创新临床静脉治疗护理安全用药指导工具的设计与应用  

Design and application of novel medication guidance tools for clinical intravenous therapy and nursing safety

作　　者：魏春艳[1] 姜珊[1] 马莉妍 李硕[1] 郭彩霞[1] 李香玉 许丽华[3] 王迪[4] 袁凤娟[5] 巩越丽[6] Wei Chunyan;Jiang Shan;Ma Liyan;Li Shuo;Guo Caixia;Li Xiangyu;Xu Lihua;Wang Di;Yuan Fengjuan;Gong Yueli(Department of Nursing,Sino-Japanese Friendship Hospital,Jilin University,Changchun 130033,China;Department of Nursing,Yanbian University Hospital,Yanji 133000,China;Department of Nursing,Affiliated Hospital of Beihua University,Jilin 132011,China;Department of Nursing,Jilin Province People s Hospital,Changchun 130021,China;Department of Nursing,Jilin Central General Hospital of Jilin Province,Jilin 132011,China;Department of Nursing,Siping Central Hospital of Jilin Province,Siping 136000,China)

机构地区：[1]吉林大学中日联谊医院护理部,长春130033 [2]延边大学附属医院护理部,延吉133000 [3]北华大学附属医院护理部,吉林132011 [4]吉林省人民医院护理部,长春130021 [5]吉林省吉林市中心医院护理部,132011 [6]吉林省四平市中心医院护理部,136000

出　　处：《中华现代护理杂志》2020年第36期5027-5031,共5页Chinese Journal of Modern Nursing

摘　　要：目的:设计一种新型临床静脉治疗护理安全用药指导工具,涵盖静脉治疗护理需求全维度信息,并观察其应用效果。方法:(1)采用回顾性调查法,调研吉林省内三级综合医院2016年1月—2017年12月其优势专科常见病、多发病的治疗方案并进行汇总梳理,确定静脉治疗指导工具索引框架维度。(2)运用现状调查法、专家会议法及文献查询法确定指导工具的内容维度及药物信息内容。(3)运用专家共识法确定指导工具的呈现方式。(4)运用便利抽样方法在参研科室选取127名护士开展非同期对照试验,比较护理人员指导工具应用1个月后的评价效果及对其静疗风险知识的掌握程度情况。结果:(1)设计形成了以专科为索引、形象化标识呈现的包含8个专科、73个治疗方案、326种常用药物信息的指导工具,内容涵盖输注器具材质要求、输液器具选择、组间冲封管需求等相关信息。(2)于2019年5—6月测试护士在使用前、后对比,在规定时间内完成专科用药知识问卷,在药物理化性质、药理作用、安全使用3个维度的准确率为89.76%、90.55%、95.27%,均高于使用前,差异有统计学意义(P<0.05)。结论:基于临床静脉治疗护理安全用药需求,创新设计完成静脉治疗安全用药护理指导工具,能够有效提高护士静脉治疗安全用药能力与工作效率,值得推广。Objective To design a new medication guidance tool for clinical intravenous therapy and nursing safety which covers all-dimensional information of intravenous therapy and nursing needs,and observe its application effects.Methods(1)The treatment plans of common and frequently-occurring diseases in the priority departments of Class HI general hospitals in Jilin Province from January 2016 to December 2017 were retrospectively investigated and summarized to determine the index framework of intravenous therapy guidance tools.(2)The status quo survey,expert meeting and literature search were used to determine the content of the guidance tool and the drug information.(3)The expert consensus was used to determine the presentation of the guidance tool.(4)Totally 127 nurses in the departments were selected by convenient sampling for a noncontemporaneous controlled trial to compare the effects of the guidance tool after one month of application and nursing staffs level of knowledge about the risk of intravenous therapy.Results(1)A guidance tool with 8 specialties,73 treatment plans,and 326 commonly used drug information presented with specialties as an index and visualized signs was designed and developed,which covers relevant information such as requirements for infusion device materials,selection of infusion device,and requirements for inter-group tube flushing and sealing.(2)From May to June 2019,the nurses were tested before and after use,who were required to complete the specialist drug knowledge questionnaire within the specified time.The accuracy of the three dimensions of the physical and chemical properties of drugs,pharmacological effects,and safe use was 89.76%,90.55%,and 95.27%,respectively,which were higher than that before use,and the difference was statistically significant(P V 0.05).Conclusions Based on the needs of clinical intravenous therapy and nursing safety medication,the novel guidance tool for intravenous therapy and safe medication nursing is designed and completed,which can effectively improve the

关 键 词：静脉输液 静脉治疗 安全用药 指导工具 

分 类 号：R472[医药卫生—护理学]