静脉输注化疗药物的风险管理效果观察

Risk management on the intravenous infusion of chemotherapeutic drugs

目的对静脉输注化疗药物进行风险管理,并观察管理的效果。方法分析静脉输注化疗药物存在的风险,制订强化护士风险意识、加强专业知识学习和专业技能训练、改进静脉穿刺方法、强化化疗巡视工作等措施,并且比较实施风险管理前后的护理差错、化疗发生外渗、静脉炎、局部组织坏死病例数量,并且对化疗患者的护理进行满意度调查。结果风险管理实施后,护理差错、化疗药物外渗、静脉炎、局部组织坏死发生率明显较实施风险管理实施前显著减少,并且差异有统计学意义(P<0.05);在实施风险管理后,患者对护理工作的满意度较实施风险管理前显著增加,并且差异有统计学意义(P<0.05)。结论风险管理提高了静脉输注化疗药物的护理质量,提高了患者对护理的满意程度。

Objective To study the effective of the risk management on intravenous infusion of chemotherapeutic drugs. Methods The risks of intravenous chemotherapy drugs was analyzed. The risk awareness of nurses was enhanced, the professional knowledge, learning and professionals kills training was also enhanced, the method of vein puncture was improved, and the inspections of chemotherapy patients was strengthened. The before and after implementation of risk management nursing errors, chemotherapy extravasation occurs, phlebitis, the number of eases of local tissue necrosis, and the care of chemotherapy patients satisfaction surveys was compared. Results After the implementation of risk management, nursing errors, chemotherapy extravasation, phlebitis, tissue necrosis were significantly increased than before the implementation of risk management was significantly reduced with statistically significant （P 〈 0.05）; after the implementation of risk management, and the care of chemotherapy patients satisfaction survey than the implementation of risk management was significantly increased with statistically significant （P 〈 0.05）. Conclusion The intravenous chemotherapy quality of care is improved with risk management, and improves patient satisfaction for the nursing care.