住院患者静脉输液治疗现状调查
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摘要
目的了解住院患者静脉输液治疗的现状。方法选取医院29个科室907例静脉输液患者,由静疗小组成员进行横断面调查,调查内容有输液工具的选择、穿刺的部位导管的固定与维护、穿刺局部并发症、输注药物性质、输液接头连接、穿刺护士的工作年限7个方面的内容。结果 29个临床科室静脉输液工具以头皮钢针(65.27%)和静脉留置针(30.31%)为主,头皮钢针使用最多;穿刺部位的选择以手背(66.81%)和前臂(13.23%)为主;有58例导管维护不符合要求;带管患者住院期间并发症发生率为6.35%,其中药物外渗或渗出13例;输注药物性质以营养药(37.82%)和抗生素(30.65%)及中药制剂(14.11%)为主。结论护理管理者应高度重视,加强培训,制定相应的制度、流程、质控体系,加强输液安全质量控制,确保患者静脉用药安全。
Objective To investigate the current situation of intravenous infusion therapy among inpatients in a certain hospital. Methods Totally 907 inpatients from 29 clinical departments w ere investigated cross-sectionally about the selection of infusion felicities,fixing and maintaining of catheter in the puncture site,complication of the puncture site,property of the infused drugs,conjunction of the infusion terminals,nurses' w orking lifetime. Results The scalp needle and vein-detained needle w ere most frequently used in 907 patients,accounting for 65. 27%and 30. 31% respectively. The opisthenar( 66. 81%) and forearm( 13. 23%) w ere tw o main sites of puncture. There w ere 58 cases of disqualified maintenance of catheter. The incidence f catheter-related complication w as 6. 35%,in w hich 13 cases w ith drug extravasation. The indw elling catheter w as mainly used for infusion of nutrient supplements( 37. 82%),antibiotic agents( 30. 65%) and traditional Chinese drugs preparations( 14. 11%). Conclusion It must be emphasized by nursing supervisor as to the training,the safety and quality control,of intravenous infusion,in order to ensure the safety of intravenous infusion therapy among inpatients.
Objective To investigate the current situation of intravenous infusion therapy among inpatients in a certain hospital. Methods Totally 907 inpatients from 29 clinical departments w ere investigated cross-sectionally about the selection of infusion felicities,fixing and maintaining of catheter in the puncture site,complication of the puncture site,property of the infused drugs,conjunction of the infusion terminals,nurses' w orking lifetime. Results The scalp needle and vein-detained needle w ere most frequently used in 907 patients,accounting for 65. 27%and 30. 31% respectively. The opisthenar( 66. 81%) and forearm( 13. 23%) w ere tw o main sites of puncture. There w ere 58 cases of disqualified maintenance of catheter. The incidence f catheter-related complication w as 6. 35%,in w hich 13 cases w ith drug extravasation. The indw elling catheter w as mainly used for infusion of nutrient supplements( 37. 82%),antibiotic agents( 30. 65%) and traditional Chinese drugs preparations( 14. 11%). Conclusion It must be emphasized by nursing supervisor as to the training,the safety and quality control,of intravenous infusion,in order to ensure the safety of intravenous infusion therapy among inpatients.
引文
[1]国家卫生和计划生育委员会.静脉治疗护理技术操作规范[J].中国护理管理,2014,14(1):1-3.
[2]马梦颖,李振香,王伟,等.山东省《静脉治疗护理技术操作规范》卫生行业标准实践现状调查[J].中国实用护理杂志,2017,33(4):245-249.
[3]张敏,李武平,成翼娟,等.西部医院践行《静脉治疗护理技术操作规范》的调查分析[J].中国护理管理,2018,18(5):632-635.
[4]任洁琼,张琳,丁雯,等.宁夏7所三级综合医院护士静脉治疗护理技术操作规范实践认知现状调查[J].中国护理管理,2017,17(5):682-685.
[5]罗艳丽,胡艳杰,谭其玲,等.护士对于《静脉治疗护理技术操作规范》的知信行现状调查[J].华西医学,2017(8):1266-1270.
[6]王蕾,孙红,关欣,等.全国部分三甲医院静脉治疗专业化队伍发展现状的调查[J].中华现代护理杂志,2014,20(28):3541-3544.
[7]杨红梅,郭俊艳.我院静脉输液状况横断面调查[J].解放军医学院学报,2012,33(3):293-294.
[8]蔡奕宏,赵红,熊成敏.医院静脉治疗护理质量现状调查[J].河南医学研究,2017,26(9):1699-1700.
[2]马梦颖,李振香,王伟,等.山东省《静脉治疗护理技术操作规范》卫生行业标准实践现状调查[J].中国实用护理杂志,2017,33(4):245-249.
[3]张敏,李武平,成翼娟,等.西部医院践行《静脉治疗护理技术操作规范》的调查分析[J].中国护理管理,2018,18(5):632-635.
[4]任洁琼,张琳,丁雯,等.宁夏7所三级综合医院护士静脉治疗护理技术操作规范实践认知现状调查[J].中国护理管理,2017,17(5):682-685.
[5]罗艳丽,胡艳杰,谭其玲,等.护士对于《静脉治疗护理技术操作规范》的知信行现状调查[J].华西医学,2017(8):1266-1270.
[6]王蕾,孙红,关欣,等.全国部分三甲医院静脉治疗专业化队伍发展现状的调查[J].中华现代护理杂志,2014,20(28):3541-3544.
[7]杨红梅,郭俊艳.我院静脉输液状况横断面调查[J].解放军医学院学报,2012,33(3):293-294.
[8]蔡奕宏,赵红,熊成敏.医院静脉治疗护理质量现状调查[J].河南医学研究,2017,26(9):1699-1700.