CAJ | 학술논문

目的：调查全国部分三甲医院静脉治疗专业化队伍的发展现状。方法采用中华护理学会静脉治疗护理专业委员会设计的《全国三甲医院静脉治疗护理现状调查问卷》，于2013年3-5月便利抽取全国27个省市147家医院共584个科室进行问卷调查。结果全国135家三甲医院成立了静脉治疗小组，占91．8％。各科室护士数与经过PICC专科培训并考核合格者之比在肿瘤科、普外科、血液科、新生儿科最低中位数已达到1∶0．05，各科室护士数与能独立完成PICC技术的护士数之比最低中位数已达到1∶0．069；22．7％～35．4％的科室能独立操作PICC的护士数大于经过PICC专科培训并考核合格的护士数，10．1％～16．8％的科室存在“能独立操作PICC的护士数小于经过培训且考核合格者”。结论静脉治疗专业化队伍得到了飞速的发展，但在质量上仍暴露出一些不足，如无证上岗或无法胜任等。有必要规范静脉治疗护士的培训与考核标准，统一资质认定，并合理配备静脉治疗护士，制定并完善相关政策，以促进静脉治疗专业化队伍的健康发展。
목적：조사전국부분삼갑의원정맥치료전업화대오적발전현상。방법채용중화호이학회정맥치료호리전업위원회설계적《전국삼갑의원정맥치료호리현상조사문권》，우2013년3-5월편리추취전국27개성시147가의원공584개과실진행문권조사。결과전국135가삼갑의원성립료정맥치료소조，점91．8％。각과실호사수여경과PICC전과배훈병고핵합격자지비재종류과、보외과、혈액과、신생인과최저중위수이체도1∶0．05，각과실호사수여능독립완성PICC기술적호사수지비최저중위수이체도1∶0．069；22．7％～35．4％적과실능독립조작PICC적호사수대우경과PICC전과배훈병고핵합격적호사수，10．1％～16．8％적과실존재“능독립조작PICC적호사수소우경과배훈차고핵합격자”。결론정맥치료전업화대오득도료비속적발전，단재질량상잉폭로출일사불족，여무증상강혹무법성임등。유필요규범정맥치료호사적배훈여고핵표준，통일자질인정，병합리배비정맥치료호사，제정병완선상관정책，이촉진정맥치료전업화대오적건강발전。
Objective To investigate the profession development status of IV nurse team in a part of level-3A hospitals in China.Methods The questionnaire designed by intravenous therapy professional committee of CNA was used to investigate the status of IV nurse team in 584 departments of 147 hospitals in 27 provinces.Results IV teams were built in 135 hospitals, accounting for 91.8%.The lowest ratio of the total nurse number to that of trained nurses was 1∶0.05, and the lowest ratio of the total nurse number to that of PICC placement nurses was 1∶0.069.22.7%-35.4% departments had more PICC placement nurses than trained nurses, and 10.1%-16.8%departments had PICC placement nurses than trained nurses .Conclusions Many achievements have reached in IV nurse team in China , but problems still exist in IV nurse team construction . Positive measures , such as setting training and examination standards for IV nurse , unifying certification and making other policies , should be taken to promote the professional development of IV nurse team in China .