医学信息
醫學信息
의학신식
Medical Information
2015年
36期
55-55
,共1页
安全标识%动静脉内瘘%护理效果
安全標識%動靜脈內瘺%護理效果
안전표식%동정맥내루%호리효과
Safety identification%Arteriovenous fistula%Nursing ef ect
目的评价安全标识在动静脉内瘘患者手术前后护理中的使用效果。方法采用回顾性研究，将2013年1~12月肾内科收治的200例尿毒症患者行动静脉内瘘手术患者纳入对照组，2014年1月~12月收治的200例患者纳入试验组。试验组在行动静脉内瘘手术前后，予术侧肢体贴鲜明警示性安全标识(纹身贴)，对照组采用常规护理。评价两组护理差错发生率、瘘管使用良好率、内瘘保护方法知晓率、患者满意率的差异。结果实施安全标识后，护理差错发生率为0.5%、患者瘘管成熟良好率为93%、内瘘保护方法知晓率95%、患者满意率为98%；2013年同期对照组200例护理差错发生率为4%、患者瘘管成熟良好率为84%、内瘘保护方法知晓率86%、患者满意率为91%。护理差错发生率大为降低，其他三方面分别提高了9%、9%、7%。两组护理差错发生率、瘘管使用良好率、内瘘保护方法知晓率、患者满意率均有显著性差异(<0.05)。结论在动静脉内瘘患者手术前后的护理中使用警示性安全标识，有利于加强患者对内瘘的自我保护意识，增强了护士安全防范意识，减少了护理差错的发生，提高了护理工作的满意度。
目的評價安全標識在動靜脈內瘺患者手術前後護理中的使用效果。方法採用迴顧性研究，將2013年1~12月腎內科收治的200例尿毒癥患者行動靜脈內瘺手術患者納入對照組，2014年1月~12月收治的200例患者納入試驗組。試驗組在行動靜脈內瘺手術前後，予術側肢體貼鮮明警示性安全標識(紋身貼)，對照組採用常規護理。評價兩組護理差錯髮生率、瘺管使用良好率、內瘺保護方法知曉率、患者滿意率的差異。結果實施安全標識後，護理差錯髮生率為0.5%、患者瘺管成熟良好率為93%、內瘺保護方法知曉率95%、患者滿意率為98%；2013年同期對照組200例護理差錯髮生率為4%、患者瘺管成熟良好率為84%、內瘺保護方法知曉率86%、患者滿意率為91%。護理差錯髮生率大為降低，其他三方麵分彆提高瞭9%、9%、7%。兩組護理差錯髮生率、瘺管使用良好率、內瘺保護方法知曉率、患者滿意率均有顯著性差異(<0.05)。結論在動靜脈內瘺患者手術前後的護理中使用警示性安全標識，有利于加彊患者對內瘺的自我保護意識，增彊瞭護士安全防範意識，減少瞭護理差錯的髮生，提高瞭護理工作的滿意度。
목적평개안전표식재동정맥내루환자수술전후호리중적사용효과。방법채용회고성연구，장2013년1~12월신내과수치적200례뇨독증환자행동정맥내루수술환자납입대조조，2014년1월~12월수치적200례환자납입시험조。시험조재행동정맥내루수술전후，여술측지체첩선명경시성안전표식(문신첩)，대조조채용상규호리。평개량조호리차착발생솔、루관사용량호솔、내루보호방법지효솔、환자만의솔적차이。결과실시안전표식후，호리차착발생솔위0.5%、환자루관성숙량호솔위93%、내루보호방법지효솔95%、환자만의솔위98%；2013년동기대조조200례호리차착발생솔위4%、환자루관성숙량호솔위84%、내루보호방법지효솔86%、환자만의솔위91%。호리차착발생솔대위강저，기타삼방면분별제고료9%、9%、7%。량조호리차착발생솔、루관사용량호솔、내루보호방법지효솔、환자만의솔균유현저성차이(<0.05)。결론재동정맥내루환자수술전후적호리중사용경시성안전표식，유리우가강환자대내루적자아보호의식，증강료호사안전방범의식，감소료호리차착적발생，제고료호리공작적만의도。
Objective To evaluate the ef ect of safety tags on patients before and after artificial arteriovenous fistula surgery.Methods 200 uremia patients that were admit ed into the nephrology department in 2013, al of whom underwent artificial arteriovenous fistula surgery, were selected for the control group while 200 uremia patients that were admit ed in 2014 were selected for the experiment group. The patients in the experiment group were given distinctive safety tags to put on the arm of surgery, both before and after the surgery procedure. The control group employed standard nursing procedures. Comparison was made between the two groups in the fol owing aspects:ef ect of safety tags on fistula usage, awareness rate of protecting the fistula, and satisfaction rate of patients. Results After the employment of safety tags, nursing er or rate dropped significantly from 4% to 0.5% while fistula maturation rate, fistula protection awareness rate, and patient satisfaction rate rose from 84%, 86%, 91% to 93%, 95%, and 98% respectively. The dif erences between two groups were considered statistical y significant ( < 0.05).Conclusion The usage of safety warning tags on patients before and after artificial A-V fistula surgery could improve the self-protection awareness of patients. It could also enhance the safety consciousness of nurses, thus reducing the rate of nursing er ors, maximizing nursing care ef ect, and at the same time increasing the patients' and families' satisfaction rate towards nursing care.
