门诊患儿输液应用抗感染药物分析及护理对策

Nursing Contributions to Clinical Intravenous Infusion of Anti-infectives in Pediatric Patients

目的 分析儿科门诊输液中抗感染药物应用及护理情况,并探讨护理对策。方法 回顾性总结2002年8月10～20日儿科门诊输液的所有患儿在输液观察室的记录资料。结果 2～7岁是输液患儿的高峰年龄组,患者输液的时间比较集中于12:00～18:00和18:00～24:00,抗生素应用占同期输液患者总量的97.9％,第3代头孢类抗生素明显多于其他抗生素,联合应用抗病毒药物占60.4％,其中两种抗生素加抗病毒药占11％。结论 为保证儿科门诊输液的工作质量,应(1)重视儿科门诊的输液护理;(2)积极进行健康教育;(3)合理调整班次;(4)促进抗生素合理应用;(5)加强病情观察。

Objective To analyze the situation of intravenous infusion of anti-infectives in pediatric patients on the OPD basis, and to discuss nursing strategy to cope with the situation. Methods Clinical data of children who received intravenous infusion of anti-infectives in OPD of the hospital from 10th to 20th of August 2002 were reviewed and analyzed. Results Children from 2 to 7 years were the peak group of receiving intravenous infusion of anti-infectives, mostly concentrated at 12:00～18:00 and 18:00～24:00, during which the percentage of anti-infective use accounted for 97.9% of the total amount. The use of the third generation Cephalosporins was more than that of other antibiotics, accounting for 60.4% in combination with the use of anti-viral agents. The cases of using more than two antibiotics plus anti-viral agents accounted for 11%. Conclusion To assure pediatric nursing quality, special attention should be paid to 1) the nursing of intravenous infusion on the clinical basis, 2) positive health education, 3) rational shift arrangement,4) rational use of antibiotics, and 5) intensive observation of pathological conditions.