家庭病床静脉输液安全风险防范系统分析
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摘要
目的探讨家庭病床静脉输液存在的风险以提升相关安全性。方法选取家庭病床静脉输液患者319例,观察组159例均采用制定的家庭静脉输液管理体系,对照组160例采用原有家庭病床静脉输液的管理办法,观察患者并发症发生率,评估家庭病床静脉输液管理体系的实际应用效果。结果 2组在针头滑出局部肿胀,补液不滴、过快,医疗废弃物遗失或处理不当,私自更换静脉滴注药方面观察组均优于对照组(P<0.05);2组在局部皮肤淤青、破损,穿刺失败,输液反应方面差异无统计学意义(P>0.05)。结论家庭病床静脉输液管理体系能够有效减少输液不良事件和护理风险的发生,提升家庭病床静脉输液安全性。
Objective To explore risk of intravenous infusion so as to improve safety of intravenous infusion in the family sickbed. Methods A total of 319 patients with domestic sickbed infusion were selected,observation group with 159 cases implemented management system of intravenous infusion,while the control group with 160 cases adopted previous family venous transfusion management system. observation the domestic sickbed complications in patients with intravenous fluids and incidence,the incidence of complications and application effect of intravenous transfusion management system were observed. Results The observation group was better in local swollen after needle sliding,blocked or fast fluid-dripping,the lost medical waste or improperly dispose,and privately changing of drugs than the control group( P < 0. 05). There were no statistically significant differences between the two groups in local skin bruising,damage,puncture failure,and infusion reactions( P >0. 05). Conclusion The family sickbed intravenous infusion management system can effectively reduce the occurrence of adverse events and nursing risks and improve the safety of intravenous fluid infusion.
Objective To explore risk of intravenous infusion so as to improve safety of intravenous infusion in the family sickbed. Methods A total of 319 patients with domestic sickbed infusion were selected,observation group with 159 cases implemented management system of intravenous infusion,while the control group with 160 cases adopted previous family venous transfusion management system. observation the domestic sickbed complications in patients with intravenous fluids and incidence,the incidence of complications and application effect of intravenous transfusion management system were observed. Results The observation group was better in local swollen after needle sliding,blocked or fast fluid-dripping,the lost medical waste or improperly dispose,and privately changing of drugs than the control group( P < 0. 05). There were no statistically significant differences between the two groups in local skin bruising,damage,puncture failure,and infusion reactions( P >0. 05). Conclusion The family sickbed intravenous infusion management system can effectively reduce the occurrence of adverse events and nursing risks and improve the safety of intravenous fluid infusion.
引文
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[15]孙红梅,周代蓉.外科护理工作中常见的法律纠纷与防范措施[J].中国当代医药,2012,19(4):171-171.
[16]孙斌,董恩宏,杨海燕,等.上海家庭病床患者对社区护理的需求调查与分析[J].中国医院管理,2017,37(5):75-77.
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[18]王玲,郑培培,曹辉,等.静脉输液药物外渗的处理及新型敷料的应用[J].血管与腔内血管外科杂志,2017,3(5):994-995.
[19]付小伟,孙洪涛,顾志菊,等.植入式静脉输液港的临床应用及护理[J].实用临床医药杂志,2013,17(4):59-62.
[20]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.
[2]罗丽娟.社区家庭病床护理安全隐患及管理对策[J].医学信息,2013,26(8):61-62.
[3]李凤萍,刘红炜,李水静,等.上海市社区家庭病床护理人力资源配置现状调查分析[J].护理研究,2011,25(7):593-594.
[4]花学美,杨芳荣,陈宏平.社区医院转诊输液的风险与防范措施[J].中华全科医学,2014,12(8):1294-1295,1351-1351.
[5]张巧利,李兴革,吕小青,等.医疗失效模式与效应分析在静脉输液流程中的应用[J].护理学杂志,2011,26(10):6-8.
[6]丁丽萍,姜毅,杨爱英.血液内科急诊患者的护理研究[J].中国医药指南,2017,15(1):209-209.
[7]王惠贤,王玚.故障树分析法在临床护理风险管理中的应用[J].护理与康复,2016,15(6):593-594.
[8]郑月菊.32例老年患者家庭病床静脉输液的护理体会[J].吉林医学,2013,34(5):947-948.
[9]杨静,刘文莲,陈春华,等.家庭病床静脉输液风险控制简析[J].现代护理,2012,10(10):90-90.
[10]龚苗.家庭病床静脉输液的护理风险评估[J].社区卫生保健,2011,10(4):280-281.
[11]李莹,刘文婷,梁松梅.社区家庭输液的护理风险与防范对策[J].上海医药,2014(6):41-43.
[12]聂丽娟.社区家庭输液存在的护理安全问题及研究进展[J].上海护理,2010,10(3):82-84.
[13]李晓惠,邹晓清.临床护理风险事件分析与对策[J].中华护理杂志,2005,40(5):375-377.
[14]胡新莲,刘赛军,陈艳杰.社区家庭输液患者发生不良事件的原因分析及对策[J].现代临床护理,2011,10(9):53-54.
[15]孙红梅,周代蓉.外科护理工作中常见的法律纠纷与防范措施[J].中国当代医药,2012,19(4):171-171.
[16]孙斌,董恩宏,杨海燕,等.上海家庭病床患者对社区护理的需求调查与分析[J].中国医院管理,2017,37(5):75-77.
[17]胥玉萍,吴青,曹益萍.家庭医生责任制下社区护士的岗位职责需求研究[J].中国全科医学,2016,19(22):2640-2646.
[18]王玲,郑培培,曹辉,等.静脉输液药物外渗的处理及新型敷料的应用[J].血管与腔内血管外科杂志,2017,3(5):994-995.
[19]付小伟,孙洪涛,顾志菊,等.植入式静脉输液港的临床应用及护理[J].实用临床医药杂志,2013,17(4):59-62.
[20]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.