CAJ | 학술논문

[目的]调查输液治疗中护士使用PDA核查的现状,探讨影响因素及干预对策。[方法]在护士访谈、座谈会、临床跟班和文献检索的基础上自行设计问卷对206名护士进行调查,收集输液时护士使用PDA 核查的影响因素并制定针对性的干预对策；分别对干预对策实施前后输液治疗中护士使用 PDA 核查的情况进行终末检查和实时检查,收集检查结果并进行对比；同时,收集干预对策实施前后输液治疗中护士发生输液错误例次和PDA提醒护士杜绝输液错误例次。[结果]护士输液前后使用 PDA 核查率的终末检查结果由干预前的90.30%、89.21%提高至干预后的99.77%、99.71%,差异有统计学意义(P<0.05)；实时检查结果由干预前的84.06%提升至干预后的99.72%,差异有统计学意义(P<0.05)；干预前后(6个月),输液治疗中护士发生输液错误例次分别为7例次和0例次,PDA提醒护士杜绝输液错误例次分别为5例次和7例次。[结论]PDA核查是确保输液治疗零差错的有效措施,而输液治疗中护士使用PDA核查的执行力是关键。
[목적]조사수액치료중호사사용PDA핵사적현상,탐토영향인소급간예대책。[방법]재호사방담、좌담회、림상근반화문헌검색적기출상자행설계문권대206명호사진행조사,수집수액시호사사용PDA 핵사적영향인소병제정침대성적간예대책；분별대간예대책실시전후수액치료중호사사용 PDA 핵사적정황진행종말검사화실시검사,수집검사결과병진행대비；동시,수집간예대책실시전후수액치료중호사발생수액착오례차화PDA제성호사두절수액착오례차。[결과]호사수액전후사용 PDA 핵사솔적종말검사결과유간예전적90.30%、89.21%제고지간예후적99.77%、99.71%,차이유통계학의의(P<0.05)；실시검사결과유간예전적84.06%제승지간예후적99.72%,차이유통계학의의(P<0.05)；간예전후(6개월),수액치료중호사발생수액착오례차분별위7례차화0례차,PDA제성호사두절수액착오례차분별위5례차화7례차。[결론]PDA핵사시학보수액치료령차착적유효조시,이수액치료중호사사용PDA핵사적집행력시관건。
Obj ective:To investigate the status quo of nurses using PDA (personal digital assistant)verification during transfusion therapy,and to probe into influencing factors and interventions.Methods:A total of 206 nurses were investigated with questionnaire based on nurse inter-views,seminars,clinical attendant and information retrieval,to callect the influencing factors of nurses usny PDA verifiable and to develop targeted intervention countermeasures;nurses made use of PDA termi-nal inspection and verification of real time checks,collected test re-sults and compared;at the same time,nurse infusion error cases and PDA reminding nurses prevent transfusion errors cases were collected during infusion therapy before and after the implementation of inter-vention measures.Results:After implementing the intervention strate-gy,the result of terminal execution inspection increased from 90.30%、89. 21% to 99.77%、99.71%(P<0.05),and the result of real time execu-tion inspection increased from 84.06%to 99.72% (P<0.05).Nurse’s transfusion error cases were respectively 7 cases and 0 during infusion therapy before and after intervention (6 months).PDA reminding nur-ses to prevent transfusion errors cases were respectively 5 cases and 7 cases.Conclusion:PDA verification is an effective measure to ensure ze-ro error of infusion therapy,and nurses’execution of PDA verification in the transfusion is the key.