广州市三甲医院静脉输液工具使用现状调查及分析  

Investigation and analysis of the status of using intravenous transfusion instrument in grade three hospitals of Guangzhou

作　　者：梁熙德[1] 陈文利[1] 

机构地区：[1]广州医科大学附属第一医院,510120

出　　处：《中国实用护理杂志》2014年第19期41-43,共3页Chinese Journal of Practical Nursing

摘　　要：目的了解广州市三甲医院应用静脉输液工具情况，推广留置针的使用。方法采用问卷调查法，于2012年10月10～11日，调查12家三甲医院在24h内静脉输液工具的应用情况，收集数据作统计学分析。所有参与调查的人员均经过培训，以保证资料收集的准确性。结果需要接受静脉治疗的9732人中，选择头皮针静脉治疗共3866人，选择留置针静脉治疗共4195例，将静脉治疗的所有患者分为〈19岁组，19～70岁组和〉70岁组，结果发现〈19岁组和〉70岁组的患者留置针的使用率均高于头皮针，19．70岁组的患者头皮针的使用率高于留置针，各年龄段静脉输液工具使用情况分布比较，差异有统计学意义。结论19～70岁的患者，分别处于青壮年期、中年期、老年期，患者的依从性较19岁以下的患者差，认为留置针会影响日常活动以及个人形象，担心留置期间会感染，所以没有主动要求使用留置针，当外周静脉情况很差时才要求使用留置针。护士的健康宣教形式缺乏，未能让患者主动选择留置针。Objective To comprehend the application of intravenous transfusion instrument in grade three hospitals of GuangZhou, and promote the use of trochar. Methods Using the questionnaire survey, we investigated the application of intravenous transfusion instrument in 12 grade three hospitals within 24 hours on October 10th to 11th in 2012, and then collected all data for analysis. All personnel participated in the investigation were given training to ensure the accuracy of the data collection. Results 9 732 patients needed to receive intravenous therapy, among whom 3 866 patients chose scalp acupuncture and 4 195 patients chose vein detained needle. We divided all the patients who had scalp needle and vein detained needle by age. The utilization of vein detained needle was higher than scalp acupuncture in the patients of 〈19 years old and 〉70 years old, but the utilization of scalp acupuncture was higher than vein detained needle in the patients of 19-70 years old. The difference of choosing intravenous transfusion instrument among different age groups had statistical significance. Conclusions Patients of 19-70 years old are in young and maturity phase, middle age, old age. The compliance of them is lower than other patients. They think the vein detained needle influence their daily activities and individual image, and also worry about infection. So they do not actively use vein detained needle, except when having poor situation in peripheral venous. Nurses are lack of health education, and fail to allow patients actively choose vein detained needle.

关 键 词：静脉输液 穿刺工具 留置针 头皮针 现状 

分 类 号：R472[医药卫生—护理学]