Application of drug identification in nursing management of leukemia patients undergoing chemotherapy
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摘要: 目的 探讨药物标识化管理在白血病患者化疗中的应用。 方法 选择2016年6月—2017年6月在杭州市丁桥医院血液科工作的41名护理人员作为研究对象,其中2016年6月—2016年12月的18名护理人员作为对照组,2017年1月—2017年6月的23名护理人员作为观察组,对照组未实行药物标识化管理,观察组实行药物标识化管理,比较2组护理人员工作效率、不良反应发生情况以及患者满意度。 结果 观察组取药差错率为3.55%,药物配置时间为(9.26±2.17)min,对照组取药差错率为19.72%,药物配置时间为(18.95±3.56)s,观察组取药差错率及药物配置时间均明显低于对照组(均P<0.05);观察组发生静脉炎、口腔溃疡、恶心、呕吐不良反应3例,不良反应发生率为5.26%,对照组发生静脉炎、口腔溃疡、恶心、呕吐不良反应10例,不良反应发生率为24.39%,观察组不良反应发生率明显低于对照组(P<0.05);观察组满意度为92.98%,对照组满意度为73.17%,观察组满意度明显高于对照组(P<0.05)。 结论 药物标识化管理能够明显提高护理人员的工作效率,提升患者满意度,降低不良反应发生率,值得临床推广。Abstract: Objective To explore the application of drug identification in the management of leukemia patients undergoing chemotherapy. Methods A total of 41 nursing staff working in the hematology department of Hangzhou Dingqiao hospital from June 2016 to June 2017 were selected as research objects, including 18 nursing staff from June 2016 to December 2016 as the control group and 23 nursing staff from January 2017 to June 2017 as the observation group. In the control group, drug identification was not implemented, while in the observation group drug identification was managed. The work efficiency of nurses, incidence of adverse reactions and patient satisfaction were compared between the two groups. Results The rate of error event for medicine was 3.55% and the drug configuration time (9.26±2.17) min in the observation group, 19.72% and (18.95±3.56) s in the control group, respectively. The rate of error event for medicine and drug configuration time in the observation group was significantly lower than those in the control group (P<0.05); Three cases in the observation group were with adverse reactions (phlebitis, oral ulcer, nausea and vomiting) with an incidence of 5.26%; 10 cases were with the adverse reactions in the control group, with an incidence of 24.39%; the incidence of adverse reactions in the observation group was significantly lower than that in the control group (P<0.05); The patients satisfaction of the observation group was 92.98%, and that of the control group was 73.17%, the satisfaction of observation group was significantly higher than that of control group (P<0.05). Conclusion Drug identification can significantly improve the working efficiency of nursing staff, improve patient satisfaction and reduce the incidence of adverse reactions, and it is worthy of clinical promotion.
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Key words:
- Drug identification /
- Leukemia /
- Chemotherapy /
- High-risk drug
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