某三级综合医院新护士输液治疗知识掌握情况的调查

Investigation and analysis of the new nurses’ knowledge of infusion therapy in a tertiary-level hospital

目的：了解新护士输液治疗护理知识的掌握情况，并分析问题、探讨对策。方法根据中华护理学会编写的《输液治疗护理实践指南与实施细则》自行设计调查问卷，采用方便抽样法对2013年79名新护士进行问卷调查，分析新护士在输液治疗护理知识方面存在的问题，并积极预防。结果79名新护士，问卷得分26～73分，平均（49．72±7．79）分。70～79分者1名，占1．27％；60～69分者9名，占11．39％；＜60分者69名，占87．34％。中专学历护士得分平均为（45．65±4．55）分，大专学历护士平均为（48．69±6．93）分，本科学历护士平均为（60．82±5．60）分，不同学历新护士输液治疗护理知识掌握情况比较差异有统计学意义（F＝21．097，P＜0．05）。其中本科护士平均分高于大专、中专新护士，差异有统计学意义（P＜0．05）；大专与中专护士相比，差异无统计学意义（P＞0．05）。不同学历护士在静脉输液感染控制和护理安全，输液穿刺、辅助工具的种类及应用，输液治疗的维护与管理3个方面，差异有统计学意义（P＜0．05）；在静脉输液相关并发症预防与处理、静脉穿刺血管评估与穿刺部位选择两个方面，差异无统计学意义（ P＞0．05）。结论新护士输液治疗护理知识掌握情况参差不齐，静脉输液相关并发症的处理、静脉穿刺的血管评估与穿刺部位选择是知识掌握中的薄弱环节，学校、护生后期临床实践应加强输液治疗护理知识相关的培训。

Objective To investigate the new nurses ’ knowledge of infusion therapy , and analyze the problems and countermeasures .Methods According to the “infusion therapy nursing practice guideline and implementing rules” written by Chinese Nursing Association , the self-designed questionnaire and convenience sampling method was designed to investigate 79 new nurses in 2013 .Results The new nurses ’ knowledge of nursing of infusion therapy was uneven .The scores of questionnaire were 26-73, with an average of （49.72 ± 7.79）,including one nurse with 70-79, nine nurses with 60-69, sixty-nine nurse with less than 60.The scores of the nurses with medical school level education or college level education or undergraduate course were （45.65 ±4.55）,（48.69 ±6.93）,（60.82 ±5.60）,and the difference was significant （F=21.097,P〈0.05）.The undergraduate nurses were better than the nurses with college level education or medical school level education in terms of infusion therapy .Infection control and nursing safety , transfusion puncture types and application of the auxiliary tool , the maintenance and management of transfusion treatment showed significant differences （ P〈0.05 ）, but the treatment of infusion complications , assessment of puncture vascular and selection of biopsy site showed no difference between different education background （P〉0.05）.These were related to less training and clinical practice .Conclusions For the “weak link” of the infusion knowledge including the treatment of infusion complications , assessment of puncture vascular and selection of biopsy site , effective training and teaching methods for nurses education should be carried out , in order to improve the nurses’ knowledge of infusion therapy to meet the needs of clinical care services .