterfly wing-shaped needles to reduce the incidence of needle stick injury.Methods A self-made questionnaire was used to collect data on the occurrence of needle stick injuries before and after improved connection and separation the butterfly wing-shaped needles,which was performed in 64 nurses of 3 wards,and the data was statistically analyzed.Results The incidences of needle stick injury in nurses and patients after improvement were significantly reduced(P<0.01).Conclusion The improvement of the technique of connecting the butterfly needle of the intravenous infusion port,designing new safety protection equipment,and further strengthening the occupational safety system can reduce the incidence of needle stick injury in the operation and protect the safety of clinical nursing staff.
Objective To investigate the methods in improving connection and separation the butterfly wing-shaped needles of intravenous infusion port,and to design safety protection equipment to separate the butterfly wing-shaped needles to reduce the incidence of needle stick injury.Methods A self-made questionnaire was used to collect data on the occurrence of needle stick injuries before and after improved connection and separation the butterfly wing-shaped needles,which was performed in 64 nurses of 3 wards,and the data was statistically analyzed.Results The incidences of needle stick injury in nurses and patients after improvement were significantly reduced(P<0.01).Conclusion The improvement of the technique of connecting the butterfly needle of the intravenous infusion port,designing new safety protection equipment,and further strengthening the occupational safety system can reduce the incidence of needle stick injury in the operation and protect the safety of clinical nursing staff.
引文
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[15]Hamory B H.Underreporting of needlestick injuries in a university hospital[J].Am J Infect Control,1983,11(5):174-177.
[2]范敏.PDCA循环管理模式对乳腺癌术后化疗患者经外周静脉穿刺中心静脉置管护理效果的影响[J].中国药物与临床,2018,18(5):845-847.
[3]李德华,何亚林,明先,等.妇科化学治疗患者经外周静脉置入中心静脉导管并发症原因分析[J].华西医学,2017,32(9):1427-1429.
[4]田冬明,章范满.经外周静脉置入中心静脉导管规范化培训与管理对临床置管效果及并发症的影响观察[J].中国全科医学,2017,20(S2):324-326.
[5]宋慧娟,厉周.植入式静脉输液港的应用与护理[J].中华护理杂志,2004,39(10):785-786.
[6]Raad I.Intravascular-catheter-related infections[J].Lancet,1998,351(9106):893-898.
[7]乔爱珍,朱秋红,马威,等.输血后静脉输液港所需冲洗液量的体外试验研究[J].护士进修杂志,2006,21(9):788-789.
[8]黄萍,陈艳,刘翠萍,等.护士针刺伤职业暴露危险因素分析及防护措施[J].解放军预防医学杂志,2018,36(3):412-413.
[9]吴喜丽,吴旭丽,李叶戌子,等.2714名护理人员针刺伤知识现状及其影响因素研究[J].护理管理杂志,2018,18(4):268-272.
[10]杨丽娜,宋锦平,向代群,等.护理操作技术的难度评价及应用探索[J].护士进修杂志,2011,26(4):306-307.
[11]吴安华,任南,吕一欣,等.护士面临针刺伤的危害及其对策[J].中华医院感染学杂志,2002,12(7):525-526.
[12]朱文辉.疾控中心护理人员职业暴露中针刺伤的安全防范与护理对策分析[J].中国冶金工业医学杂志,2018,35(1):60-61.
[13]赵学营,门婷婷,张敏,等.急诊科护士针刺伤危险因素现状分析及对策[J].当代护士:上旬刊,2017(7):11-13.
[14]毛秀英,吴欣娟,于荔梅,等.部分临床护士发生针刺伤情况的调查[J].中华护理杂志,2003,38(6):422-425.
[15]Hamory B H.Underreporting of needlestick injuries in a university hospital[J].Am J Infect Control,1983,11(5):174-177.