摘要
目的:调查我国三级甲等医院对于行业标准《静脉治疗护理技术操作规范》(以下简称《规范》)的实施现状,为进一步推动该标准落实、修订提供参考。方法:采用方便抽样法,于2021年7月—12月抽取我国七大行政地理分区17个省、自治区、直辖市的30家三级甲等医院护理部的《规范》落实负责人为调查对象,自行设计调查问卷,并以电子问卷的形式进行调查。结果:30家医院均制定了标准落实计划,由静脉治疗专业团队组织在全院范围内实施,并根据标准建立或修订了本院的静脉治疗护理相关制度、规范、标准。所有医院均培训了标准内容,12家医院培训了医生,占40.00%。2020年与2019年相比,中心静脉导管相关血流感染发生率、静脉炎发生率、药物渗出/外渗发生率、针刺伤例数差异无统计学意义(P>0.05)。结论:《规范》在各三级甲等医院得到全面落实,建议以静脉治疗专业团队为主导,医护人员共同接受培训且合作落实标准,准确、持续地监测标准实施效果,促进标准的深入贯彻。
Objective:To investigate the current implementation status of the Nursing Practice Standards for Intravenous Therapy in the tertiary grade A hospitals in China,in order to provide a reference for promoting the implementation of the standards.Methods:The stratified convenient sampling method was used,the persons in charge of implementing the intravenous therapy standards in the nursing departments of 30 tertiary grade A hospitals in 17 provinces/autonomous regions/municipalities directly under the Central Government in China were included,and questionnaires were self-developed and conducted in the form of electronic questionnaires from July to December in 2021.Results:All 30 hospitals formulated standard implementation plans,which were organized by the intravenous therapy professional team to implement throughout the hospital,and the relevant systems,norms and standards of intravenous treatment care in the hospital were established or revised according to the standard.Standard training was provided in all hospitals and 12(40.00%)hospitals trained the doctors.There were no significant differences in the incidence of central venous catheter-associated bloodstream infections,phlebitis,exudation/extravasation,and the number of acupuncture injuries between 2019 and 2020(P>0.05).Conclusion:This standard has been fully implemented in the tertiary grade A hospitals.It is recommended that the professional group of intravenous therapy play a leadership role in implementing standards,the doctors and nurses receive train jointly and implement the standard in cooperation.The accurate and continuous monitoring of the implementation effects of the standard is needed to promote the implementation of the standard.
作者
吴欣娟
丁炎明
郑一宁
WU Xinjuan;DING Yanming;ZHENG Yinin(Nursing Department,Peking Union Medical College Hospital,Beijing,100730,China)
出处
《中国护理管理》
CSCD
2022年第9期1281-1284,共4页
Chinese Nursing Management
基金
国家卫生健康委医管中心研究项目[医管中心标准管理处(2021)号]。
关键词
三级甲等医院
静脉治疗
护理
标准
实施
横断面研究
tertiary grade A hospital
intravenous therapy
nursing
standard
implementation
cross-sectional study
