|
|
Analysis of risk factors for intravenous infusion in outpatients of a tertiary children′s hospital |
Chen Si, Cheng Xiaowei, Huang Qiuping. |
Children′s Infusion Room, The Second Affiliated Hospital and Yuying Children′s Hospital, Wenzhou Medical University, Wenzhou 325000, China |
|
|
Abstract Objective To analyze the risk factors of intravenous infusion in outpatients of a tertiary children′s hospital, and to explore related preventive interventions.Methods From June 2017 to October 2018, 486 children who received intravenous infusion treatment in the infusion room of the tertiary children′s hospital were retrospectively analyzed. Retrospective analysis was carried out on the basic data of the children, the incidence rate of transfusion reaction in the course of intravenous infusion was recorded, and the risk factors of transfusion reaction were discussed.Results In 486 cases, 44 cases of infusion reaction occurred during the infusion, and the incidence rate was 9.1%. Multivariate logistic regression analysis showed that children under 7 years old (OR=1.991), infusion volume over 1 000 ml (OR=1.415), low immune function (OR=4.158), pyrogenic source (OR=1.960), drug irritation strong (OR=1.914), past history of allergic disease (OR=5.778), drug deterioration (OR=1.451), particulate contamination (OR=1.765), and infusion speed too fast (OR=1.634) were risk factors for outpatient intravenous infusion reactions. The difference was statistically significant (P<0.05).Conclusion The hospital needs to strengthen the health education of the medical staff on the infusion reaction, strictly grasp the precautions and indications of intravenous infusion, and master the treatment methods of infusion reaction to reduce the occurrence of infusion reaction.
|
Received: 15 April 2019
|
|
|
|
[1]方继红,武凤芹,杨媛媛,等.静脉治疗质控小组在提高儿科病房静脉留置针输液安全管理中的应用与效果观察[J].安徽医药,2018(4):781-785.
[2]赵妮,侯均,石训仁.中药注射剂致输液性静脉炎不良反应的危险因素分析[J].实用药物与临床,2017,20(5):577-580.
[3]武玉娟,张世梅,马娟,等.个体化心理护理用于学龄前儿童静脉输液的实际效果观察[J].甘肃医药,2016,35(6):467-468.
[4]曾舒静,林仁清,陈敏.人性化护理在门诊小儿静脉输液中的应用价值分析[J].心理医生,2017,23(8):208-209.
[5]CHOPRA V,KUHN L,RATZ D,et al.Vascular nursing experience,practice knowledge,and beliefs:Results from the Michigan PICC1 survey[J].J Hosp Med,2016,11(4):269-275.
[6]王倩亭.安全护理对策在儿科门诊静脉输液中的应用效果分析[J].临床医学研究与实践,2017(11):179-180.
[7]卢铨广,何适欣,欧梅芳.儿童静脉输液不良反应现状及危险因素分析[J].中国药业,2018,27(13):95-97.
[8]刘胜华.语言沟通及诱导应用于学龄前儿童静脉穿刺的效果观察[J].基层医学论坛,2016,20(28):4038-4040.
[9]张红旭,郭辉.医院输液微粒与大气PM2.5比较及监管过度输液的预防医学意义[J].中国医院药学杂志,2016,36(13):1132-1135.
[10]LIU HQ, LI XB, ZHANG YS,et al.Effect of laryngeal mask airway placement on the optimal site and success rate of venipuncture via the right internal jugular vein[J].Int J Clin Exp Med,2015,8(8):13179-13186.
[11]黄惠琴.质量控制护理模式对提高门诊注射输液室患者满意度的效果[J].国际护理学杂志,2015,34(1):118-119.
[12]王琪娜,崔玲,王静,等.儿科门诊输液中心患儿家属健康教育需求调查分析[J].河北医药,2016,38(18):2845-2847.
[13]谢虹,任蕾蕾.对应用静脉留置针进行输液的手足口病患儿实施细节护理的效果分析[J].当代医药论丛,2017,15(4):142-143.
[14]汪珍秀,刘初阳,肖素娟,等.基层医院门诊静脉输液药学干预的研究[J].实用医学杂志,2014,30(8):1323-1325.
[15]朱丽新. 童趣化诱导对学龄前儿童静脉穿刺成功率及其家属满意度的影响[J]. 国际护理学杂志,2016,35(2):274-276.
[16]MANEVAL RE,CLEMENCE BJ.Risk factors associated with catheterrelated upper extremity deep vein thrombosis in patients with peripherally inserted central venous catheters[J].J Infus Nurs,2014,37(4):260-268.
[17]张晓文,丁可,黄卫,等.延续护理对支气管哮喘患儿生活质量及疾病控制的影响[J].中华现代护理杂志,2016,22(21):2996-2999.
[18]李秋云.基层医院发生输液反应原因分析及整改措施[J].中医临床研究,2018,10(14):136-137.
[19]叶丹,肖爱新,何炜,等.阳性强化法对社区门诊静脉输液患儿穿刺疼痛及依从性的影响研究[J].广州医药,2017,48(3):68-71.
[20]李国敏.综合护理干预对小儿静脉输液依从性及穿刺成功率的影响[J].实用医技杂志,2018,25(6):683-684. |
[1] |
Han Fulei, Yang Linghua, Zhang Hongping, Wang Yu, Yin Shuying, Mi Wei.. Analysis of the prevalence of hypertension and its influencing factors in adult Chinese adults of different genders[J]. journal1, 2019, 26(5): 321-325. |
[2] |
Ye Xiaojie, Zhu Suzhu. Risk factors related to nosocomial infection in psychiatric patients and analysis of standardized intervention effects[J]. journal1, 2019, 26(5): 326-330. |
[3] |
Zhang Qingnan, Qian Xiaojia, Chen Jie.. Analysis on risk factors and prevention strategy of catheterrelated blood stream infection of ICU patients [J]. journal1, 2019, 26(5): 331-333. |
[4] |
Wang Qian,Li Fan,Ding Guofeng. Clinical characteristics and risk factors of lower respiratory tract infection of adults in rural community[J]. journal1, 2019, 26(5): 337-339. |
[5] |
Yu Bianbian,Jin Keyin. Analysis on risk factors of prognosis of hepatocirrhosis patients with hepatic encephalopathy[J]. journal1, 2019, 26(4): 246-248. |
[6] |
Xu Guoqin. Risk factors of TORCH infection in pregnancy and its impact on pregnancy outcome[J]. journal1, 2019, 26(4): 263-265. |
|
|
|
|