儿科护士静脉输液治疗知识掌握情况的调查研究  

Investigation on the knowledge of pediatric nurses about intravenous infusion therapy

作　　者：吴旭红[1] 段明霞 王璐[3] 郭宇[4] 王建丽 梁新[6] 戴谦[7] 曹钰 张琳琪[1] Wu Xuhong;Duan Mingxia;Wang Lu;Guo Yu;Wang Jianli;Liang Xin;Dai Qian;Cao Yu;Zhang Linqi(Department of Nursing,National Center for Children's Health,China,Beijing Children's Hospital,Capital Medical University,Beijing 100045,China;Department of Hematology&Oncology,Anhui Provincial Children's Hospital,Hefei 230051,China;Department of Neonatal Surgery,Xi'an Children's Hospital,Xi'an 710003,China;Department of Pediatric Health,Gansu Provincial Maternity and Child-care Hospital,Lanzhou 730050,China;Department of Nursing,Henan Children's Hospital,Zhengzhou 450000,China;Department of Outpatient,Children's Hospital of Shanxi,Taiyuan 030013,China;Department of Hematology&Oncology,Nanjing Children's Hospital,Nanjing 210008,China;Gynecological Oncology Ward,Guiyang Children's Hospital,Guiyang 550003,China)

机构地区：[1]国家儿童医学中心,首都医科大学附属北京儿童医院护理部,100045 [2]安徽省儿童医院血液肿瘤科,合肥230051 [3]西安市儿童医院新生儿外科,710003 [4]甘肃省妇幼保健院儿童保健部,兰州730050 [5]河南省儿童医院护理部,郑州450000 [6]山西省儿童医院门诊部,太原030013 [7]南京市儿童医院血液肿瘤科,210008 [8]贵阳市儿童医院妇科肿瘤病房,550003

出　　处：《中华现代护理杂志》2020年第1期26-31,共6页Chinese Journal of Modern Nursing

基　　金：福棠儿童医学发展研究中心护理专业委员会静脉输液治疗专业协作组项目。

摘　　要：目的调查儿科护士对静脉输液治疗相关知识掌握情况,从而发现问题,为管理者进行针对性的培训提供参考依据。方法本研究为多中心横断面调查,2018年7月24—31日,采用方便抽样的方法,选择北京儿童医院医联体范围内43家医院当日在岗的护士进行调查。本研究应用自制问卷,调查形式为通过问卷星进行线上数据收集。问卷由4名资深的静脉输液治疗专家基于2016版《静脉输液治疗指南》以及原国家卫生和计划生育委员会2014年发布的《静脉治疗护理技术操作规范》制定,问卷内容主要包括三部分,第一部分是调查对象以及调查医院的基本信息;第二部分为调查对象对国内静脉输液治疗行业标准及INS指南相关知识的掌握情况;第三部分为调查对象静脉输液治疗操作与维护知识掌握情况及所在科室静脉输液治疗现状。采用SPSS 17.0软件进行统计学分析。结果本研究共调查8405名儿科护士,其静脉输液治疗相关知识平均分为(11.72±2.41)分,及格率54.8%。调查显示,护士对需要根据药物性质选择输液工具及穿刺部位、静脉治疗操作前应进行患儿和治疗方案的评估、外周静脉留置针封管方法及遇到阻力或抽吸无回血时的处理方式掌握较好。单因素分析结果显示,医院级别、医院是否有配液中心及静脉输液治疗小组,护士学历、职称、工作年限、职务、是否带教均会影响护士对静脉输液治疗知识的掌握情况(P<0.05)。多因素Logistic回归分析结果显示,医院是否有配液中心及静脉输液治疗小组,护士学历、职称、工作年限、职务、是否带教是护士静脉输液治疗知识掌握情况的主要影响因素(P<0.05)。结论儿科护士对静脉输液治疗相关知识掌握不足,需要对其加强静脉输液治疗基础知识的培训,特别是输液工具的正确运用、穿刺部位的合理选择以及导管维护相关知识的培训。Objective To explore the knowledge of pediatric nurses about intravenous infusion therapy,find the problems,and provide a reference for managers to provide targeted training.Methods In this multicenter cross-sectional study,the nurses on duty were selected from 43 hospitals under the medical alliance of Beijing Children's Hospital by convenient sampling from July 24th to 31st,2018.The self-made questionnaires were used in this study,and data were collected online through wjx.cn.The questionnaires were developed by 4 veteran venous infusion therapists according to the Infusion Therapy Standards of Practice(2016)as well as the Technical Standards for Intravenous Therapy Nursing Issued by the National Health Commission of the People's Republic of China in 2014.The questionnaire mainly included three parts.Part I was the basic information of the respondent subjects and hospitals;Part II was the knowledge of the subjects about domestic standards for infusion therapy and Infusion Therapy Standards of Practice;and Part III the knowledge of the subjects about infusion therapy operations and maintenance as well as the current status of infusion therapy in their departments.SPSS 17.0 was used for statistical analysis.Results A total of 8405 pediatric nurses were investigated in this study.The average knowledge of infusion therapy was(11.72±2.41),and the pass rate was 54.8%.The survey showed that nurses performed well in selecting infusion tools and puncture sites according to the nature of the drug,evaluating the patient and treatment plan before infusion therapy,the sealing method of peripheral vein indwelling needles,and treatment methods when resistance was encountered or no blood was returned in suction.The univariate analysis revealed that the level of the hospital,whether the hospital had a dosing center and an infusion therapy group,the nurse's education,job title,working years,position,and whether to teach young nurses were the main influencing factors to nurses'knowledge about infusion therapy(P<0.05).The results

关 键 词：护士 儿科 静脉输液治疗 知识 调查研究 

分 类 号：R47[医药卫生—护理学]