摘要
目的：探讨评判性思维在预防急诊输液用药风险事件中的效果。方法我院急诊科于2015年1月开始实施评判性思维培训，采用评判性思维能力测量表（ CTDI-CV）评价培训效果，对比实施评判性思维培训前后的CTDI-CV评分、输液用药风险事件及护理满意度情况。结果采用评判性思维培训后，护士的评判性思维能力评分CTDI-CV总分为（311.4±29.2）分，明显高于培训前，差异有统计学意义（P〈0.05）。培训后，输液用药不良反应仅2例，静脉炎1例，局部皮肤瘙痒1例，医生和患者对护理服务的满意度分别为91.6%和95.0%，均明显优于培训前，差异有统计学意义（ P〈0.05）。结论建立评判性思维模式有助于降低急诊输液用药风险，提高护理满意度，值得临床推广应用。
Objective To study the effect of critical thinking on preventing emergency infusion drug e-vent. Methods Critical thinking training was implemented since January 2015 in the emergency department of our hos-pital. CTDI-CV was used to evaluate the training effect, compare CTDI-CV, infusion drug event and nursing satisfaction before and after implementing critical thinking training. Results After implementing critical thinking training, the total score of CTDI-CV of nurse was （ 311. 4 ± 29. 2 ） , which was significantly higher than that before training （ P〈0. 05 ） . Only 2 patients had adverse reaction after infusion, 1 patient had phlebitis and 1 patient had local skin itch. The degrees of satisfaction of doctor and patient to nursing service were 91. 6% and 95. 0%, which were significantly higher than that before training （ P〈0. 05 ） . Conclusion Critical thinking mode established is beneficial to reduce emergency infusion drug event and improve the nursing satisfaction, which is worth popularizing clinically.
出处
《国际护理学杂志》
2016年第24期3431-3433,共3页
international journal of nursing
基金
南通市科技计划（指导性）项目（HS149025）
关键词
护理培训
评判性思维
用药风险
效果
Nursing training
Critical thinking
Drug Event
Effects
