潍坊地区医院静脉输液治疗现状调查

Intravenous therapy in Weifang,Shandong province:a cross-sectional survey

目的了解潍坊地区二级及以上医院静脉治疗现状,为制定相应措施,改善静脉治疗质量提供参考。方法采用整群抽样法,对潍坊地区二级及以上共19所医院进行静脉治疗相关情况进行调查。结果 19所医院中11所成立了静脉治疗小组,但仅3所定期组织小组活动。6所成立了静脉药物配置中心;仍有13所尚未实行肿瘤化疗药物及TPN的集中配制和供应;住院患者静脉输液率为93. 15%。钢针使用率高达63. 27%。静脉输液并发症的发生渗出/外渗占第1位(1. 761%),回血占第2位(1. 540%)。结论潍坊地区二级及以上医院静脉治疗已初步形成专业化管理,但在专业人员培训、化疗药物和TPN的配制、职业防护、静脉输液工具的合理选择及操作等方面仍有待改进。

Objective To describe the status of intravenous（ Ⅳ） therapy in secondary and tertiary hospitals in Weifang,Shandong province,and to provide reference for formulating interventions to improve quality of Ⅳ therapy. Methods Using cluster sampling,19 secondary and tertiary hospitals in Weifang were surveyed in terms of the status of Ⅳ therapy. Results Eleven hospitals had Ⅳ therapy team,but only 3 hospitals organized group activities regularly. Only 6 hospitals established pharmacy intravenous admixture service（ PⅣAS） center,but there were still 13 hospitals without PⅣAS center for preparation and supply of chemotherapy drugs and total parenteral nutrition（ TPN）. The rate of Ⅳ therapy for inpatients was 93. 2% and the rate of use of steel-needle for Ⅳ therapy was 63. 27%. The main complication of Ⅳ therapy was extravasation/leakage（ 1. 761%）,followed by blood return（ 1. 540%）. Conclusion Ⅳ therapy in secondary and tertiary hospitals in Weifang has been specialized,but personnel training,preparation of chemotherapy drugs and TPN,occupational protection,tools for Ⅳ therapy and operating skills should be improved further.