综合性医院临床护士输液导管相关性静脉血栓的认知调查

Cognition Investigation of General Hospital Nurses to Venous Catheter-Related Thrombosis

目的了解综合性医院临床护士对输液导管相关性静脉血栓的认知状况,以期为安全输液提供对策。方法便利抽样法选取5所三级甲等和1所二级甲等综合性医院的肿瘤科、重症监护病房、外科(含聘用制护士)112名临床护士为研究对象,采用自制问卷对其进行输液导管相关性静脉血栓的认知调查。结果护士对"静脉导管适应证"回答正确者占4.46%;对"输液导管相关性静脉血栓形成的概念"回答正确者占38.39%;对"输液导管相关性上肢静脉血栓形成导致肺栓塞的发生率"回答正确者占11.61%;对"如有血栓形成的可能时不可强行通管,以防血栓栓子脱落引起肺栓塞"回答正确者占57.14%。结论护理管理者应注重提高护士"输液导管相关性静脉血栓"认知水平。护士应严密观察、早期评估与干预,以降低患者血管内导管相关血栓的发生,确保静脉输液治疗安全。

Objective To discuss the general hospitals clinical nurse＇s cognition level of venous catheter- related thrombosis to provide countermeasures for safe transfusion. Methods By convenience sampling, 112 clinical nurses were selected, and their perceptions about venous catheter-related thrombosis were investigated by using self-designed questionnaire. Results Nurses answers to venous catheter indications correctly accounted for 4.46%; Correct answer to the concept of the formation of venous catheter-related thrombosis accounted for 38.39%; Correct answer for upper limb venous thrombosis in the incidence of pulmonary embolism accounted for 11.61%; correct answer for ＂whether the loss of embolus to cause pulmonary embolism when there is a thromb clusion Managers should improve the nurse ＂venous catheter-related t strict observation, early assessment and intervention, to reduce incidence thrombosis and ensure safety to intravenous infusion. to force to go through to prevent osis ＂accounted for 57.14 %.Con- hrombosis＂ cognitive level with of intravascular catheter-related thrombosis and ensure safety to intravenous infusion.