静脉输液外渗的护理相关危险因素探讨
|
摘要
目的探讨静脉输液外渗的护理相关危险因素,为制定干预措施提供科学依据。方法纳入2018年6月1日—8月31日普外科静脉输液的717例患者进行回顾性分析。按是否出现静脉输液外渗,将患者划分为外渗组、无外渗组,统计两组输液相关护理因素,进行统计分析。结果 717例患者中,54例发生静脉输液外渗,静脉输液外渗发生率为7. 53%;多因素Logistics回归分析结果表明,制动、对药物适度加热是静脉输液外渗的独立保护因素。结论普外科应根据静脉输液外渗的护理相关因素,采取相应的护理预防措施。
Objective To explore the nursing risk factors of venous infusion extravasation,and to provide scientific basis for formulating intervention measures. Methods A total of 717 patients who received intravenous infusion in general surgery department from June 1 st to August 31 st,2018 were retrospectively analyzed. The patients were divided into extravasation group and non-extravasation group according to whether there was extravasation of intravenous infusion. Nursing factors related to transfusion in the two groups were counted and analyzed. Results Among 717 patients,54 patients had intravenous infusion extravasation,the incidence of intravenous infusion extravasation was 7. 53%. Multivariate logistic regression analysis showed that braking and moderate heating of drugs were independent protective factors for intravenous infusion extravasation. Conclusion The general surgery department should take corresponding nursing and preventive measures according to the nursing related factors of intravenous infusion extravasation.
Objective To explore the nursing risk factors of venous infusion extravasation,and to provide scientific basis for formulating intervention measures. Methods A total of 717 patients who received intravenous infusion in general surgery department from June 1 st to August 31 st,2018 were retrospectively analyzed. The patients were divided into extravasation group and non-extravasation group according to whether there was extravasation of intravenous infusion. Nursing factors related to transfusion in the two groups were counted and analyzed. Results Among 717 patients,54 patients had intravenous infusion extravasation,the incidence of intravenous infusion extravasation was 7. 53%. Multivariate logistic regression analysis showed that braking and moderate heating of drugs were independent protective factors for intravenous infusion extravasation. Conclusion The general surgery department should take corresponding nursing and preventive measures according to the nursing related factors of intravenous infusion extravasation.
引文
[1]李文君,李良兰,唐万珍,等.开展品管圈活动降低医院静脉输液渗漏率[J].护理学杂志,2014,29(23):6-9.
[2]YAN YM,GONG M,CHEN JL,et al.Incidence,risk factors and treatment outcomes of drug extravasation in pediatric patients in China[J].Turk J Pediatr,2017,59(2):1621-1168.
[3]杨燕丽,强丽娟,马跃英.老年患者静脉输液外渗的原因分析及护理对策[J].实用临床医药杂志,2016,20(12):160-161.
[4]张静,何淑贞,靳爱红,等.106例小儿外周静脉留置针输液外渗的原因分析[J].护理研究,2016,30(12):1533-1534.
[5]毛惠娜,刘雪琴.静脉输液渗出的发生率调查与分析[J].中国护理管理,2010,10(12):71-73.
[6]梁秀娟.应用品管圈降低住院患者外周静脉输液外渗发生率[J].山西医药杂志,2014,43(21):2589-2591.
[7]黄朝梅,贾晓琴,邵巧仪.环节管理在控制新生儿外周静脉输液外渗的作用[J].上海护理,2015,15(4):82-84.
[8]周喜春,王蕊娥.品管圈对降低肿瘤患者静脉输液外渗发生率的效果探讨[J].陕西医学杂志,2016,45(6):769.
[9]胡小梅,张国卫,王宏志,等.新生儿静脉输液外渗的影响因素[J].临床与病理杂志,2018,38(3):547-552.
[10]黄桥,张咏梅,曾芬莲,等.静脉输液外渗性损伤的防护进展[J].护理实践与研究,2013,10(15):114-116.
[11]王婧婧,李尕梅,周雪荣.品管圈活动在降低小儿静脉输液外渗中的应用[J].西部中医药,2015,28(11):120-122.
[12]黄朝梅,贾晓琴,邵巧仪.环节管理在控制新生儿外周静脉输液外渗的作用[J].上海护理,2015,15(4):82-84.
[13]郭惠丽,曾晓霞,岳宏,等.品管圈活动在降低心血管内科外周静脉输液外渗发生率的应用[J].中国药物与临床,2017,17(4):598-601.
[14]任玉娇,朱丽萍.调温便携腕带式加热器在输液中的应用[J].中华现代护理杂志,2016,22(10):1463.
[15]王扬帆,苏瑜,范文.综合护理干预在小儿静脉输液中的应用[J].海南医学,2017,28(17):2923-2924.
[2]YAN YM,GONG M,CHEN JL,et al.Incidence,risk factors and treatment outcomes of drug extravasation in pediatric patients in China[J].Turk J Pediatr,2017,59(2):1621-1168.
[3]杨燕丽,强丽娟,马跃英.老年患者静脉输液外渗的原因分析及护理对策[J].实用临床医药杂志,2016,20(12):160-161.
[4]张静,何淑贞,靳爱红,等.106例小儿外周静脉留置针输液外渗的原因分析[J].护理研究,2016,30(12):1533-1534.
[5]毛惠娜,刘雪琴.静脉输液渗出的发生率调查与分析[J].中国护理管理,2010,10(12):71-73.
[6]梁秀娟.应用品管圈降低住院患者外周静脉输液外渗发生率[J].山西医药杂志,2014,43(21):2589-2591.
[7]黄朝梅,贾晓琴,邵巧仪.环节管理在控制新生儿外周静脉输液外渗的作用[J].上海护理,2015,15(4):82-84.
[8]周喜春,王蕊娥.品管圈对降低肿瘤患者静脉输液外渗发生率的效果探讨[J].陕西医学杂志,2016,45(6):769.
[9]胡小梅,张国卫,王宏志,等.新生儿静脉输液外渗的影响因素[J].临床与病理杂志,2018,38(3):547-552.
[10]黄桥,张咏梅,曾芬莲,等.静脉输液外渗性损伤的防护进展[J].护理实践与研究,2013,10(15):114-116.
[11]王婧婧,李尕梅,周雪荣.品管圈活动在降低小儿静脉输液外渗中的应用[J].西部中医药,2015,28(11):120-122.
[12]黄朝梅,贾晓琴,邵巧仪.环节管理在控制新生儿外周静脉输液外渗的作用[J].上海护理,2015,15(4):82-84.
[13]郭惠丽,曾晓霞,岳宏,等.品管圈活动在降低心血管内科外周静脉输液外渗发生率的应用[J].中国药物与临床,2017,17(4):598-601.
[14]任玉娇,朱丽萍.调温便携腕带式加热器在输液中的应用[J].中华现代护理杂志,2016,22(10):1463.
[15]王扬帆,苏瑜,范文.综合护理干预在小儿静脉输液中的应用[J].海南医学,2017,28(17):2923-2924.