静脉输液治疗中输液工具选择及其影响因素研究分析

Analysis of Factors and Selections of Infusion Devices

目的探讨分析静脉输液治疗中输液工具选择的影响因素,以期为护理工作提供理论依据和指导。方法选取2017年5月—2018年4月我院各临床科室所有住院并接受静脉治疗的1 500例患者作为研究对象,采用自行设计的调查问卷,对其输液工具选择情况及影响因素进行分析。结果共输液1 500例,钢针使用率46.47%,留置针使用率43.93%,PICC使用率为5.00%,CVC使用率为4.60%;共出现输液问题187例,贴膜卷边、不规范及出血占16.04%,延长管固定错误占14.44%,外渗占13.37%,穿刺点发红占13.37%,延长管内有血占12.83%,静脉炎占12.30%,时间记录错误占9.10%,堵管占8.56%;主要影响因素有药物因素,护理人员因素及患者因素。结论后续工作中应从影响输液工具选择的因素出发,采取针对性的措施,正确选择输液工具并进行正确维护,以期提高输液质量,降低不良事件发生。

Objective To explore the factors and selections of infusion devices. Methods 1 500 cases in the hospital from May 2017 to April 2018 were selected with self-designed questionnaire. The selections and factors were compared. Results In 1 500 cases, the actual utilization rate of draw point, indwelling needle, PICC and CVC was 46.47%, 43.93%, 5.00% and 4.60% respectively. A total of 187 infusion problems appeared in all the cases which included foil curling, de-normalized or bleeding （16.04%）, fixed bug of extension tube （14.44%）, exosmosis （13.37%）, redness of injection site （13.37%）, remained bloodstains on extension tube （12.83%）, phlebitis （12.30%）, recorded the error time （9.10%） and tube plugging （8.56%）. The main infuence factors were drug, nursing stufs and patients. Conclusion In the following work, nurses should pick the right infusion device for reducing the incidence of adverse events.