摘要
目的了解住院患者静脉输液治疗的现状。方法选取医院29个科室907例静脉输液患者,由静疗小组成员进行横断面调查,调查内容有输液工具的选择、穿刺的部位导管的固定与维护、穿刺局部并发症、输注药物性质、输液接头连接、穿刺护士的工作年限7个方面的内容。结果 29个临床科室静脉输液工具以头皮钢针(65.27%)和静脉留置针(30.31%)为主,头皮钢针使用最多;穿刺部位的选择以手背(66.81%)和前臂(13.23%)为主;有58例导管维护不符合要求;带管患者住院期间并发症发生率为6.35%,其中药物外渗或渗出13例;输注药物性质以营养药(37.82%)和抗生素(30.65%)及中药制剂(14.11%)为主。结论护理管理者应高度重视,加强培训,制定相应的制度、流程、质控体系,加强输液安全质量控制,确保患者静脉用药安全。
Objective To investigate the current situation of intravenous infusion therapy among inpatients in a certain hospital. Methods Totally 907 inpatients from 29 clinical departments w ere investigated cross-sectionally about the selection of infusion felicities,fixing and maintaining of catheter in the puncture site,complication of the puncture site,property of the infused drugs,conjunction of the infusion terminals,nurses' w orking lifetime. Results The scalp needle and vein-detained needle w ere most frequently used in 907 patients,accounting for 65. 27%and 30. 31% respectively. The opisthenar( 66. 81%) and forearm( 13. 23%) w ere tw o main sites of puncture. There w ere 58 cases of disqualified maintenance of catheter. The incidence f catheter-related complication w as 6. 35%,in w hich 13 cases w ith drug extravasation. The indw elling catheter w as mainly used for infusion of nutrient supplements( 37. 82%),antibiotic agents( 30. 65%) and traditional Chinese drugs preparations( 14. 11%). Conclusion It must be emphasized by nursing supervisor as to the training,the safety and quality control,of intravenous infusion,in order to ensure the safety of intravenous infusion therapy among inpatients.
作者
黄月娟
谭芊芊
黄小川
余艳梅
HUANG Yuejuan;TAN Qianqian;HUANG Xiaochuan;YU Yanmei(Department of Oncology;Department of Nursing;Department of Neonatology,People's Hospital of Baise,Baise,Guangxi,533000)
出处
《中西医结合护理(中英文)》
2018年第7期96-98,共3页
Journal of Clinical Nursing in Practice
关键词
住院患者
静脉治疗
质量控制
护理技术
横断面调查
护理管理
inpatients
intravenous infusion
quality control
nursing technique
cross-sectional study
nursing management