CAJ | 학술논문

目的：测量持续静脉输液安全余液量，为确定小儿连续输液过程中的更换液体最佳时间提供依据。方法将2013年2月~3月儿科病房收治输液患儿118例分为两组，安全组由护士指导安全余液量标准判断液体更换时机；对照组为常规健康教育。比较输液7 d 每次更换液体时患儿呼叫情况和护士判断结果，调查患儿家长对护理工作满意度。结果安全组换液1732次，对照组1690次，两组更换液体时余液量不足、等于、过多情况及患儿静脉输液呼叫率均有统计学差异(P<0.01)；安全组患儿家长对换液及时、巡视维护、解决问题能力的满意度得分分区高于对照组，差异有统计学意义(P<0.05)。结论应用持续静脉输液安全余液量确定最佳更换时间能有效提高静脉输液护理工作质量，降低护理风险，提高护理工作满意度。
목적：측량지속정맥수액안전여액량，위학정소인련속수액과정중적경환액체최가시간제공의거。방법장2013년2월~3월인과병방수치수액환인118례분위량조，안전조유호사지도안전여액량표준판단액체경환시궤；대조조위상규건강교육。비교수액7 d 매차경환액체시환인호규정황화호사판단결과，조사환인가장대호리공작만의도。결과안전조환액1732차，대조조1690차，량조경환액체시여액량불족、등우、과다정황급환인정맥수액호규솔균유통계학차이(P<0.01)；안전조환인가장대환액급시、순시유호、해결문제능력적만의도득분분구고우대조조，차이유통계학의의(P<0.05)。결론응용지속정맥수액안전여액량학정최가경환시간능유효제고정맥수액호리공작질량，강저호리풍험，제고호리공작만의도。
Objective To measure the concept of minimum safe remaining volumes in continuous venous transfusion and provide the basis to determine the optimal time to replace solution in the process of continuous intrave-nous infusion. Methods 118 children who indwelled in Feb to Mar 2013 were selected and randomly divided into con-trol and experimental groups. In the experimental group, nurses determined the time to replace liquids under the guid-ance of minimum safe remaining volumes, and in the control group, nurses adopted the routine health education. Com-parisons were conducted on the calling status of children and the judgments of nurses during each replacement of liq-uids. The observation lasted for 7 days. After the 7-day-treatment, the children were surveyed to evaluate the satisfac-tion of nursing visiting. Results There were 1 732 cases in the experimental group and 1 690 cases in the control group. There were significant differences in remaining volumes and calling rate of venous transfusion between the two groups (P<0. 01) . There were significant differences in parents' satisfaction with change in time, inspection and main-tenance and ability of solving the problem between the two groups (P<0. 05) . Conclusions Measuring and using the concept of minimum safe remaining solution volumes in continuous intravenous infusion can improve the efficacy and safety of intravenous infusion nursing, reduce the risk of nursing and improve nursing satisfaction.