评判性思维在静脉输液中应用的效果评价

Application effect of critical thinking in the intravenous infusion

目的探讨评判性思维在静脉输液中的应用效果。方法选择2012年1-4月在神经外科工作的护士进行评判性思维能力的培养，运用评判性思维在静脉输液过程中进行分析、判断、制定与落实相应护理措施，观察实施评判性思维培训后患者的静脉输液穿刺成功率及患者对护理工作的满意度。结果对护理人员进行静脉输液评判性思维的培训后，患者的静脉穿刺成功率及患者对护理工作的满意度较培训前明显提高。结论对护士在静脉输液过程中实施评判性思维培训可有效提高护士的穿刺技能，减少输液肿胀及并发症的发生，提高临床护理质量及患者对护理工作的满意度。

Objective To explore the application effect of critical thinking applied in the intravenous infusion. Methods To give nurses who worked in the Neurosurgery Department from January to April 2012 training lessons of critical thinking so that they could analyze, judge, formulate and implement corre sponding nursing measures during the intravenous infusion process through their critical thinking. Then the successful rate of venepuncture for patients and the patients＇ satisfaction degree with nursing before and af ter the critical thinking training lessons were observed. Results The successful rate of venepuncture for patients and the patients＇ satisfaction degree of nursing were apparently improved after the nurses received critical thinking training. The difference was of statistical significance. Conclusions After the implemen tation of critical thinking training during the intravenous infusion process for nurses, nurses puncture skills is enhanced, infusion swelling and complications are reduced, and the quality of clinical nursing care and patients＇ satisfaction degree of nursing is improved.