呼叫铃联合输液多组登记表在急诊输液室中的应用与效果评价  

Application and Evaluation in Clinical Dispensing of Infusion Chair Call Bell Combined with Multi Group Registration form

作　　者：王慧[1] 郭慧芳[2] 林冬梅[1] 李玖明 徐国君[2] 周玲[1] WANG Hui;GUO Hui-fang;LIN Dong-mei;LI Jiu-ming;XU Guo-jun;ZHOU Ling(Department of Emergency Infusion Room,Jinpu Branch,Affiliated First Hospital of Dalian Medical University,Dalian 116600,China; Department of Nursing,Jinpu Branch,Affiliated First Hospital of Dalian Medical University,Dalian 116600,China; Department of Critical Care Medicine,First Affiliated Hospital of China Medical University,Shenyang 110001,China)

机构地区：[1]大连医科大学附属第一医院金普院区急诊输液室,辽宁大连116600 [2]大连医科大学附属第一医院金普院区护理部,辽宁大连116600 [3]中国医科大学第一临床学院重症医学科,辽宁沈阳110001

出　　处：《中国医药指南》2020年第19期292-295,共4页Guide of China Medicine

摘　　要：目的评价呼叫铃联合输液多组登记表在急诊输液室的应用效果。方法 2019年4月便利抽样法选取大连医科大学附属第一医院急诊输液室患者303例为研究对象,按照计算机数字随机分为改良组和对照组,各观察1周。改良组采用在输液椅扶手上安装一键式呼叫铃再联合输液多组登记表的方法共163例患者,对照组采用患者自主呼喊护士的传统方法共140例患者,比较两组患者问卷调查对护士的总满意率、护士为批量相当的输液患者更换输液袋时的往返次数、耗时和护士人力经济成本,以及2019年与2017年护士因应答延迟导致的远期护理服务效果不满状况。结果改良组患者总满意度、每更换输液袋的往返次数、耗时以及护士人力经济成本与观察组相比,分别为[95.4%(156/163)VS 87.8%(123/140),χ~2=40.40,P=0.000]、[(2±1)次VS(3±1)次,Z=7.598,P=0.000]、[(7.32±1.69)s VS (39.85±10.93)s,t=23.492,P=0.000]、[(135.52±0.51)元VS (247±2.36)元,t=347.721,P=0.000],两组比较差异均具有统计学意义(P<0.05);护士因应答延迟导致远期护理服务效果不满状况中的拔针延迟致回血过长、输液渗漏致疼痛延时、误拔针致重新穿刺、管路不通致患者焦虑、药液袋滴空致患者恐慌等分别为:[0.03%(12/46137)VS 0.16%(53/33101),χ~2=42.211,P=0.000];[0.01%(6/46137)VS0.13%(44/33101),χ~2=42.889,P=0.000];[0.00%(2/46137)VS 0.04%(12/33101),χ~2=11.110,P=0.001];[0.02%(8/46137)VS0.08%(25/33101),χ~2=15.660,P=0.000];[0.03%(12/46137)VS 0.09%(30/33101),χ~2=15.175,P=0.000],2组比较差异均具有统计学意义(P <0.05)。结论此方法能保证患者静脉输液安全,提高患者对护理服务的总满意率;优化护士工作流程,提高护士工作效率,降低护士工作强度,节省人力经济成本。Objective To evaluate the application effect of infusion chair call bell combined with multi group registration form in emergency infusion room.Methods In April 2019,303 patients in the emergency infusion room of the first affiliated hospital of Dalian medical university were randomly divided into the improved group and the control group according to computer numbers and observed for one week each.In the improved group,a total of 163 patients were installed on the armrest of the infusion chair call bell and then combined with the registration form of multiple infusion groups,while in the control group,a total of 140 patients were selected by the traditional method of patients calling for nurses.To compare two groups of patients the total satisfaction of nurses and nurse for batch a transfusion patients replacing infusion bag round trips,time-consuming,and the nurse human economic costs.In 2019 and 2017,due to the delayed response of nurses the long-term nursing service effect is not satisfied.Results Compared with the observation group,the total satisfaction of patients in the improvement group,the round-trip times and time per change of infusion bag,and the labor and economic cost of nurses were respectively[95.4%(156/163)VS 87.8%(123/140),χ2=40.40,P=0.000],[(2±1)times VS(3±1)times,Z=7.598,P=0.000],[(7.32±1.69)s VS(39.85±10.93)s,t=23.492,P=0.000],[(135.52±0.51)yuan VS(247±2.36)yuan,t=347.721,P=0.000],the difference between the two groups was statistically significant(P<0.05).Due to the delayed response of nurses,there were unsatisfactory service conditions,such as the delayed needle-pulling and excessive blood returning,the delayed infusion and pain caused by leakage of infusion,the re-puncture caused by wrong needle pulling,the anxiety of patients caused by the blocked pipeline,and the panic caused by the empty liquid bag,respectively[0.03%(12/46137)VS 0.16%(53/33101),χ2=42.211,P=0.000];[0.01%(6/46137)VS 0.13%(44/33101),χ2=42.889,P=0.000];[0.00%(2/46137)VS 0.04%(12/33101),χ2=11.110,P=0.001];[0.02%(8/4

关 键 词：设备设计 呼叫铃 登记表 输注 

分 类 号：R192[医药卫生—卫生事业管理]