专业化静脉输液风险管理培训的实施及效果评价`.doc

贾老师，请按文内补充意见修改，并于8月7日前修回上传至网站，上传成功稿件将自动变成“终审”状态。 静脉输液风险管理培训对低年资护士相关知识、行为的影响 贾丽苹 赵爱平 杨艳 钱萍 刘金妹 仇晓霞 （上海交通大学医学院附属仁济医院，上海，200127） [摘要] 目的 探讨静脉输液风险管理培训对低年资护士相关知识、行为的影响。 方法 在梳理静脉输液风险环节及内容的基础上，构建专业化静脉输液风险管理培训课程，培训低年资护士。采用静脉输液风险管理知识测试及临床护士静脉输液调查表评价培训前后低年资护士静脉输液风险相关知识、行为的改变。结果 低年资护士培训后静脉输液风险管理知识测试总分提高，差异有统计学意义（P＜0.01）；培训前后静脉输液风险相关行为的改变：患者身份识别方法的选择、穿刺一次成功、患者及家属健康教育行为、敷贴维护、肝素帽消毒时间、力度各方面的行为改善，差异有统计学差异（p＜0.01）；留置导管敷贴类型选择、肝素帽消毒用物、静脉输液穿刺部位的选择、化疗药物穿刺部位及输液工具选择几个方面的差异无统计学意义（p＞0.05）。结论 专业化静脉输液风险管理培训可以提高低年资护士静脉输液风险管理知识水平，改善其临床静脉输液风险相关行为。 [关键词] 静脉输液；风险；培训；低年资护士；知识；行为 Effects of Intravenous Infusion Risk Management Training on Junior Nurses’ Knowledge and Behavior JIA Li-ping, ZHAO Ai-ping, YANG Yan, QIAN Ping, LIU Jin-mei, QIU Xiao-xia, (Renji Hospital, School of Medicine, Shanghai Jiao Tong University Shanghai，200127, China) [Abstract] Objective Discuss the effects of intravenous infusion risk management training on junior nurses’knowledge and behavior. Methods Construct a intravenous infusion risk management training program based on The Risk Links and Contents of Intravenous Infusion，and provided it to junior nurses. Evaluate the change of junior nurses’knowledge and behavior by “Intravenous infusion risk management knowledge questionnaire” and “clinical nurses intravenous infusion survey”.Results After the training programme, nurses’knowledge of intravenous infusion risk management increased from 55.96±7.67 to 66.35±5.33（P＜0.01）。After the intervention，nurses’ behaviors changed significantly in “check methods，venepuncture skill，health education，dressing maintenance，time and strength used in heparin cap disinfection”（p＜0.01）;Otherwise, there is no significant change in “type of dressing, things used in heparin cap disinfection，puncture site，puncture site and infusion tool of chemotherapeutics, complication rate”（p＞0.05）.Conclusion The knowledge and behaviors related to intravenous infusion risk could be significantly improved by participating a intravenous inf