不同病室更换液体液面高度尺的设计与应用  

Design and application of the level scale of IV solution replacement in different departments

作　　者：毕娜[1] 王建荣[2] 

机构地区：[1]解放军第三○九医院神经外科,北京100091 [2]解放军总医院护理部,北京100853

出　　处：《中华现代护理杂志》2013年第2期210-213,共4页Chinese Journal of Modern Nursing

基　　金：军队“十一五”面上课题（06MA051）

摘　　要：目的设计不同病室更换液体液面高度尺并评价其应用效果。方法2011年11月将神经科病房收治每日输液4瓶以上的60例患者随机分为两组。对照组采用常规护理，观察组使用自行设计的“不同病室更换液体液面高度尺”，分别在每次更换液体时记录液面位置、患者呼叫情况，观察时间为14d。在患者进入本项研究后14d，现场发放住院患者静脉输液满意度调查表，评价患者静脉输液满意度。结果两组患者共更换液体2992例次，其中观察组1524例次，对照组1468例次。观察组患者更换液体时液面位置过高、最佳、过低比率分别为8．20％，80．12％和11．68％；对照组分别为19．21％，39．10％和41．69％，两组比较，差异有统计学意义（χ2=531．33，P=0．00）；观察组患者呼叫发生率（42．52％）明显低于对照组的（57．22％），两组比较差异有统计学意义（χ2=54．12，P=0．00）。两组患者对静脉输液巡视满意度评分分别为：观察组（28．00±0．67）分，对照组为（24．85±1．16）分，两组比较，差异有统计学意义（t=10．52，P〈0．05）。结论应用《不同病室更换液体液面高度尺》可以减少液体更换过程中的护理缺陷，并为临床护理管理提供客观、有效、可行的评价标准。Objective To design and apply of the level scale of IV solution change in different departments. Methods Totals of 60 patients who received at least 4 solutions each day were randomly divided into 2 groups. The observation group was guided to use the scales of solution change, while the control group was not received guide. The time for solution change was checked by the level of solution in IV infusion equipment, the rate of patients＇ call and the patients ＇ satisfaction scores were recorded. Results There were 2 992 times solution change in total, 1 524 times in observation group and 1 468 times in control group. The difference in the liquid level of solution change between observation group and control group such as liquid level too high （ 8.20% vs 19.21% ）, optimum of liquid level （ 80.12% vs 39.10% ）, liquid level too high （ 11.68% vs 41.69% ） was statistically significant （ χ2 = 531.33, P = 0.00 ）, and the occurrence of patient call in the observation groups was 42.52% , and 57.22% in the control group （χ2 =54.12 ,P = 0.00）. The patients satisfaction scores in the test group and the control group respectively were （28.00 ± 0.67 ） and （24.85 ± 1.16）, and the difference was statistically significant （ t = 10.52, P = 0.00 ）. Conclusions Using the level scales of solution change in continuous IV infusion can enhance the cooperation between nurses and patients, guarantee the nursing safety, and provide the objective, effective, and feasible evaluation standards for the clinic.

关 键 词：连续静脉输液 更换液体 护理满意度 

分 类 号：R472[医药卫生—护理学]