主动输液实践模式在呼吸内科危重患者治疗中的应用  

Application of active transfusion practice mode among critically ill patients in respiratory department

作　　者：张志敏 彭瑞敏 李盼盼 黄叶莉[2] 

机构地区：[1]海军总医院呼吸内科,北京市100048 [2]海军总医院护理部,北京市10004

出　　处：《护理管理杂志》2013年第12期856-857,879,共3页Journal of Nursing Administration

摘　　要：目的探讨主动输液实践模式对呼吸内科危重患者输液安全及并发症的影响。方法选取2010年3月至2012年10月我院呼吸内科收住的危重患者240例为研究对象,按入院时间先后分为对照组和实验组各120例,分别实施传统输液模式和主动输液实践模式,比较两组患者静脉输液方式、人均穿刺数、输液费用、静脉炎和药物外渗的发生情况及患者满意度。结果实验组患者较对照组输液方式更多的选择了中心静脉置管,人均穿刺数和输液费用较对照组减少,静脉炎和药物外渗的发生率较对照组降低,患者满意度较对照组高,差异均具有统计学意义(P<0.01或P<0.05)。结论实施主动输液实践模式能够保证呼吸内科危重患者用药安全,预防输液并发症、减轻患者痛苦,值得临床推广。Objective To explore the influence of active transfusion practice mode in critically ill patients＇safety and complications in respiratory depart- ment. Methods Totally,240 critically ill patients were selected from March 2010 to October 2012, and were chronologically divided into control group and ex- perimental group with 120 cases in each group. They were treated with the traditional infusion mode or active transfusion practice mode. The transfusion patterns, average puncture times, transfusion fees, patient satisfaction, the incidence of phlebitis and extravasation of infusion were compred between the two groups. Results The experimental group was likely to choose deep vein catheterization, the average puncture times and transfusion fees, the incidence of phlebitis and in- fusion extravasation in the experimental group were lower than that of the control group significantly, the patients＇satisfaction in the experimental group was higher （ P 〈 0.01 or P 〈 0.05 ） . Conclusion The implementation of active transfusion practice mode can ensure the medication safety for critically ill patients, prevent from transfusion complications and alleviate the suffering of patients, thus is worthy of spreading.

关 键 词：主动输液实践模式 输液方式 并发症 危重患者 

分 类 号：R473.5[医药卫生—护理学] C931.2[医药卫生—临床医学]