摘要
目的：了解病房抗菌药物的输注时长,分析其影响因素。方法采用整群抽样法选取北京大学第三医院内、外科16个病房,从护理信息系统内提取前3位抗菌药物,并获得这些药物的输注时长,分析输注护士的信息。结果抗菌药物静脉输液时长合格率为92.10%；静脉输液时长合格率较低的5种药物分别为：注射用头孢美唑钠（72.72%）、甲硝唑氯化钠注射液（72.72%）、盐酸莫西沙星氯化钠注射液（75.00%）、注射用头孢他啶（76.47%）、注射用盐酸万古霉素（85.00%）。护士所在科室及输注药物不同会影响静脉输液时长合格率,差异有统计学意义（χ2值分别为44.872,138.524；P＜0.05）。护士所在科室及药物种类不同会影响静脉输液时长不合格偏差,差异有统计学意义（F 值分别为8.009,18.639；P＜0.05）。结论静脉输注抗菌药物时长的合格率有待提高。针对低合格率的药物和科室,应加强护士的培训与落实,加强护士长的学习与管理。
Objective To comprehend the length of antibacterial agent transfusion in clinical and analyze its influencing factors. Methods Sixteen medical and surgical wards were selected by cluster sampling method in Peking University Third Hospital, and the top three antibacterial agents from nursing information system were chosen, the length of transfusion was acquired and the information of nurses were analyzed. Results The percent of standard length of antibacterial agent transfusion was 92. 10% , and the lowest five rate of non-standard drug transfusion included Cefmetazole （72. 72% ）, Metronidazole and Sodium Chloride Injection （72. 72% ）, Moxifloxacin Hydrochloride and Sodium Choride Injection （75. 00% ）, Ceftazidime （76. 47% ） and Vancomycin Hydrochloride Enzeme （85. 00% ）. The different departments of nurses and antibacterial agent impacted the rate of standard transfusion （χ2 = 44. 872, 138. 524,respectively;P 〈 0. 05）, they also affected the percent of standard length of antibacterial agent transfusion （F = 8. 009, 18. 639,respectively;P 〈 0. 05）. Conclusions The standard rate of antibacterial agent should be improved, training of nursing and management of manager should be strengthened for low standard rate of medicine and departments.
出处
《中华现代护理杂志》
2015年第8期922-925,共4页
Chinese Journal of Modern Nursing
关键词
输注
静脉内
抗菌药物
影响因素
Infusion,intravenous
Antibacterial agent
Influencing factors
