临床护士对输液泵和注射泵给药的使用和认知现状调查分析

A survey of the usage status and awareness rate of infusion pump and syringe pump for nurses Wang Zejuan,

目的 了解临床护士对输液泵和注射泵的使用和认知情况,进而分析存在的风险和培训需求.方法 采用问卷调查方法,选取使用泵的科室的320名护士进行调查.结果 在294份有效问卷中,95.6％（281/294）护士使用过输液泵,84.6％（248/293）的接受过培训.而对于注射泵,92.1％（269/292）的护士使用过,83.5％（243/291）培训过.另外,69.3％（201/290）的护士曾怀疑过输液泵/注射泵不准.问卷中有关泵的工作原理、使用和维护的32个条目的知晓率在25.51％（75/294）～96.60％（284/294）,其中使用维度方面的认知最高为70.52％（1866/2646）,而工作原理和维护2个维度方面较低,分别为56.50％（1661/2940）、46.88％（1654/3528）,不同的年龄、工作年限、学历和职称的受调查者输注泵相关知识知晓率在不同的3～8个条目中差异有统计学意义.结论 临床护士对泵的原理、使用和维护知晓率偏低,临床护士的年龄、工作年限、学历和职称对泵的相关认知程度有影响.为了避免临床使用维护的风险,建议建立泵的规范化标准操作规程并进行系统培训.

Objective To explore the usage status and awareness rate of infusion pump and syringe pump for nurses, and next to find the potential or existing risk and training need. Methods A total of 294 nurses were investigated by questionnaire from department with infusion pumps. Results Of the 294 effective questionnaires, 95.6% （281/ 294） nurses used infusion pumps, and 84.6% （248/ 293） received training. For injection pumps, 92.1%（269/292） nurses used, and 83.5%（243/291） trained. In addition, 69.3%（201/290） nurses suspected that the infusion pump/injection pump was not allowed. The whole awareness rate was between 25.51%（75/294） and 96.60%（284/294）, 70.52%（1866/2646） in application dimension is highest compared with work principle （56.50%, 1661/2940） and maintenance dimension （46.88%, 1654/3528）. The awareness rates for nurses with different age, working years, education and professional level were statistically different in 3-8 items of questionnaires. Conclusions The awareness rate in pumps for nurses is relatively low, especially the nurses with lower age, working years, education and professional level. The non-standard operation behavior in pumps application and maintenance is a risk factor for the patients and nurses in clinical work. The standard operation procedure of pumps is necessary to be formulated and nurses need systematic training for it.