全国部分三甲医院162个肿瘤科静脉治疗护理现状的调查分析  

Current investigation analysis of intravenous infusion therapy and nursing among 162 Oncology Department in part of Chinese grade A tertiary hospitals

作　　者：马婷[1] 

机构地区：[1]中国医科大学附属第一医院核医学科,沈阳110001

出　　处：《中华现代护理杂志》2015年第17期2041-2044,共4页Chinese Journal of Modern Nursing

摘　　要：目的：调查全国部分三甲医院肿瘤科静脉治疗护理现状。方法采用中华护理学会静脉治疗护理专业委员会设计的《全国三甲医院静脉治疗护理现状调查问卷》,于2013年3月便利抽取全国27个省市147家医院162个肿瘤科进行问卷调查。结果162个肿瘤科均开展了PICC技术。87家医院（占59.2%）建立了静脉药物配置中心（PIVAS）,但在PIVAS配制静脉药物、抗肿瘤药物、肠外营养液的科室仅分别占34.0%,37.7%和33.3%。分别有9.3%和71.0%的肿瘤科仍用头皮针、静脉留置针来输注腐蚀性药物,分别有15.4%和79.0%的肿瘤科仍用头皮针、静脉留置针来输注高渗性药物。52个肿瘤科（占32.1%）中能独立完成PICC技术操作的护士数多于经过PICC专科培训并考核合格的护士数,15个科室（占9.3%）中能独立完成PICC技术操作的护士数少于经过PICC专科培训并考核合格的护士数。结论肿瘤科静脉治疗护理专业得到了飞速发展,但仍暴露出一些不足：静脉药物配制环境亟待提高,静脉穿刺工具的选择不够合理,PICC专科队伍素质有待提高等。Objective To investigate the status of intravenous infusion therapy in oncology departments in Grade A tertiary hospitals in China. Methods The questionnaire of nursing status of intravenous infusion in national grade A tertiary hospital, which made by Chinese Nursing Association was conducted in 162 Oncology Departments 147 hospitals 27 provinces in March 2013 by convenient sampling method. Results All the oncology departments investigated had applied the technique of peripherally inserted central catheter （PICC）. Pharmacy Intravenous Admixture Services （ PIVAS） was built in 87 hospitals, accounting for 59. 2% of the hospitals investigated. However, intravenous drugs, antineoplastic drugs and parenteral nutrition were prepared in PIVAS only in 34. 0%, 37. 7% and 33. 3% of oncology departments. 9. 3% and 71. 0% oncology department used steel winged needle and venous indwelling needle to infuse corrosive drugs, and 15. 4% and 79. 0% department used steel winged needle and venous indwelling needle for hyperosmolar drugs. There were the number of PICC placement nurses higher than trained nurses in 56 （32. 1%） of oncology departments, and there were more trained nurses than PICC placement nurses in 15 （ 9. 3%） of oncology departments. Conclusions Infusion therapy has been developed rapidly in recent years, but there are still some problems, for example, the environment of infusion drug mixture should be safer, the selection of infusion catheters should be more reasonable, and the quality of PICC nurses needs improving.

关 键 词：肿瘤科 医院 护理管理研究 静脉治疗 配制环境 穿刺工具 专科队伍 

分 类 号：R473.73[医药卫生—护理学]