Comparative analysis of the status of intravenous treatment in hospitalized patients in tertiary general hospitals in Baoding
保定市三甲综合医院住院患者静脉治疗现状对比分析

摘要

目的 了解某市三级甲等综合医院住院患者静脉治疗护理现状及存在的问题，对比同级别医院的静脉治疗现状以及对比该院上一年度静脉治疗数据，进一步提高医院静脉治疗质量以及为医院静脉治疗专科小组针对性的开展工作提供依据。方法 采用横断面调查的方法，将调查内容录入到问卷星小程序，调查者进行横断面调查，调查结果现场录入问卷星中，于2024年1月24日9:00-12:00对全院45个涉及静脉治疗的科室1839位住院患者进行静脉治疗横断面调查。结果 本次调查总输液率为51.3%，静脉输液工具包括钢针、留置针、中心静脉置管（CVC）、经外周静脉置入的中心静脉导管（PICC）、输液港（PORT）5种。其中，外周输液工具使用率为84.8%，中心静脉导管使用率为15.2%.钢针非单次输液占43.9%，外周静脉输液部位选择中57.5%未选择上肢，留置时间小于3天的占77.3%，有并发症的占15.6%，留置针使用中未使用安全型占53.8%，接头连接方式有针连接占13.2%，应用化疗药、肠外营养剂、血管活性药物等刺激性药物占19.4%。结论 近几年全国静脉治疗得到专业化发展，但仍有很多问题的出现，建议医院不仅只进行理论知识的学习，还应提高静脉治疗护士的岗位胜任力，切实有效的减少输液不良事件的发生，促进患者快速康复。

Abstract

Objective To understand the status and problems of intravenous treatment nursing for hospitalized patients in a tertiary general hospital in a certain city, compare the status of intravenous treatment in hospitals of the same level and compare the intravenous treatment data of the hospital in the previous year, further improve the quality of intravenous treatment in the hospital and provide a basis for the hospital's intravenous treatment specialist team to carry out targeted work.
Methods A cross-sectional survey method was adopted. The survey content was entered into the Questionnaire Star applet. The investigators conducted a cross-sectional survey. The survey results were entered into the Questionnaire Star on site. A cross-sectional survey of intravenous treatment was conducted on 1839 hospitalized patients in 45 departments involved in intravenous treatment in the hospital from 9:00 to 12:00 on January 24, 2024.
Results The total infusion rate in this survey was 51.3%. The intravenous infusion tools included 5 types: steel needle, indwelling needle, central venous catheter (CVC), peripherally inserted central venous catheter (PICC), and infusion port (PORT). Among them, the use rate of peripheral infusion tools was 84.8%, and the use rate of central venous catheters was 15.2%. The steel needle was not used for single infusion in 43.9%, and 57.5% of the peripheral venous infusion sites did not choose the upper limbs. The retention time was less than 3 days in 77.3%, and complications occurred in 15.6%. The use of indwelling needles was not safe in 53.8%, and the connector connection method was needle connection in 13.2%. The use of irritating drugs such as chemotherapy drugs, parenteral nutrition agents, and vasoactive drugs accounted for 19.4%.
Conclusion   In recent years, intravenous treatment has been professionally developed nationwide, but there are still many problems. It is recommended that hospitals should not only learn theoretical knowledge, but also improve the job competence of intravenous treatment nurses, effectively reduce the occurrence of adverse events of infusion, and promote the rapid recovery of patients.