我院静脉输液状况横断面调查

Intravenous fluid infusion in Chinese PLA General Hospital: A cross sectional investigation

目的分析静脉输液技术的临床应用情况,为静脉输液管理和护理安全提供决策依据。方法采用横断面调查方法,设计静脉输液临床应用调查问卷,对本院53个科室130个护理单元进行分层整群抽样调查。结果本次调查25个护理单元735位住院患者,静脉输液率为88.9%,不同年龄及治疗方式组间比较无统计学差异;5种输液通路中,套管针使用率37.4%,PICC 37.0%主要应用于肿瘤化疗患者;静脉输液并发症发生率4.9%。结论静脉输液在临床应用普遍,呈现多途径、长留置的趋势,应加强专科培训和质量管理,合理应用静脉输液导管,以减少并发症。

Objective To provide the decision-making evidence for the security of intravenous fluids infusion and nursing of patients by analyzing the application of intravenous fluid infusion in our hospital.Methods Intravenous fluid infusion in 130 nursing units of 53 department in our hospital was investigated with questionnaire designed for intravenous fluid infusion with cross-sectional investigation method.Results A total of 735 patients in 25 nursing units were investigated.The intravenous fluid infusion rate was 88.9%（653/735）.No significant difference was found in intravenous fluid infusion between age of patients and treatment modality.The utilization rate of trocars and PICC was 37.4% and 37.0%,respectively.PICC was mainly used in tumor patients receiving chemotherapy.The incidence of complications in intravenous fluid infusion was 4.9%.Conclusion Intravenous fluid infusion is widely applied in clinical practice due to its advantages of multiple approaches and long-term dwelling.Training of nurses taking the charge of intravenous fluid infusion should be strengthened in rational use of intravenous infusion catheter in order to reduce its complications.