护理查房减少静脉输液并发症的临床观察

The observation of nursing ward round in reducing the complications of venous transfusion

目的探讨护理查房在减少静脉治疗相关并发症中的作用。方法2014年3月至2014年8月我院设立护理查房小组，通过定期的查房了解基层护理人员的输液技巧、穿刺技巧及相关并发症预防知识，后总结经验报告并积极处理。结果2014年3月至2014年8月与2013年9月至2014年2月的静脉治疗差错发生率分别为0．20‰、0．55‰，皮下血肿及针眼出血发生率分别为0．35‰、0．99‰，静脉穿刺点感染发生率分别为0．11‰、0．68‰，皮下血瘀发生率分别为0．13‰、0．38‰，静脉炎发生率分别为0．05‰、0．22‰，PICC导管堵塞发生率分别为0．00‰、0．11‰，导管脱出或移位发生率分别为0．03‰、0．25‰，差异均有统计学意义（P〈0．05）。结论护理查房可有效减少静脉治疗相关并发症，提升医院静脉输液服务水平，提升护理服务质量。

Objective To investigate the effect of nursing ward round in reducing the complications of venous transfusion. Methods Our hospital had set up a team in charge of nursing ward round from March 2014 to August 2014, understood transfusion technique, puncture skill, the prevention knowledge of related complications of primary-level nurses through regular ward round, summed up and reported the experience, actively processed information. Results The incidences of intravenous treatment errors from March 2014 to August 2014 and from September 2013 to February 2014 were 0.20‰, 0.55‰respectively, the incidences of ecchymoma and needle bleeding were 0.35‰, 0.99‰ respectively, the incidences of venipuncture point infection were 0.11‰, 0.68‰ respectively, the incidences of subcutaneous blood stasis were 0.13‰, 0.38‰ respectively, the incidences of phlebitis were 0.05‰, 0.22‰ respectively, the incidences of PICC catheter occlusion were 0.00‰, 0.11‰ respectively, the incidences of catheter pulling or translocation were 0.03‰, 0.25‰ respectively, with statistically significant differences （P〈0.05）. Conclusions Nursing ward round can effectively reduce related complications during intravenous treatment, enhance the level of venous transfusion service in hospital, and improve the quality of nursing service.