社区卫生院护士静脉治疗知识技能横断面调查分析
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女,硕士在读,主管护师

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Cross-sectional survey and analysis of knowledge and skills of intravenous therapy among nurses working in community health centers
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    目的 了解社区卫生院护士对静脉治疗相关知识的掌握现状及实际操作水平。方法 采用整群抽样方法,选择13家社区卫生 院255名护士进行静脉治疗相关知识调查,并采取现场查看及抽考的方式,了解卫生院所使用的冲封管液肝素浓度和护士冲封管 操作掌握情况。结果 社 区 卫 生 院 护 士 静 脉 治 疗 相 关 知 识 标 准 分 17.39~95.65(53.21±15.03)分,60 分 以 下 有 183 人,占 71.76%。仅4家(30.77%)卫生院使用的冲封管液稀肝素浓度0~10U/mL,符合《静疗规范》要求。共计39名社区卫生院进行 冲封管操作演示,护士脉冲式冲管的正确率为28.20%;正压带液封管执行正确率为23.08%。结论 社区卫生院护士对静脉治疗 相关知识的掌握情况欠佳,冲封管操作欠规范。护理管理者需要针对性地制订培训方案,并注重效果反馈和质量监督,规范护士 的静脉治疗技术操作,促进静脉治疗护理安全。

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    Objective To understand the current situation and actual level of nurses′ knowledge and skills of intravenous therapy in community health centers. Methods Using cluster sampling method, 255 nurses from 13 community health centers were selected to fill out a survey regarding their knowledge of intravenous therapy, and heparin concentrations of the flushing and sealing fluid used in the community health centers were noted.Then parts of the nurses were selected to perform the technique of flushing and sealing of intravenous catheters on-site. Results The standard score of knowledge related to intravenous therapy of nurses in community health centers ranged from 17.39 to 95.65(53.21±15.03)points, and 183 nurses (71.76%) scored below 60.Only 4 health centers (30.77%) used a heparin concentration of 0-10 U/ml to flush and seal the catheter, which met China′s "Standards for Intravenous Therapy ".A total of 39 nurses performed the technique of flushing and sealing of intravenous catheters, and only 28.20% demonstrated correct process and 23.08% demonstrated a correct positive pressure flush. Conclusion The nurses working in community health centers have poor knowledge of intravenous therapy, and the technique of flushing and sealing of intravenous catheters is less standardized.Nursing managers need to formulate training programs, pay attention to nurses′ feedback and quality control,and standardize the procedures of intravenous therapy,in an effort to promote the safety of intravenous therapy.

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张莉,尹志勤,刘俏俊.社区卫生院护士静脉治疗知识技能横断面调查分析[J].护理学杂志,2019,34(3):52-55

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  • 收稿日期:2018-09-11
  • 最后修改日期:2018-11-28
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  • 在线发布日期: 2022-08-09