CAJ | 학술논문

目的：探讨外周静脉综合性评估与静脉治疗护理操作三级管理的临床实施效果。方法选取2014年1～8月重庆市江津区中心医院外科所有静脉输液住院患者（小儿外科除外）为研究对象。将2014年5月1日实施《静脉治疗护理技术操作规范（WS／T433‐2013）》标准后4个月的外科住院静脉输液患者1649例作为观察组，实施静脉穿刺前对患者外周静脉综合性评估与静脉治疗护理技术操作三级管理；以规范实施前的外科患者1574例作为对照组，进行回顾性研究。比较2组患者外周静脉穿刺的一次性成功率、患者满意度及静脉输液并发症发生率。结果与对照组比较，观察组在外周静脉穿刺一次性成功率、患者满意度及输液并发症方面差异有统计学意义（P＜0．01）。结论外周静脉综合性评估与静脉治疗护理技术操作三级管理实施后，有效地提高了外周静脉穿刺一次性穿刺成功率，降低了输液并发症，提高了患者满意度。
목적：탐토외주정맥종합성평고여정맥치료호리조작삼급관리적림상실시효과。방법선취2014년1～8월중경시강진구중심의원외과소유정맥수액주원환자（소인외과제외）위연구대상。장2014년5월1일실시《정맥치료호리기술조작규범（WS／T433‐2013）》표준후4개월적외과주원정맥수액환자1649례작위관찰조，실시정맥천자전대환자외주정맥종합성평고여정맥치료호리기술조작삼급관리；이규범실시전적외과환자1574례작위대조조，진행회고성연구。비교2조환자외주정맥천자적일차성성공솔、환자만의도급정맥수액병발증발생솔。결과여대조조비교，관찰조재외주정맥천자일차성성공솔、환자만의도급수액병발증방면차이유통계학의의（P＜0．01）。결론외주정맥종합성평고여정맥치료호리기술조작삼급관리실시후，유효지제고료외주정맥천자일차성천자성공솔，강저료수액병발증，제고료환자만의도。
Objective To investigate the effect of clinical implementation of peripheral vein comprehensive as‐sessment and the three level management of nursing operation for intravenous therapy .Methods All the surgical in‐patients with intravenous infusion(except the pediatric surgery department) in our hospital from January to August 2014 were selected as the research subjects .1 649 surgical inpatients with intravenous infusion during 4 months after implementing the Intravenous Treatment and Nursing Technical Operation Standard (WS/T433‐2013 ) on May 1 , 2014 were taken as the observation group .The peripheral venous comprehensive evaluation and three level manage‐ment of nursing operation for the intravenous therapy were conducted before venipuncture .1 574 surgical inpatients before implementing this standard were taken as the control group .The retrospective study was performed for com‐paring the once success rate of venipuncture ,patient satisfaction and incidence rate of intravenous infusion complica‐tions between the two groups .Results Compared with the control group ,the differences of the once success rate of venipuncture ,patient satisfaction and incidence rate of intravenous infusion complications in the observation group were statistically significant(P< 0 .01) .Conclusion Peripheral venous comprehensive assessment and the three level management of nursing operation for intravenous therapy effectively improves the once puncture success rate of pe‐ripheral vein ,reduces the infusion complications and increases the patient satisfaction .