门诊输液不良反应的原因分析与护理干预对策  

Analysis of causes of adverse reactions in outpatients and nursing intervention strategies

作　　者：叶仲欢 刘冬玲[1] 李欢婷 YE Zhong-huan;LIU Dong-ling;LI Huan-ting

机构地区：[1]广东省江门市新会区人民医院输液中心,江门市529100

出　　处：《护理实践与研究》2019年第3期149-151,共3页Nursing Practice and Research

摘　　要：目的探讨门诊输液过程中发生不良反应的原因,总结护理干预对策。方法选取我院2017年1月至2018年1月门诊68例静脉输液患者临床资料,其中发生输液不良反应患者11例作为研究组,未发生输液不良反应患者57例作为对照组,对两组患者一般资料及输液药物种类进行总结,归纳比较发生不良反应的原因、药物种类及护理干预对策。结果 68例门诊输液患者中有11例发生输液不良反应,经单因素logistic回归分析发现,年龄、合并基础性疾病、输液速度为影响门诊输液不良反应的相关性因素;经多因素logistic回归分析发现,年龄、合并基础疾病、输液速度快以及输注头孢菌素类或喹诺酮类药物为影响门诊输液不良反应的独立性因素;分析不良反应药物分布发现,头孢菌素类45. 45%、喹诺酮类27. 28%为主要药物。结论老人以及合并其他疾病患者门诊输液时,应加强巡视,增强护理人员责任心和职业素养,以防输液不良反应发生。Objective To explore the causes of adverse reactions during the infusion of the outpatients,and to summarize the countermeasures for nursing intervention.Methods The clinical data of 68 patients with intravenous infusion in our hospital from January 2017 to January 2018 were selected.Among them,11 patients with infusion adverse reactions were selected as the study group,and 57 patients without infusion adverse reactions were selected as the control group.The general information of patients and the types of infusion drugs were summarized.The causes of adverse reactions,types of drugs and nursing interventions were summarized.Results Regarding the 68 outpatient infusion patients,a total of 11 patients had infusion adverse reactions.Single factor logistic regression analysis found that age,combined underlying disease and infusion speed were related factors affecting adverse reactions in outpatients.Multivariate logistic regression analysis found that age,combined underlying disease,fast infusion,and infusion of cephalosporins or quinolones were independent factors affecting adverse reactions in outpatients.Analysis of the distribution of adverse drug reactions found that 45.45%of cephalosporins and 27.28%of quinolones were the main drugs.Conclusion Elderly patients and patients with other diseases should be inspected closely in the outpatient infusion patients.Meanwhile,the responsibility and professionalism of nursing staff shall be enhanced to prevent adverse reactions of infusion among patients.

关 键 词：门诊输液 不良反应 药物相关性 护理干预 

分 类 号：R472[医药卫生—护理学]