基于信息化构建的静脉安全用药护理在输液室管理中应用的效果研究

  目的  针对输液室管理的护理需求特点进行分析, 提出临床护理工作所实用的可靠对策, 分析基于信息化构建的静脉安全用药护理对输液室患者护理质量的影响。  方法  自2019年5月起在湖州市中心医院输液室全面实行基于信息化构建的静脉安全用药管理模式(以下简称信息化管理)，采用随机数字表法选取2018年5月—2019年2月湖州市中心医院输液室收治的276例患者为对照组(常规管理模式)，选取2019年5月—2020年2月输液室收治的298例患者为观察组(信息化管理模式)。比较2组患者各项护理用时、静脉输液相关并发症发生率及护理满意度。  结果  观察组患者平均换药间隔时间及药物提前配置时间均短于对照组，输液期间巡视次数少于对照组(均P < 0.05)；观察组患者静脉输液相关并发症发生率为5.4%(16/298)，低于对照组10.1%(28/276)，P < 0.05]；观察组护理满意度为94.0%(280/298)，高于对照组87.3%(241/276)，P < 0.05]。  结论  基于信息化构建的静脉安全用药护理可缩短输液室管理各项护理用时，提高护理质量及护理满意度，减少静脉输液相关并发症的发生。 

Study on the application effect of intravenous safe medication nursing based on information construction in infusion room management

  Objective  According to the characteristics of nursing needs of infusion room management, this paper puts forward reliable countermeasures which can be used for clinical nursing work, and analyzes the application effect of intravenous safe drug nursing based on information construction on nursing quality of patients in infusion room.  Methods  Since May 2019, the intravenous medication safety management mode based on information construction (hereinafter referred to as information management) had been fully implemented in the Infusion Room of Huzhou Central Hospital. Total 276 patients admitted to the Infusion Room from May 2018 to February 2019 were selected as the control group (conventional management mode) by random number table method, other 298 patients in Infusion Room from May 2019 to February 2020 were selected as the observation group (information management mode). The nursing time, incidence of complications related to intravenous infusion and nursing satisfaction were compared between the two groups.  Results  Average interval of dressing change and pre-configuration time of drugs in observation group were shorter than those in control group, and the number of visits during infusion was less than that in control group (P < 0.05). The incidence of complications related to intravenous infusion in the observation group was 5.4% (16/298), lower than that in the control group was 10.1% (28/276), P < 0.05. Nursing satisfaction in the observation group was 94.0% (280/298), higher than 87.3% (241/276) in the control group (P < 0.05).  Conclusion  Intravenous safe medication nursing based on information construction can shorten the nursing time of infusion room management, improve nursing quality and nursing satisfaction, reduce the occurrence of complications related to intravenous infusion, and is worthy of clinical application.