静脉输液的目的是什么_系统化护理干预对门急诊静脉输液患者的影响

　　[摘要] 目的 探讨实施系统化护理干预措施，对门急诊静脉输液不良反应及护理满意度的影响。 方法 200例患者根据随机数字表法分为干预组（实施系统化护理干预措施）和对照组（根据医嘱实施对症护理），各100例，比较两组患者静脉输液中发生的不良反应及护理满意度。 结果 干预组静脉输液总的不良反应发生率为17%，明显低于对照组（38%）（P ＜ 0.05）。干预组静脉穿刺例次及巡视中发现输液管内残余液体量均明显少于对照组，而干预组静脉穿刺首次穿刺成功率明显高于对照组（P ＜ 0.05）。干预组护理满意度评分明显高于对照组，其中干预组在输液室环境及管理、护理操作技术、护理人员的工作态度方面评分也分别明显高于对照组（P ＜ 0.05）。 结论 对门急诊静脉输液患者系统化护理干预，有利于降低门急诊静脉输液不良反应，提高护理满意度，值得广泛推广和应用。
　　[关键词] 门急诊；静脉输液；系统化护理干预；不良反应；护理满意度
　　[中图分类号] R473.72 [文献标识码] C [文章编号] 1673-7210（2012）07（c）-0144-03
　　The impact of systematic nursing intervention on the door emergency intravenous infusion patients
　　CHEN Xiaowu LIANG Li WANG Aili
　　Department of Emergency, Shenzhen Hospital of Peking University, Guangdong Province, Shenzhen 518036, China
　　[Abstract] Objective To investigate adverse reactions and the nursing satisfaction of systematic nursing interventions for the patients of door emergency intravenous infusion. Methods The outpatient and emergency department patients were randomly divided into intervention group (systematic nursing interventions) and the control group (based on the doctor"s advice to implement the symptomatic care) according to random number table，each group for 100 cases, the occurrence of adverse reactions and nursing satisfaction index changes were compared. Results The total adverse reaction rate of intervention group was 17%, significantly lower than the control group (38%) (P ＜ 0.05). The puncture cases and inspections found that the residual liquid volume in the infusion tube of intervention group was significantly less than the control group, the first time puncture success rate of intervention group was significantly higher than the control group (P ＜ 0.05). Nursing satisfaction score of the intervention group was significantly higher than the control group, and the environment and management of the infusion room, care and operation techniques, the work attitude of nursing staff ratings of the intervention group were also significantly higher than the control group (P ＜ 0.05). Conclusion Systematic nursing intervention for emergency door intravenous infusion patients can help to reduce the outpatient and emergency intravenous infusion adverse reactions,and improve nursing satisfaction, and it is worthy of extensive promotion and application.
　　[Key words] Emergency door; Intravenous infusion; Systematic nursing intervention; Adverse reactions; Care satisfaction
　　静脉输液是医院门急诊医疗服务的一项重要组成部分，由于静脉输液治疗是一项侵入性操作，因此有可能导致不良反应的发生，甚至引起医疗纠纷[1]。近年来，随着护理专业内容的深化和工作范围的扩大，输液护理人员专业化是输液护理发展的客观需要。加强门急诊患者静脉输液的护理干预及管理，对于减少医患纠纷、提高护理满意度具有重要的临床意义。本研究旨在探讨实施系统化护理干预措施，对门急诊静脉输液不良反应及护理满意度的影响，现报道如下：