老年患者静脉输液拔针后按压知识的调查分析  

Investigation and analysis on the knowledge of pressing after the withdrawal of nee-dles with intravenous transfusion in elderly patients

作　　者：张兰[1] 王莎莎[1] 张维珍[1] 李玲[1] 

机构地区：[1]解放军97医院,221004

出　　处：《国际护理学杂志》2015年第22期3055-3058,共4页international journal of nursing

摘　　要：目的：调查老年患者静脉输液拔针后按压相关知识的掌握及应用情况。方法通过自行设计的调查表对患者一般情况、拔针后青紫情况、按压知识的掌握情况、3 min和5 min计数的数值4个模块进行调查。结果调查对象为平均年龄83.3±5.45的高龄患者，有47.5%发生过拔针后青紫现象，按压时间知晓5 min以上患者占比40%、知晓3 min以上的患者占比52.5%。3 min和5 min数数的数值分别为244±66个、400±105个。结论老年患者对静脉输液拔针后按压时间及方法掌握不理想，按压时间不足及方法不正确是静脉输液拔针后青紫现象发生的主要原因，建议明确按压标准并将相关知识宣教列入静脉输液考核标准，同时要求实施方法量化、趣味易接受。Objective To investigate the mastering degree and the application of the relevant knowledge of pressing after the withdrawal of needles with intravenous transfusion in elderly patients. Methods The general condi- tion, cyanosis situation after pulling out the needles, mastering of knowledge of pressing, data based on 3 min and 5 min were investigated by a self-designed questionnaire. Results The survey was conducted among the elderly patients with the average aged （83. 3±5. 45）, the cyanosis phenomenon after pulling needles were found accounting for 47. 5%, the pressing time more than 5 min were known by patients accounting for 40%, the pressing time more than 3 min were known by patients accounting for 52. 5%. The numeral values of 3 min and 5 min were （244±66） and （400±105） . Conclusion The time and the way of pressing after the withdrawal of needles from the venous transfusion are not well mastered by the elderly patients. The inadequate time and wrong way of pressing are the main causes of the cyanosis phe- nomenon after needles being pulled out. It is strongly recommend that the criteria of pressing should be definitely set up and listed as part of the testing criteria. At the same time, the methods should be measurable, funny and easily accepta- ble.

关 键 词：老年患者 静脉输液 按压时间与方法 

分 类 号：R472.9[医药卫生—护理学]