安全护理应用在神经内科患者刺激性药物静脉输液期间的效果

Effect of Safety Nursing During The Intravenous Infusion of Stimulating Drugs in Neurology Patients

目的:探讨安全护理在神经内科患者刺激性药物静脉输液期间的应用效果。方法:回顾性分析2021年4月—2022年12月本院神经内科收治的90例刺激性药物静脉输液患者,根据护理方法不同分为对照组(n=45)和观察组(n=45),对照组予以常规护理,观察组在对照组基础上予以安全护理。比较两组药物外渗发生率、不良反应发生率、留置针使用时间、依从性、疼痛率。结果:护理后,观察组药物外渗发生率为11.11%,低于对照组的24.44%(P<0.05);观察组输液不良反应发生率为13.33%,低于对照组的24.44%(P<0.05);观察组留置针使用时间长于对照组(P<0.05);观察组依从率为89.89%,高于对照组的75.56%(P<0.05);观察组疼痛率为13.33%,低于对照组的28.89%(P<0.05)。结论:对神经内科刺激性药物静脉输液患者实行安全护理,可减少药物外渗,降低不良事件发生率,提高患者依从性与护理满意度。

Objective:To explore the application effect of safety nursing during intravenous infusion of stimulant drugs in neurology patients.Methods:A retrospective analysis of 90 patients with irritating drug intravenous infusion admitted to the Department of Neurology of our hospital from April 2021 to December 2022 was divided into control group(n=45)and observation group(n=45)according to different nursing methods.The control group was given routine nursing,and the observation group was given safety nursing on the basis of the control group.The incidence of drug extravasation,incidence of adverse reactions,use time of indwelling needle,compliance and pain rate were compared between the two groups.Results:After nursing,the incidence of drug extravasation in the observation group was 11.11%,which was lower than 24.44% in the control group(P<0.05).The incidence of adverse transfusion reactions in the observation group was 13.33%,which was lower than 24.44% in the control group(P<0.05).The use time of indwelling needle in the observation group was longer than that in the control group(P<0.05).The compliance rate of the observation group was 89.89%,which was higher than 75.56% of the control group(P<0.05).The pain rate of the observation group was 13.33%,which was lower than 28.89% of the control group(P<0.05).Conclusion:Safety nursing for patients with intravenous infusion of stimulant drugs in neurology department can reduce drug extravasation,reduce the incidence of adverse events,and improve patient compliance and nursing satisfaction.