Objective: to study the effect of infusion safety management in service station on infusion safety and satisfaction of elderly patients. Methods: 82 elderly patients with respiratory diseases, chronic diseases and gas...Objective: to study the effect of infusion safety management in service station on infusion safety and satisfaction of elderly patients. Methods: 82 elderly patients with respiratory diseases, chronic diseases and gastrointestinal diseases in the service station need to be selected for the study. All patients need infusion treatment, voluntarily participate in the study and sign informed consent. The research period is 11 months, from May 2020 to April 2020. In order to ensure the accuracy of the research data, the observation group (39 cases) and the control group (39 cases) were analyzed as the research group to carry out routine management and safety management respectively. The nursing satisfaction and incidence of adverse reactions of the two groups were taken as important comparative data. During this study, patients need to be managed in strict accordance with the scheme. Results: after the implementation of infusion safety management, it was found that the incidence of adverse reactions in the observation group was significantly lower than that in the control group. There was significant difference between the groups (P < 0.05). Conclusion: the implementation of safety management for patients shows that the nursing satisfaction of patients is significantly improved, and the incidence of adverse reactions such as phlebitis, catheter blockage and drug liquid extravasation is significantly reduced. It is recommended to be popularized in clinic.展开更多
Objective Intra-operative coagulopathy has a close relationship with blood loss and the prognosis of patients. Rapid-thrombelastography （r-TEG） is a comprehensive assessment of coagulation abnormalities and also an...Objective Intra-operative coagulopathy has a close relationship with blood loss and the prognosis of patients. Rapid-thrombelastography （r-TEG） is a comprehensive assessment of coagulation abnormalities and also an effective way for constructing blood transfusion. This study attempts to investigate the correlation of r-TEG indices with intra-operative hemorrhage. Methods Patients who underwent transphenoidal hypophysectomy and craniotomy from January 15 to April 30, 2013 in Peking Union Medical College hospital were recruited. All patients had pre- and post-operative r-TEG and conventional coagulation tests （CCTs）. Patients’ information and intra-operative blood loss as a percentage of estimated blood volume were recorded. Spearman’s correlation analyses were used for discovering the relationship between indices in r-TEG or CCTs and the intra-operative blood loss. The significant correlated index of r-TEG was further investigated using linear regression analysis. Results A total of 181 patients participated in this study. Intra-operative change of α-angle, which reflects the fibrinogen level and function, was the only r-TEG index that correlated with blood loss significantly （P=0.013, r= ？0.184）, thus challenging the current empirical cognition of the effects of intra-operative hemorrhage on coagulation. As intra-operative blood loss increased, α-angle decreased, and every 1% loss of estimated blood volume （EBV） led to 0.60 degree decrease of α-angle. As for CCT results, changes of fibrinogen and platelet count were also significantly correlated with blood loss （P=0.015 and P=0.001, respectively）.Conclusions Peri-operative change of α-angle, as an index of r-TEG, exhibited a significant negative correlation with intra-operative blood loss. The impact of hemorrhage on fibrinogen, instead of clotting factors, should be scrutinized.展开更多
文摘Objective: to study the effect of infusion safety management in service station on infusion safety and satisfaction of elderly patients. Methods: 82 elderly patients with respiratory diseases, chronic diseases and gastrointestinal diseases in the service station need to be selected for the study. All patients need infusion treatment, voluntarily participate in the study and sign informed consent. The research period is 11 months, from May 2020 to April 2020. In order to ensure the accuracy of the research data, the observation group (39 cases) and the control group (39 cases) were analyzed as the research group to carry out routine management and safety management respectively. The nursing satisfaction and incidence of adverse reactions of the two groups were taken as important comparative data. During this study, patients need to be managed in strict accordance with the scheme. Results: after the implementation of infusion safety management, it was found that the incidence of adverse reactions in the observation group was significantly lower than that in the control group. There was significant difference between the groups (P < 0.05). Conclusion: the implementation of safety management for patients shows that the nursing satisfaction of patients is significantly improved, and the incidence of adverse reactions such as phlebitis, catheter blockage and drug liquid extravasation is significantly reduced. It is recommended to be popularized in clinic.
文摘Objective Intra-operative coagulopathy has a close relationship with blood loss and the prognosis of patients. Rapid-thrombelastography （r-TEG） is a comprehensive assessment of coagulation abnormalities and also an effective way for constructing blood transfusion. This study attempts to investigate the correlation of r-TEG indices with intra-operative hemorrhage. Methods Patients who underwent transphenoidal hypophysectomy and craniotomy from January 15 to April 30, 2013 in Peking Union Medical College hospital were recruited. All patients had pre- and post-operative r-TEG and conventional coagulation tests （CCTs）. Patients’ information and intra-operative blood loss as a percentage of estimated blood volume were recorded. Spearman’s correlation analyses were used for discovering the relationship between indices in r-TEG or CCTs and the intra-operative blood loss. The significant correlated index of r-TEG was further investigated using linear regression analysis. Results A total of 181 patients participated in this study. Intra-operative change of α-angle, which reflects the fibrinogen level and function, was the only r-TEG index that correlated with blood loss significantly （P=0.013, r= ？0.184）, thus challenging the current empirical cognition of the effects of intra-operative hemorrhage on coagulation. As intra-operative blood loss increased, α-angle decreased, and every 1% loss of estimated blood volume （EBV） led to 0.60 degree decrease of α-angle. As for CCT results, changes of fibrinogen and platelet count were also significantly correlated with blood loss （P=0.015 and P=0.001, respectively）.Conclusions Peri-operative change of α-angle, as an index of r-TEG, exhibited a significant negative correlation with intra-operative blood loss. The impact of hemorrhage on fibrinogen, instead of clotting factors, should be scrutinized.
