住院患儿静脉输液装置选择的现况调查  

Status quo of the selection of intravenous infusion devices in hospitalized children

作　　者：张青青 顾莺 王颖雯 陆春梅 孔梅婧 Zhang Qingqing;Gu Ying;Wang Yingwen;Lu Chunmei;Kong Meijing(School of Nursing,Fudan University,Shanghai 200032,China;Department of Nursing,Children's Hospital of Fudan University,Shanghai 201100,China)

机构地区：[1]复旦大学护理学院,上海200032 [2]复旦大学附属儿科医院护理部,上海201100

出　　处：《中华现代护理杂志》2024年第14期1923-1927,共5页Chinese Journal of Modern Nursing

基　　金：中华医学会杂志社2021—2022年护理学科研究课题(CMAPH-NRP2021009)。

摘　　要：目的调查住院患儿静脉输液装置的选择现状,为输液装置选择实践的改进提供方向。方法采用便利抽样法,选取2021年6月在复旦大学附属儿科医院11个临床科室接受静脉输液治疗的1306例住院患儿为研究对象。采用自制的住院患儿静脉输液装置选择资料收集表和静脉输液装置选择适宜性判断标准,对住院患儿静脉输液装置选择的情况进行调查并做出输液装置选择适宜性的判断。结果1306例患儿中,静脉输液装置选择适宜的患儿为1137例,选择不适宜的为169例。静脉输液装置选择不适宜主要表现为外周静脉短导管(PIVC)选择不当,经PIVC输注非外周可用药物155例。婴儿组和儿童青少年组的静脉输液装置选择适宜性比较,差异无统计学意义(P>0.05)。基于不同药物理化性质和治疗时长的静脉输液装置选择适宜性比较,差异均有统计学意义(P<0.01)。结论住院患儿静脉输液装置选择的规范性有待改进,亟需以《儿童静脉输液治疗临床实践循证指南》中静脉输液装置选择的推荐意见为依据,开展证据应用项目,规范静脉输液装置的选择。Objective To investigate the status quo of intravenous(IV)infusion device selection among hospitalized children and provide direction for improving practices related to the selection of infusion devices.Methods A total of 1306 hospitalized children undergoing IV infusion treatment in 11 clinical departments of Children's Hospital of Fudan University in June 2021 were selected by convenience sampling.A self-developed data collection form for the selection of IV infusion devices in hospitalized children and criteria for the appropriateness of IV infusion device selection were used to survey and evaluate the appropriateness of IV infusion device selection among these children.Results IV infusion devices were found to have been appropriately selected in 1137 of the 1306 children,while these devices were inappropriately selected in 169 children.The inappropriate selection was primarily due to the improper choice of peripheral intravenous catheters(PIVC),with 155 cases involving the administration of non-peripheral compatible medications through PIVC.No significant statistical difference was found in the appropriateness of IV infusion device selection between the infant group and the child and adolescent group(P>0.05).Significant differences were observed in the appropriateness of IV infusion device selection based on different physicochemical properties of medications and the duration of therapy(P<0.01).Conclusions The standardization of IV infusion device selection among hospitalized children needs improvement.It is urgent to apply evidence from the Clinical Practice Evidence-Based Guidelines for Pediatric Intravenous Therapy regarding recommendations for IV infusion device selection,to initiate evidence application projects,and to standardize the selection of IV infusion devices.

关 键 词：儿童 静脉输液装置 外周静脉短导管 中心静脉输液装置 选择 适宜性 现况研究 

分 类 号：R473.72[医药卫生—护理学]