儿科患者外周静脉输液管理的临床过程及结果评价_管咏梅.pdfVIP

·28 · 　2007 F eb;24(2) 管咏梅,楼建华, 徐　红 (上海交通大学附属新华医院上海儿童医学中心胸外科, 上海200127) :目的　。方法　“ ”, 102 。 。、、。 结果　 1 68.5%, 98.3%, 100%。7.8%;8.82% ;60.78%,74.2%I 。 结论　、 、。 :;;; :R457.2　　:A 　　:1008-9993(2007)02-0028-02 Clinical Processe of Peripheral Intravenous Infusion and its Outcome Assessment GUAN Yong-mei, LO U Jian-hua, XU Hong (hanghai Childrens Medical Center, Xinhua Hospi- tal, hanghai Jiaotong University, hanghai 200127,China) Abstract:Objective　To assess the clinical process of peripheral intravenous (IV )infusion and its outcomes.Methods　“Peripheral IV clinical process and outcomes monitor”questionnaire designed by Boston Childrens Hospital w as employed in 102 children receiving IV infusion.Back translation technique w as used and face validity w as conducted for the instrumentation.The data of 102 pa- tients w ere collected through parents interview, peripheral IV injection site observation, and nurs- ing documentation review ing .Results　The successful rate of first puncturing w as 68.5%.The safe rate of injection site w as 98.3 %.During IV injection, the visiting rate of nurses w as 100 %.O nly 7.8%of IV dressing allow ed visualization of insertion site and only 8.82%of the documentations show ed that the nurses have checked the IV sites at the beginning of each shift .The rate of venous infiltration w as 60.78%;74.2%of the infiltration cases w ere of stage I.Conclusion 　T he nursing documentation of peripheral IV infusion management, IV dressing, and the selection of venous pathw ay of chemotherapy need to be improved during peripheral intravenous infusion. Key words:peripheral IV;extravasation;infiltration infusion nursing 　、 ”, , 。 , , 。 80%, 1 , [1]