临床护士对于外周静脉短导管更换依据的质性研究  

Basis of the replacement of short peripheral intravenous catheters for clinical nurses:a qualitative study

作　　者：姜桐桐 孙莉[1] 史铁英[1] 李艳娇[1] 蒋波[2] 王梓芳 刘领君[2] 李敏[3] 纪代红[4] 刘春娥[5] Jiang Tongtong;Sun Li;Shi Tieying;Li Yanjiao;Jiang Bo;Wang Zifang;Liu Lingjun;Li Min;Ji Daihong;Liu Chun′e(Nursing Department,the First Affiliated Hospital of Dalian Medical University,Dalian 116011,China;Nursing Department of Dalian Friendship Hospital,Dalian 116010,China;Nursing Department,the Second Affiliated Hospital of Dalian Medical University,Dalian 116021,China;Nursing Department,Zhongshan Hospital Affiliated to Dalian University,Dalian 116001,China;Nursing Department,Xinhua Hospital Affiliated to Dalian University,Dalian 116021,China)

机构地区：[1]大连医科大学附属第一医院护理部,116011 [2]大连市友谊医院护理部,116100 [3]大连医科大学附属第二医院护理部,116021 [4]大连大学附属中山医院护理部,116001 [5]大连大学附属新华医院护理部,116021

出　　处：《中国实用护理杂志》2019年第33期2594-2597,共4页Chinese Journal of Practical Nursing

基　　金：2017年辽宁省自然科学基金指导计划课题(20170540268);2018年辽宁省自然科学基金立项课题(20180550608)。

摘　　要：目的了解临床护士对于外周静脉短导管更换依据的现状及其影响因素,探索最新指南在实践中遇到的主要问题.方法采用质性研究方法,利用半结构式访谈法对11名临床护士进行深入访谈,并运用类属分析法对访谈资料进行分析.结果临床护士现阶段虽大部分采用国家行业标准的要求进行实际操作,但更倾向于依据临床指征进行导管更换;最新版指南与国家行业标准的差异是其在我国实践中遇到的主要问题.结论根据临床指征更换外周静脉短导管更加满足临床实际情况.进一步完善我国静脉治疗标准已经成为解决临床护士工作矛盾,改善患者就医体验,节约医疗资源的根本举措.Objective To investigate the current status and influencing factors of basis of the replacement of short peripheral intravenous catheters for clinical nurses and explore the obstruction of the latest guide promoted in practice.Methods The qualitative research method was adopted,and semistructured interviews were used to interview 11 clinical nurses.Data were analyzed by the method of category analysis.Results Although the clinical nurses mainly used the national standards to do practical operation,they preferred to carry out catheter replacement according to clinical indications.The difference between the latest guide and the national standards was the main obstruction in the practical promotion of the latest guide.Conclusions The removal of short peripheral intravenous catheters according to clinical indications is more suitable for clinical practice.Further improving the standards of intravenous therapy in China has become a fundamental measure to solve the contradictions of work of clinical nurses,improve patients′medical experience and save medical resources.

关 键 词：外周静脉短导管 时间 更换依据 定性研究 

分 类 号：R47[医药卫生—护理学]