规范化静疗培训在静脉输液护士团队中的应用价值分析  

Application value analysis of standardized intravenous therapy training in the team of intravenous infusion nurses

作　　者：刘妍[1] 蒋小丽[2] 杨梅[1] 陈莉芬[2] 周雪梅[2] Liu Yan;Jiang Xiaoli;Yang Mei;Chen Lifen;Zhou Xuemei

机构地区：[1]深圳市第二人民医院,广东深圳518035 [2]广州中山大学附属第一医院,广东广州510080

出　　处：《中医临床研究》2020年第3期136-138,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨规范化静疗培训在静脉输液护士团队中的应用价值,为临床静脉输液提供依据。方法:以深圳市第二人民医院及广州中山大学附属第一医院2017年6月-2018年7月56名护士为研究对象,建立静脉输液团队,参考文献及我科实际情况,设定培训内容及方法,对这些护士进行规范化静疗培训,同时以这些护士培训前后静脉穿刺的456例患者分别为对照组和观察组;使用深圳市第二人民医院及广州中山大学附属第一医院自制调查问卷调查并对比分析培训前后护士静脉输液相关理论知识水平、操作能力及患者并发症发生率。结果:培训后6个月,静脉输液相关理论知识水平在并发症识别与处理(18.97±1.20)分、血管解剖(17.31±1.35)分、病理生理知识(18.24±1.45)分方面明显好于培训前(16.13±1.25)分,(13.26±1.42)分,(12.36±1.52)分(P<0.05)。培训后6个月,操作技能在静脉穿刺技术(97.35±2.04分)、外周留置针穿刺技术(96.73±2.18分)、PICC穿刺技术(95.18±2.14分)方面明显好于培训前(81.23±2.15)分,(79.44±2.32)分,(80.36±2.28)分(P<0.05)。培训后1年,患者在穿刺部位红肿3.29%(15/456)、穿刺部位渗液2.63%(12/456)、静脉炎3.95%(18/456)、配伍反应1.97%(9/456)方面并发症发生率明显较培训前9.43%(43/456),9.87%(45/456),9.65%(44/456),8.33%(38/456)降低(P<0.05)。结论:规范化静疗培训能够明显提高静脉输液护士团队相关理论知识水平、操作能力,并降低患者并发症发生率,值得在临床进一步推广应用。Objective:To explore the application value of standardized intravenous therapy training in the team of intravenous infusion nurses,and to provide basis for clinical intravenous infusion.Methods:56 nurses in our hospital from June 2017 to July 2018 were selected as research subjects,the intravenous infusion team was established,references and the actual situation of our department were collected,training contents and methods were set,and standardized intravenous therapy training was conducted for these nurses.At the same time,456 patients who received intravenous puncture before and after these nurses'training were used as the control group and the observation group respectively.A questionnaire designed by our hospital was used to investigate and compare the theoretical knowledge level,operation ability and complication rate of nurses before and after the training.Results:6 months after the training,the theoretical knowledge level of intravenous infusion was significantly better than that before the training(16.13±1.25),(13.26±1.42),(12.36±1.52)in the aspects of complication identification and treatment(18.97±1.20),vascular anatomy(17.31±1.35)and pathophysiological knowledge(18.2±1.45)(P<0.05).Six months after the training,the operating skills were significantly better than those before the training(81.23±2.15)points,(79.44±2.32)points,(80.36±2.28)points in venipuncture technique(97.35±2.04)points,peripheral indwelling needle puncture technique(96.73±2.18)points and PICC puncture technique(95.18±2.14)points(P<0.05).One year after the training,the incidence of complications in the puncture site redness and swelling 3.29%(15/456),puncture site drainage 2.63%(12/456),phlebitis 3.95%(18/456)and compatible reaction 1.97%(9/456)was significantly lower than that before the training 9.43%(43/456),9.87%(45/456),9.65%(44/456),8.33%(38/456)(P<0.05).Conclusion:Standardized intravenous therapy training can significantly improve the relevant theoretical knowledge level and operational ability of the intravenous infu

关 键 词：规范化静疗培训 静脉输液 护士团队 

分 类 号：R47[医药卫生—护理学]