基于信息化构建的静脉安全用药护理在输液室管理中应用的效果研究

吴晓惠; 沈国娣

doi:10.16766/j.cnki.issn.1674-4152.001847

基于信息化构建的静脉安全用药护理在输液室管理中应用的效果研究

doi: 10.16766/j.cnki.issn.1674-4152.001847

吴晓惠¹,
沈国娣^2, ,

1.
湖州市中心医院，湖州师范学院附属中心医院输液室，浙江湖州 313000
2.
湖州市中心医院，湖州师范学院附属中心医院护理部，浙江湖州 313000

基金项目:

浙江省医药卫生科技计划项目 2020KY934

详细信息

通讯作者:
沈国娣, E-mail: dxf5743@163.com

中图分类号: R452 R473
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- 文章访问数: 176
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- 被引次数: 0
出版历程
- 收稿日期: 2020-10-26
- 网络出版日期: 2022-02-19

Study on the application effect of intravenous safe medication nursing based on information construction in infusion room management

WU Xiao-hui¹,
SHEN Guo-di^{2
, ,}

1.
Infusion Room, Huzhou Central Hospital, Affiliated Central Hospital Huzhou University, Huzhou, Zhejiang 313000, China

摘要

摘要: 目的针对输液室管理的护理需求特点进行分析, 提出临床护理工作所实用的可靠对策, 分析基于信息化构建的静脉安全用药护理对输液室患者护理质量的影响。方法自2019年5月起在湖州市中心医院输液室全面实行基于信息化构建的静脉安全用药管理模式(以下简称信息化管理)，采用随机数字表法选取2018年5月—2019年2月湖州市中心医院输液室收治的276例患者为对照组(常规管理模式)，选取2019年5月—2020年2月输液室收治的298例患者为观察组(信息化管理模式)。比较2组患者各项护理用时、静脉输液相关并发症发生率及护理满意度。结果观察组患者平均换药间隔时间及药物提前配置时间均短于对照组，输液期间巡视次数少于对照组(均P < 0.05)；观察组患者静脉输液相关并发症发生率为5.4%(16/298)，低于对照组[10.1%(28/276)，P < 0.05]；观察组护理满意度为94.0%(280/298)，高于对照组[87.3%(241/276)，P < 0.05]。结论基于信息化构建的静脉安全用药护理可缩短输液室管理各项护理用时，提高护理质量及护理满意度，减少静脉输液相关并发症的发生。
- 信息化 /
- 静脉 /
- 安全用药 /
- 输液室 /
- 管理模式
Abstract: Objective According to the characteristics of nursing needs of infusion room management, this paper puts forward reliable countermeasures which can be used for clinical nursing work, and analyzes the application effect of intravenous safe drug nursing based on information construction on nursing quality of patients in infusion room. Methods Since May 2019, the intravenous medication safety management mode based on information construction (hereinafter referred to as information management) had been fully implemented in the Infusion Room of Huzhou Central Hospital. Total 276 patients admitted to the Infusion Room from May 2018 to February 2019 were selected as the control group (conventional management mode) by random number table method, other 298 patients in Infusion Room from May 2019 to February 2020 were selected as the observation group (information management mode). The nursing time, incidence of complications related to intravenous infusion and nursing satisfaction were compared between the two groups. Results Average interval of dressing change and pre-configuration time of drugs in observation group were shorter than those in control group, and the number of visits during infusion was less than that in control group (P < 0.05). The incidence of complications related to intravenous infusion in the observation group was 5.4% (16/298), lower than that in the control group was 10.1% (28/276), P < 0.05. Nursing satisfaction in the observation group was 94.0% (280/298), higher than 87.3% (241/276) in the control group (P < 0.05). Conclusion Intravenous safe medication nursing based on information construction can shorten the nursing time of infusion room management, improve nursing quality and nursing satisfaction, reduce the occurrence of complications related to intravenous infusion, and is worthy of clinical application.
- Informationization /
- Vein /
- Safe use of medicines /
- Infusion room /
- Management mode

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表 1 2组静脉输液患者护理用时比较(x±s)

组别	例数	平均换药间隔时间(min)	药物提前配置时间(min)	输液期间巡视次数(次)
对照组	276	4.22±1.53	21.67±5.33	2.39±1.04
观察组	298	2.07±0.87	15.42±4.51	1.08±0.54
t值		20.886	15.202	19.137
P值		＜0.001	＜0.001	＜0.001

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表 2 2组静脉输液患者静脉输液相关并发症发生率[例(%)]

组别	例数	静脉炎	药物渗漏	导管堵塞	总发生
对照组	276	10(3.6)	12(4.3)	6(2.2)	28(10.1)
观察组	298	5(1.7)	5(1.7)	6(2.0)	16(5.4)
注：2组并发症总发生率比较，χ²=4.617，P=0.032。

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表 3 2组静脉输液患者护理满意度比较[例(%)]

组别	例数	非常满意	满意	一般	不满意	护理满意度
对照组	276	157(56.9)	84(30.4)	22(8.0)	13(4.7)	241(87.3)
观察组	298	208(69.8)	72(24.2)	10(3.4)	8(2.6)	280(94.0)
注：2组护理满意度比较，χ²=7.540，P=0.006。

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