院前急救中留置针使用的满意度调查分析  

Satisfaction of Patients and Medical Staff's Satisfaction with Venous Indwelling Needle the Catheter in Pre-hospital Emergencies

作　　者：何顶秀[1] 龙小兰[2] 黄楷森[2] 陈忠毅[1] 刘晓琴[1] 杨南岚[1] 邓艳华[1] 张丽华[3] 

机构地区：[1]德阳市人民医院急诊科,四川德阳618000 [2]德阳市人民医院心内科,四川德阳618000 [3]德阳市人民医院护理部,四川德阳618000

出　　处：《华西医学》2013年第5期774-776,共3页West China Medical Journal

摘　　要：目的调查在院前急救中医患双方对留置针使用的满意度,并就留置针在急救中应用的合理性进行研究。方法将我院急诊科2011年6月-8月院前急救的患者,按出诊顺序分为两组,观察组患者使用留置针穿刺建立静脉通道,对照组则采用一次性静脉输液针,并调查患者或亲属、穿刺操作护士就两种穿刺方法的满意度。结果观察组留置针一次穿刺成功者达198例(94.29%),对照组一次穿刺成功者为206例(88.79%),两组比较差异有统计学意义(P<0.05);护士对留置针使用满意度明显高于一次性静脉输液针;患者及家属对留置针在保持静脉通道通畅、输液肢体舒适的满意度较一次性静脉输液针高。结论静脉留置针在院前急救中能提高医患双方的满意度,值得推广使用。Objective To evaluate satisfaction of patients and medical staff with venous indwelling needle in pre- hospital emergencies, and research on the rationality of its application in emergency cases. Methods All qualified pre- hospital patients from June to August 2011 were randomly divided into two groups by the time order. Patients in the observation group used indwelling needle, while those in the control group received traditional needle. Trained researchers used homemade questionnaire to survey the satisfaction of patients and operating nurses. Results Repeated puncture and leakage rate in the observation group was lower （P=0.001, 0.002）. Medical staff＇s satisfaction on the indwelling needle was significantly higher than the on the traditional one. The patients in the observation group had higher satisfaction to maintain intravenous access, and the infusion limb was more comfortable （P 〈 0.01）. A total of 92.5% of the patients in the observation group accepted the costs. Conclusion The venous indwelling needle in pre-hospital care can improve the satisfaction of patients and medical staff, and it is worth using in the pre-hospital care.

关 键 词：留置针 院前急救 满意度 

分 类 号：R472[医药卫生—护理学]