CAJ | 학술논문

目的：探讨静脉输液风险管理培训对低年资护士相关知识、行为的影响。方法于2011年6月-2012年1月，在梳理静脉输液风险环节及内容的基础上，构建专业化静脉输液风险管理培训课程，对76名低年资护士进行培训。采用自制“静脉输液风险管理知识测试”问卷及“临床护士静脉输液调查表”，评价培训前后低年资护士静脉输液风险相关知识、行为的改变。结果本组低年资护士培训后，静脉输液风险管理知识测试总分提高，与培训前比较差异有统计学意义（P＜0.01）；培训前后，患者身份识别方法、穿刺1次成功、患者及家属健康教育、敷贴维护、肝素帽消毒时间和力度方面的行为改善，差异均有统计学意义（ P＜0.01）；留置导管敷贴类型选择、肝素帽消毒用物、静脉输液穿刺部位的选择、化疗药物穿刺部位及输液工具选择方面差异无统计学意义（P＞0.05）。结论专业化静脉输液风险管理培训可以提高低年资护士静脉输液风险管理知识水平，改善其临床静脉输液风险相关行为。
목적：탐토정맥수액풍험관리배훈대저년자호사상관지식、행위적영향。방법우2011년6월-2012년1월，재소리정맥수액풍험배절급내용적기출상，구건전업화정맥수액풍험관리배훈과정，대76명저년자호사진행배훈。채용자제“정맥수액풍험관리지식측시”문권급“림상호사정맥수액조사표”，평개배훈전후저년자호사정맥수액풍험상관지식、행위적개변。결과본조저년자호사배훈후，정맥수액풍험관리지식측시총분제고，여배훈전비교차이유통계학의의（P＜0.01）；배훈전후，환자신빈식별방법、천자1차성공、환자급가속건강교육、부첩유호、간소모소독시간화력도방면적행위개선，차이균유통계학의의（ P＜0.01）；류치도관부첩류형선택、간소모소독용물、정맥수액천자부위적선택、화료약물천자부위급수액공구선택방면차이무통계학의의（P＞0.05）。결론전업화정맥수액풍험관리배훈가이제고저년자호사정맥수액풍험관리지식수평，개선기림상정맥수액풍험상관행위。
Objective To discuss the effects of intravenous infusion risk management training on knowledge and behavior of junior nurses. Methods A intravenous infusion risk management training program based on the risk links and contents of intravenous infusion was conducted for junior nurses. Nurses ’ knowledge and behavior were evaluated by a self-designed intravenous infusion risk management knowledge questionnaire and clinical nurse intravenous infusion survey. Results After the training, nurses’ total score of intravenous infusion risk management knowledge increased (P<0.01). After the intervention, nurses’ behaviors made significant improvement in identity recognition, venipuncture skill, health education, dressing maintenance, time and strength used in heparin cap disinfection (P<0.01); while there is no significant change in type of dressing, things used in heparin cap disinfection, puncture site, puncture site and infusion tool of chemotherapeutics (P>0.05). Conclusion The knowledge and behaviors related to intravenous infusion risk would be significantly improved by participating a intravenous infusion risk management training program.