摘要
目的：通过调查目前全国部分医院中心静脉压（ CVP）测量操作的现况,为构建CVP测量的标准化操作规范提供依据。方法采用便利抽样法调查236名中华护理学会2014年重症专科护士培训班学员,研究者根据文献证实的影响CVP测量值的可控因素以自行编制的问卷进行调查。结果在中心静脉置管后,研究对象所在科室只有48.7%常规进行X线片定位来确定导管尖端位置；236人调查对象中有55人（23.3%）表示CVP测量前撤除PEEP,87人（36.9%）表示并不撤除,94人（39.8%）表示会根据病情决定是否撤除；在研究对象中有173人（73.3%）表示所在科室最常使用的中心静脉导管为双腔或多腔,但在测量CVP时管腔的选择上有131人（55.5%）表示所在科室统一规定选择主腔,有8人（3.4%）表示规定选择侧腔,有97人（41.1%）表示并无明确规定。结论目前全国部分医院在CVP测量操作上无统一规范,即便有相关的研究已经证实的影响因素,其研究成果并未被临床广泛接受。为提高临床CVP测量值的准确性,需构建CVP测量的的标准化操作规范。
Objective To explore the investigation of central venous pressure （ CVP ） measurement operation in some hospitals throughout the country, in order to provide the evidence for the construction of CVP standardized measurement. Methods A convenience sample of 236, who was students of Chinese Nursing Association critical care specialist nurse training class in 2014, was investigated the various factors influencing the CVP measurement by self designed questionnaire according to literature. Results After central venous catheter insertion, 48. 7% of students′department checked the apex position of CVP as routine. A total of 55 students （23. 3%） believed it should remove PEEP before CVP measurement, 87 students （36. 9%） reckoned it was not available, while 94 of them （ 39. 8%） considered whether removed PEEP according to patients′condition. Most of students′ department utilized double channel catheter or multi-lumen catheter, while 131 students′department （55. 5%） chose the main catheter to measure CVP as regulation, department of 8 students （3. 4%） choosing lateral channel, and department of 97 students （ 41. 1%） having no clear regulation. Conclusions In some hospitals the CVP measurement has no united standard, even if there were factors related research had been confirmed. The results of researches had not been widely accepted in clinical. In order to improve the accuracy of clinical CVP measurement, CVP measurement needs to construct standardized operating norms.
出处
《中华现代护理杂志》
2015年第4期423-426,共4页
Chinese Journal of Modern Nursing
关键词
中心静脉压
操作规范
数据收集
Central venous pressure
Operation standard
Data collection
