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• 特别策划·静脉治疗管理 • 上一篇    下一篇

石家庄市44家二级及以上医院一次性输液器使用现状调查

赵改婷 孙秀梅 雷琤 刘思文 刘志敏   

  1. 河北医科大学第二医院儿内科(赵改婷);河北医科大学第三医院血液内科(孙秀梅);石家庄市第一医院护理部(雷琤);白求恩国际和平医院护理部(刘思文);河北医科大学第四医院化疗科(刘志敏)
  • 出版日期:2016-06-25 发布日期:2016-06-25

The current usage status and countermeasures of disposable venous infusion sets in 44 secondary and tertiary hospitals in Shijiazhuang

  • Online:2016-06-25 Published:2016-06-25

摘要: 目的:调查石家庄市一次性输液器使用现状,为制定正确使用输液器的相关管理措施提供依据。方法:运用问卷调查法从石家庄市所有二级及以上医院(11 家三级甲等医院和33 家二级医院)中随机抽取309 个科室进行调查。结果:二级医院科室普通输液器使用率高于三级医院(P <0.05);精密过滤输液器的使用率低于三级医院(P <0.05)。二级医院在输注脂肪乳剂、化疗药物以及中药制剂时精密过滤输液器使用率低于三级医院(P <0.05)。二级医院与三级医院均约有40%的调查科室无避光输液器,只有约10% 的调查科室使用不含有邻苯二甲酸二(2-乙基己)酯(DEHP)材质的输液器。三级医院在输注一种新药前根据说明书选择输液器的习惯或制度也好于二级医院,但均无药剂专业人员指导,存在为特殊人群输液时输液器选用不当现象。结论:石家庄市二级及以上医院在输液器的选择和使用上均存在一定问题,应进一步加强培训与检查,确保护患双方安全。

Abstract: Objective: To investigate the current usage status of disposable venous infusion sets and to provide reference for correct usage of disposable venous infusion sets. Methods: Totally 309 head nurses in 11 tertiary Grade A hospitals and 33 secondary hospitals in Shijiazhuang were recruited and investigated by questionnaires. Results: The usage rate of ordinary venous infusion sets in secondary hospitals was obviously higher than that in tertiary hospitals (P<0.05); while the usage rate of precision infusion sets was much lower than that in tertiary hospitals (P<0.05). The usage rate of precision infusion sets when infusing intralipid, chemotherapeutic drugs and Chinese medicine in secondary hospitals was obviously lower than that in tertiary hospitals (P<0.05). No lucifugal infusion device was used in 40% investigated departments in secondary and tertiary hospitals and only 10% investigated departments used infusion set without DEHP material. The habit and rules to choose infusion sets according to instruction of special drugs in tertiary hospitals were better than those in secondary hospitals but all hospitals were not instructed under special pharmacists. Conclusions: Secondary hospitals and teriary hospitals had different level problems in selecting and using venous infusion sets. The managers should strengthen training and inspection to ensure patients' safety.