门诊老年输液患者实施细节护理分析.docVIP

门诊老年输液患者实施细节护理分析 　　[摘要] 目的 探讨细节护理对门诊老年输液患者的作用。 方法 我站于2011年7月，根据输液实施标准制定完善的细节护理方案，并将其严格落实到门诊老年患者护理中。将这一时间点前的648例患者作为对照组，这一时间点后的876例患者作为研究组，对比老年患者输液事件的发生率以及患者满意率，评价细节护理的临床价值。 结果 实施细节护理的门诊老年输液患者对输液护理的满意率明显高于对照组患者满意率，差异有统计学意义（P0.05）；肢体渗液、针头滑脱、滴速失误以及拔针后淤血事件发生率组间比较，差异有统计学意义（P0.05）。 结论 细节护理能够有效提升老年输液患者满意率，最大程度降低输液风险。 　　[关键词] 老年患者；输液；细节护理 　　[中图分类号] R473 [文献标识码] B [文章编号] 2095-0616（2014）10-141-03 　　[Abstract] Objective To explore the effects of detailed care on elderly outpatients receiving transfusion. Methods Detailed care scheme was developed and improved in the health service station according to transfusion implementation standards and strictly applied on care of elderly outpatients in Jul 2011. 648 patients during the period were assigned to the control group and 876 patients after the period were assigned to the study group to compare the incidence rates of transfusion events and satisfaction rates among elderly patients between the two groups and evaluate the clinical value of detailed care. Results The elderly outpatients on transfusion given detailed care had significantly higher satisfaction rate towards transfusion care than the control group， with statistical significance （P0.05）； the incidence rates of exudate limb， needle slippage， dripping speed mistake and bruise event after needle withdraw were different between the two groups， with statistical significance（P0.05）. Conclusion Detailed care can effectively improve the satisfaction rate among elderly patients receiving transfusion and reduce transfusion risks to the largest extent. 　　[Key words] Elderly patients； Transfusion； Detailed care 　　老年患者是门诊输液护理要重点关注的对象，由于老年人生理机能下降，血管壁硬化，皮肤变得松弛，进行穿刺和输液过程中容易发生风险事件，造成患者对护理服务质量不满意，甚至引发医患纠纷等严重问题[1-2]。实施针对性的细节护理能够有效避免输液风险事件的发生，争取患者的配合和理解，促进医疗活动的顺利开展[3]。本文研究了细节护理措施对门诊老年患者输液的作用，具体内容如下。 　　1 资料与方法 　　1.1 一般资料 　　本次研究选取我站于两个时间段收治的老年输液患者作为研究对象，其中2010年6月～2011年6月收治648例患者，设定为对照组，其中男387例，女261例，年龄62～86岁，平均（74.7±11.4）岁，患者疾病类型主要包括：消化系统病变248例、呼吸系统病变130例、感冒类疾病150例、其他病变120例，门诊输液次数最