肝胆外科连续静脉输液管理中的无缝隙护理效果分析

Hepatobiliary Continuous intravenous Infusion Care Management in a Seamless Effect Analysis

目的探讨无缝隙护理在肝胆外科连续静脉输液管理中的应用效果。方法选取该院2013年6月—2014年7月收治的肝胆外科连续静脉输液患者共72例作为研究对象,使用随机数字表法分为观察组以及对照组各36例。其中观察组患者连续静脉输液管理过程中给予无缝隙护理服务,对照组患者在连续静脉输液管理过程中给予常规护理服务,观察统计两组患者在连续静脉输液过程中红灯呼唤次数、更换液体时间以及护理缺陷发生率,同时使用自行设计的护理满意度调查表调查两组患者对该组护理服务的满意程度。结果观察组患者红灯呼叫总次数7次,红灯呼叫率19.4%,对照组患者红灯呼叫总次数26次,红灯呼叫率72.2%,观察组红灯呼叫总次数以及呼叫率相较于对照组明显更少。两者相比差异有统计学意义(P<0.05)。观察组患者更换液体所用平均时间(30.1±7.2)s,对照组患者更换液体所用平均时间(58.1±9.3)s。观察组患者更换液体所用平均时间明显低于对照组,两者相比差异有统计学意义(P<0.05)。观察组患者护理缺陷发生率11.1%,对照组患者护理缺陷发生率47.2%,观察组患者护理缺陷发生率明显低于对照组,两者相比差异有统计学意义(P<0.05)。观察组患者护理满意度94.4%,对照组患者护理满意度61.1%,两者对比差异有统计学意义(P<0.05)。结论无缝隙护理服务用语肝胆外科连续静脉输液管理中有着良好的临床效果,能够有效缩短患者更换液体所用时间,降低患者红灯呼叫次数、降低输液过程中护理缺陷的发生率,同时有效提高患者护理满意度,值得临床推广。

Objective To investigate the effect of seamless nursing in the management of continuous intravenous infusion in the Department of hepatobiliary surgery. Methods A total of 72 patients with continuous intravenous infusion in our hospital from June 2013 -2014 to July were selected as the research object, using the random number table method divided into ob-servation group and control group, each of 36 cases. The observation group of patients with continuous intravenous infusion management process to provide seamless care, control group patients in continuous intravenous infusion management process to give conventional care, observation and statistics of the two groups of patients in the continuous infusion process, the number of red light, the replacement of liquid time and nursing defects, while using self-designed satisfaction questionnaire survey of two groups of patients in this group of nursing service satisfaction. Results In the observation group, the total number of red light calls, 19.4%, the control group of patients with 26 times the number of red light, red light call rate of 72.2%, the total number of red light call and call rate of the observation group was significantly less than the control group. The difference was statistically significant （P〈0.05）. In the observation group, the average time （30.1±7.2） s, and the average time （58.1±9.3） s. The average time of the patients in the observation group was significantly lower than the control group, the difference was statistically significant （ P〈0 . 05 ） . The incidence rate of nursing defects in the observation group was 11.1%, and the control group was 47.2%, the incidence rate of nursing defects in the observation group was significantly lower than that in the control group（P〈0.05）. Nursing satisfaction of patients in observation group was 94.4%, the control group was 61.1%, the difference was statistically significant（P〈0.05）. Conclusion There is a good clinical effect in the man-agement of continuous intravenous infusion in the Department of hepatobiliary surgery, which can effectively shorten the time of the patients, reduce the number of red light calls, reduce the incidence of nursing defects in the process of transfu-sion, and effectively improve patient care satisfaction, worthy of clinical promotion.