启用静脉药物配置中心对护患的影响

目的探讨启用静脉药物配置中心(PIVAS)对患者和护理人员的影响。方法采用回顾性调查和问卷调查比较我院门诊输液患者实施PIVAS前后与配液有关的输液反应率、输液患者满意率和输液患者的疗程。结果启用PIVAS大大降低了所配置液体被污染的机率,由此降低了输液反应的发生率(P<0.05),患者对护理服务的满意度提高,除化疗患者外,91%的患者输液疗程小于3 d,而启用静脉配置中心以前,仅82%的患者疗程小于3 d。结论建立静脉药物配置中心,护理服务水平,治疗水平和管理效益均获提高。PIVAS值得向医院推广。

Effects of pharmacy intravenous admixture services on nurses and patients

Objective To investigate the effects of pharmacy intravenous admixture services(PIVAS) on nurses and patients.Methods The rates of infusion reaction caused by dispensing intravenous drugs,the satisfactory degree and the infusion duration of 500 patients in out-patient department of our hospital were retrospectively reviewed and compared between receiving PIVAS in 2004 and without receiving PIVAS in 2003 by means of filling a questionnaire.Results The contamination rate of admixed liquids was significantly decreased by PIVAS,thus the rates of infusion reaction were decreased(P<0.05).Simultaneously,the satisfactory degree from patients was increased by PIVAS.Except the cases receiving chemotherapy,the infusion duration of 82% patients were less than 3d,while PIVAS pushed it up to 91% in 2004.Conclusions Nursing services,therapy level and administrative efficacy are improved,and the therapeutic duration is reduced after establishing PIVAS.The PIVAS is worthy of generalizing in hospitals.