摘要
目的通过对临床高渗性药物输液途径现况的调查，分析影响患者输液途径选择的因素。方法采用方便抽样的方法选择在我院老年科和神经内科需输注高渗性药物的住院患者600例，采用自行设计的问卷，调查目前临床高渗性药物的输液途径现状，并分析相关影响因素。结果在调查的600例需输注高渗性药物的住院患者中，使用中心静脉途径的只有32．5％，使用外周静脉途径的占67．5％；患者输液途径的选择虽受年龄、文化程度、所在科室、输液途径教育指导及自费等因素影响较大；然而护士的认知及技能和医生的支持度也是不容忽视的。结论针对目前临床高渗性药物的输液途径现状，加强对患者输液知识的健康教育，提倡个体化选择，同时护理管理者应加大管理力度，重视输液知识的培训及掌握经外周插管的中心静脉导管（PICC）技术，降低医疗成本，最大限度提高患者治疗的安全性和舒适性，真正提高输液的品质。
Objective To describe the current status of infusion paths of hyperosmotic drugs and to. analyze the associated factors. Methods 600 patients accepting infusion of hyperosmotic drugs in gerontology and neurology departments of our hospital were selected; with the questionnaires designed by ourselves, the investigation of the clinical status of infusion paths of hyperosmotle drugs currently was conducted ; the associated influential factors were also analyzed. The samples were selected using accidental sampling. Results In the 600 cases accepting infusion of hyperosmotic drugs, the ratio using central veins was only 32. 5% , while the proportion by peripheral veins was up to 67.5%. The patients＇ selection of the infusion paths depends on their age, education and culture backgrounds, the different department they were in, the education or direction of infusion paths provided, and the economic factor was also very important because some of the paths are at patients＇ own expenses ; nevertheless both the nurses＇ recognition and skills and the doctors＇ support is the factor which cannot be ignored. Conclusions Education of infusion knowledge to patients should be enhanced,the individual selection is recommended; at the same time, the nursing administrators need to increase their managing power, pay more attention to the training of the infusion knowledge and the PICC skill to nurses, reduce the medical cost, improve the comfort level of patients and the security of treatment and lead to high quality of infusion.
出处
《中华现代护理杂志》
2011年第12期1381-1384,共4页
Chinese Journal of Modern Nursing
基金
基金项目：上海交通大学附属第六人民医院院级课题（2009-1229）
关键词
静脉输液
影响因素
高渗性药物
护理
Vein infusion
Influential factors
Hyperosmotic drugs
Nursing
