医护协同模式对急诊患者静脉输液效果的影响  

Effect of collaborative care models on the intravenous infusion of emergency patients

作　　者：胡丽娟 

机构地区：[1]杭州市老年病医院急诊室,310022

出　　处：《中华现代护理杂志》2014年第32期4098-4101,共4页Chinese Journal of Modern Nursing

摘　　要：目的：研究医护协同模式对急诊患者静脉输液效果的影响，以期为静脉输液的工作模式提供一定的参考。方法选取2012年1月—2013年9月急诊行静脉输液治疗患者528例，根据其是否应用医护协同模式分为试验组（n＝264）和对照组（n＝264）。对照组应用标准化输液流程及护理等工作模式，试验组在此基础上应用医护协同护理模式。比较两组患者输液方式、输液并发症、对静脉输液工作的满意度。结果试验组普通输液针占14．39％，对照组占24．24％；试验组经外周中心静脉置管占18．93％，对照组占8．33％，两组比较差异有统计学意义（χ2值分别为3．068，4．161；P＜0．05）。试验组输注液体外渗发生率为4．55％，药物不良反应为2．65％，均低于对照组的16．67％，10．98％，差异有统计学意义（χ2值分别为4．349，2．971；P ＜0．05）。患者满意度从（89．35±5．49）分提高至（97．47±6．43）分，差异有统计学意义（t＝8．441，P＜0．05）。结论应用医护协同模式可提高静脉输液的安全性、减少并发症，并可加强医护交流，促进临床工作满意度的提升。Objective To study the effect of health care collaborative mode on intravenous infusion of emergency patients in order to provide a reference for intravenous infusion mode.Methods Between January 2012 and September 2013, 528 cases of patients admitted to hospital for intravenous infusion therapy, depending on whether the application of health care collaborative model were divided into experiment group （n=264） and control group （n=264）.Control group adopted the process and standardization of infusion nursing work mode, experiment group received collaborative care model of health care on its basis.Then, observed and compared the way of infusion, transfusion complications, satisfaction of two groups.Results The rate of ordinary infusion needle, peripherally inserted central venous catheter in experiment group respectively was 14.39%and 18.93%, and that in control group was 24.24%and 50.83%,respectively.In experiment group, the incidence of infusion fluid extravasation （4.55%vs 16.67%）, adverse drug reactions （2.65% vs 10.98%） were respectively lower than that in control group （χ2 =4.349,2.971, respectively;P〈0.05）.Patients satisfaction were significantly increased from （89.35 ±5.49） to （97.47 ±6.43） （t =8.441,P〈0.05）.Conclusions Collaborative care model can improve the safety of intravenous infusion, reduce complications, strengthen the health care exchanges, and promote the upgrading of clinical job satisfaction.

关 键 词：输注 静脉内 急诊处理 医护协同模式 

分 类 号：R472[医药卫生—护理学]