中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
16期
148-149
,共2页
老年患者%静脉输液%失败原因%对策
老年患者%靜脈輸液%失敗原因%對策
노년환자%정맥수액%실패원인%대책
Elderly patients%Intravenous infusion%Causes of failure%Countermeasures
目的：提高静脉输液成功率，减少患者痛苦。方法：对2011年11月-2013年10月输液治疗的1236例老年患者根据其年龄、穿刺部位、体位、输液所需时间、护士方面等进行调查，找出输液失败的原因及对策。结果：1236例老年静脉输液患者中有143例发生输液失败(11.56%)。由于技术因素而输液失败21例(14%)；60～70岁的患者中，失败率6.26%，而＞90岁的患者中失败率20.45%；输液失败3个部位中，下肢输液失败率最高，掌背次之，前臂失败率最低；卧位比坐位输液失败率高。结论：要提高静脉输液成功率，护士不但要有娴熟的静脉穿刺技术、良好的心理素质及全身心投入工作，而且更要做好健康宣告以取得患者的密切配合，才能保证顺利完成输液全过程。
目的：提高靜脈輸液成功率，減少患者痛苦。方法：對2011年11月-2013年10月輸液治療的1236例老年患者根據其年齡、穿刺部位、體位、輸液所需時間、護士方麵等進行調查，找齣輸液失敗的原因及對策。結果：1236例老年靜脈輸液患者中有143例髮生輸液失敗(11.56%)。由于技術因素而輸液失敗21例(14%)；60～70歲的患者中，失敗率6.26%，而＞90歲的患者中失敗率20.45%；輸液失敗3箇部位中，下肢輸液失敗率最高，掌揹次之，前臂失敗率最低；臥位比坐位輸液失敗率高。結論：要提高靜脈輸液成功率，護士不但要有嫻熟的靜脈穿刺技術、良好的心理素質及全身心投入工作，而且更要做好健康宣告以取得患者的密切配閤，纔能保證順利完成輸液全過程。
목적：제고정맥수액성공솔，감소환자통고。방법：대2011년11월-2013년10월수액치료적1236례노년환자근거기년령、천자부위、체위、수액소수시간、호사방면등진행조사，조출수액실패적원인급대책。결과：1236례노년정맥수액환자중유143례발생수액실패(11.56%)。유우기술인소이수액실패21례(14%)；60～70세적환자중，실패솔6.26%，이＞90세적환자중실패솔20.45%；수액실패3개부위중，하지수액실패솔최고，장배차지，전비실패솔최저；와위비좌위수액실패솔고。결론：요제고정맥수액성공솔，호사불단요유한숙적정맥천자기술、량호적심리소질급전신심투입공작，이차경요주호건강선고이취득환자적밀절배합，재능보증순리완성수액전과정。
Objective:To improve the success rate of venous transfusion,and reduce the suffering of patients.Methods:1236 elderly cases with transfusion treatment were selected from November 2011 to October 2013.Investigate the age,the puncture site,posture, the required infusion time,nurses etc,to find out the reasons and countermeasures of transfusion failure.Results:In 1236 elderly cases with intravenous infusion,143 cases(11.56%) occurred the infusion failure. The infusion failure due to technical factors were 21 cases (14%).The caes with 60~70 years old, failure rate was 6.26%, and failure rate of over 90 years old was 20.45% . In three parts of infusion failure, lower limb infusion rate was highest, dorsal metacarpal was second, and forearm failure rates was the lowest.The infusion failure rate of recumbent position was high than seat.Conclusion:In order to improve the success rate of intravenous infusion,the nurses should not only have good venous puncture technique,good psychological quality and commitment to the work,but also to make health claims to have the close cooperation of patients,to guarantee the smooth completion of the whole process of transfusion.
