北京地区静脉输液专业化发展状况的调查研究

目的调查北京地区静脉输液专业化发展的状况,并提出合理建议。方法采用自制问卷调查北京地区59所医院静脉输液状况。结果①静脉输液专业化队伍建设情况:43所(72.88%)医院成立了静脉输液小组,47所医院中的198名护士接受过静脉输液专科护士培训。②静脉穿刺工具的使用情况:头皮钢针的使用率为94.92%;静脉留置针为100.00%;PICC为93.22%;CVC为74.58%;静脉输液港为38.98%。③静脉输液药物配制的相关问题:16所(27.12%)医院成立了静脉药物配置中心;仅7所医院由配液中心完成全肠外静脉营养液的配制。④静脉输液相关的职业防护:39所(66.10%)医院尚未实行肿瘤化疗药物的集中配制和供应;其中10所(16.95%)医院未使用生物安全柜。结论北京地区静脉输液专业化发展取得了一定成绩,但在专业化队伍的建设、静脉输液药物配制及职业防护方面仍存在不足,提示护理管理部门及相关医疗机构应积极采取相应措施,推动北京地区静脉输液专业化发展的进程。

A survey of professional development status of intravenous infusion therapy in Beijing

Objective To investigate the professional development status of intravenous infusion therapy in Beijing, so as to put forward reasonable suggestions. Methods A self - designed questionnaire was used in 59 hospitals to investigate the status of intravenous infusion therapy in Beijing. Results The intravenous infusion therapy teams were built in 43 hospitals （72.88 % ） , 198 nurses in 47 hospitals received specialized training of intravenous infusion therapy. The usage rates of steel needle, venous indwelling needle, PICC, central venous catheter （ CVC ） and totally implant venous - access ports （ TIVAP ） were 94.92% , 100.00% ,93.22% ,74.58% and 38.98% ,respectively. The pharmacy intravenous admixture services were bnilted in 16 hospitals （27.12%） , but the total parenteral nutrition （TPN） was administed by using the pharmacy intravenous admixture services in only 7 hospitals. Chemotherapeutie drugs were not deployed and supplied centrally in 39 hospitals （66.10%） ,biosafety cabinets were not used in 9 hospitals. Conclusion Some achievements have reached in in- travenous infusion therapy in Beijing, but problems still exist in construction of professional teams, intravenous infusion preparation and professional protection. Therefore,positive measures should be taken to promote the professional development of intravenous infusion therapy in Beijing.