摘要
目的:分析儿科静脉炎的危险因素,调查相关护理人员对危险因素的认知情况。方法:选取静脉输液发生静脉炎患儿116例为观察组,未发生静脉炎患儿116例为对照组,比较两组一般资料,并行多因素Logistic回归分析,此外选取64例护理人员行认知度调查,观察护理人员对静脉炎危险因素的认知情况。结果:两组输液速度、套管针滞留时间、药物刺激性强、正确的固定方式、穿刺部位(手背)、无菌环境操作、溶液p H值差异显著(P<0.01)。Logistic回归分析表明,上述因素均为静脉炎的独立危险因素(P<0.05或P<0.01)。护理人员对固定方式(96.9%)、穿刺技术(90.6%)、药物浓度(87.5%)、渗透压(85.9%)及套管针保留时间(81.3%)认知度较高,而对p H值(29.7%)、穿刺部位(45.3%/59.4%)、无菌操作(48.4%)及输液速度(56.3%)认知度较低。结论:输液速度、正确的固定方式、穿刺部位(手背)、溶液p H值、无菌环境操作、套管针滞留时间及药物刺激性强为儿科静脉炎的危险因素。护理人员对静脉炎的认知不够全面,需进一步加强。
Objective：To analyze the risk factors for phlebitis in department of pediatrics and survey the nurses＇ cognition on these risk factors. Mcthods：A total of 116 infants with phlebitis due to intravenous injection served as observation group,while another 116 infants without phlebitis as control group. General data were compared between two groups, and multivariate Logistic regression anatysis was conducted. Another 64 nurses were selected to survey their cognition degree and observe their cognition on the risk factors for phlebitis. Results：There were significant differences between two groups in infusion speed,retaining duration of trocars,strong drug irritation,correct fixed methods,puncture sites （opisthenar）,operation in aseptic conditions and pH value of the solution （P 〈 0.01 ）. Logistic regression analysis showed that above factors were independent risk factors for phlebitis （P 〈 0.05 or P 〈 0.01 ）. Nurses were high in cognition degree in fixed methods （ 96.9% ） , puncture technique （913.6%） , drug concentration （ 87. 5% ） , osmotic pressure （85.9%） and retaining duration of trocars （81.3% ） , but were low in pH value （29.7 % ） , puncture sites （45.3%/59.4% ） , aseptic operation （48.4%） and infusion speed （ 56.3 % ）. Conclusion ： Infusion speed, correct fixed methods, puncture sites （opisthenar） , pH value of the solution,operation in aseptic conditions,retaining duration of trocars and strong drug irritation are risk factors for phlebitis in department of pediatrics. Nurses are incomplete in cognition of phlebitis, whose cognition needs to be further enhanced.
出处
《川北医学院学报》
CAS
2016年第6期914-916,共3页
Journal of North Sichuan Medical College
关键词
静脉炎
危险因素
儿科
护理人员
认知调查
Phlebitis
Risk factor
Department of pediatrics
Nurse
Survey on cognition
