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  • 中文摘要:

    目的:了解扬州市二、三级医疗机构静脉输液的护理现状,为发现目前存在的问题及进一步规范静脉输液护理服务行为,改进静脉输液护理质量提供决策依据。方法:本研究为横断面调查,采用便利抽样法,以扬州市护理质量控制中心编制的“静脉输液护理现状调研表”为调研工具,于2022年7月26日对本市22家二级及以上医疗机构静脉输液护理现状开展同质化调研。结果:本研究中22家医疗机构住院患者总人数为13 891人,静脉输液患者总人数为9 791人(70.48%)。二级医院输液总人数占住院总人数的75.14%,三级医院占比为69.10%,两组数据比较差异有统计学意义(P<0.01);不同级别医疗机构护理人员在留置针穿刺前评估、穿刺输液、使用与维护等方面差异有统计学意义(P<0.05);PICC/输液港质量指标中主要在制度规范执行、导管拔除、健康教育等方面差异有统计学意义(P<0.05);三级医院在静脉治疗专科护士、静脉输液配置中心或药物配置专用生物安全柜、专科门诊及静脉输液专科护理小组方面较二级医院占比多。结论:扬州市二、三级医疗机构静脉治疗质量管理存在差异性,需质量管理机构进一步优化质量管理标准,同时做好培训和督查,保证不同级别医院间的同质化管理,确保静脉输液的安全。

  • 英文摘要:

    Objective:The main purpose of this study is to understand the current status of intravenous infusion care in Yangzhou’s secondary and tertiary medical institutions,to provide decision-making basis for discovering problems,further regulating intravenous infusion care services as well as improving the quality of intravenous infusion care. Methods:This study is a cross-sectional survey,adopting convenient sampling method,and based on the “intravenous infusion nursing status research table” standardized by the Yangzhou Nursing Quality Control Center as the research tool. On July 26 of 2022,this study was carried out as homogeneous surveys around 22 secondary and tertiary medical institutions. Results:In this survey,the total number of hospitalized patients in 22 medical institutions was 13,891,and the number of patients with intravenous infusion was 9,791(70.48%). The total number of infusion in the secondary hospitals accounted for 75.14%,which is 69.10% intertiaryhospitals. The differences between the two sets of data were statistically significant(P < 0.01). There were statistically significant differences in the pre-puncture evaluation,puncture transfusion,usage and maintenance of indwelling needle among nurses in different levels of medical institutions(P < 0.05). The differences in the quality indicators of PICC/Infusion Port are mainly statistically significant in terms of institutional standardization,catheter removal,and health education(P < 0.05). Tertiary hospitals have more professional nurses for intravenous treatment,intravenous infusion configuration centers or drug-related biological safety cabinets,specialist outpatient clinics and intravenous infusion special nursing groupsthan secondary hospitals. Conclusion:There are differences in the quality management of intravenous therapy in Yangzhou City secondaryandtertiary medical institutions. Quality management agencies need to further optimize quality management standards,meanwhile,conducting training and inspections to ensure homogeneous management between different levels of hospitals in order to secure the safety of intravenous infusion.