CAJ | 학술논문

目的:了解某三甲医院临床静脉输液过程中输液渗出情况,探讨其影响因素.方法:调查2012年1月1日至2013年1月1日某三甲医院耳鼻喉科1 680例住院患者静脉输液渗出情况,分析其发生输液渗出的影响因素.结果:1 453例患者遵医嘱静脉输液治疗,共38例患者49例次发生输液渗出,输液渗出发生率为2.62%,年发生率为3.37%,发生密度为1.29.患者不同性别、年龄段、输液工具、操作护士工作年限、是否第一次输液和当天有无陪护者间的静脉输液渗出率差异均有统计学意义(P<0.05~P<0.01).男性、1~和>60岁年龄段、输液当天无陪护和护士工作年限低均为静脉输液渗出的危险因素(P<0.05~P<0.01).结论:男性、年龄<10岁和>60岁年龄段的患者输液时特别需要加强巡视,责任护士需告知患者住院陪护人员的重要性,提高低年资护士的静脉输液技能水平,输液全程需严密观察穿刺处局部皮肤情况,减少静脉输液渗出发生.
목적:료해모삼갑의원림상정맥수액과정중수액삼출정황,탐토기영향인소.방법:조사2012년1월1일지2013년1월1일모삼갑의원이비후과1 680례주원환자정맥수액삼출정황,분석기발생수액삼출적영향인소.결과:1 453례환자준의촉정맥수액치료,공38례환자49례차발생수액삼출,수액삼출발생솔위2.62%,년발생솔위3.37%,발생밀도위1.29.환자불동성별、년령단、수액공구、조작호사공작년한、시부제일차수액화당천유무배호자간적정맥수액삼출솔차이균유통계학의의(P<0.05~P<0.01).남성、1~화>60세년령단、수액당천무배호화호사공작년한저균위정맥수액삼출적위험인소(P<0.05~P<0.01).결론:남성、년령<10세화>60세년령단적환자수액시특별수요가강순시,책임호사수고지환자주원배호인원적중요성,제고저년자호사적정맥수액기능수평,수액전정수엄밀관찰천자처국부피부정황,감소정맥수액삼출발생.
Objective:To investigate the leakage of venous transfusion and its influencing factors in a tertiary hospital. Methods:The leakage of venous transfusion in 1 680 patients from ENT in a top tertiary hospital was investigated from Jan 2012 to Jan 2013,the influencing factors of which was analyzed. Results:Among 1 453 patients treated with venous transfusion,49 cases fluid exudation from 38 patients were found,the fluid exudation rate,annual incidence and incidence density were 2. 62%,3. 37% and 1. 29,respectively. The differences of the leakage of venous transfusion rate in different gender,age,infusion device,length of service,the first infusion and caregiver on the day were statistically significant(P<0. 05 to P<0. 01). The male patients,children and older people,no caregiver on the day and lower length of service were the risk factors of leakage of venous transfusion(P<0. 05 to P<0. 01). Conclusions:The male patients,children and the elderly patients need to strengthen patrol during the venous transfusion,primary nurse should inform the importance of the hospital care for patients. Improving the intravenous infusion skill of lower length of service nurse, and strict observating the puncture local skin can reduce the incidence of venous leakage.