摘要
目的:中国ICU药疗的执行者是护士。在实习期间开始进行静脉药疗相关训练是培训大纲要求的内容之一。但相关安全性问题无报道。本研究拟通过对ICU护理实习生(简称:护生)进行问卷调查,了解其在ICU实习期间是否发生药疗安全情况,并分析相关影响因素。方法:采用方便性抽样、自行设计问卷,于2014年9月~2016年9月对进入我院ICU实习的156名护生在实习结束时就药疗安全情况进行调查,并对结果进行独立统计学分析。结果:所有156份问卷均收回、且为有效问卷。调查结果显示,承认发生过用药安全问题的人数为95人(60.1%)。错误类型按发生率高低依次为:给药途径错误(71.2%,68/95)、给药剂量错误(57.9%,55/95)、延迟给药(40.0%,38/95)以及遗漏给药(11.6%,11/95)。护生自述发生用药安全问题的原因中工作忙而忽视药疗“三查七对”比例最高(67.4%,64/95),其次是带教护理教员不严格(44.2%,42/95),缺乏对药物的认识最低(17.9%,17/95)。此外,还发现在为期1年的实习期间,实习初期(前3个月)和实习后期(后3个月)来ICU的护生发生药疗问题比例较高,分别为85.4%(35/41)和68.4%(26/38),而实习中期相对较低,分别为40.5%(第4~6个月,15/37)和47.5%(第7~9个月,19/40)。上述药疗错误多发生在白班和前夜班工作期间(85.3%,76.8%,多选),后夜班相对较好(48.4%,多选)。结论:ICU护生临床实习期间存在严重的静脉药疗安全问题,其能力不能适应ICU高强度护理工作特性以及不能胜任复杂的静脉药疗技术是主要原因,而缺乏规范的药疗培训和操作监管是发生问题的关键。
Objective:Nurses were the medication executors in Chinese ICU.Carry out medication related training was one of the training program content.during the internship period.However,the relevant security issues were not reported.This study through a questionnaire survey to ICU nursing interns(abbreviation:probationer nurses;),understanding whether the medication safety has happened during their internship period in ICU,and analyzing the related factors.Methods:Medication safety were investigated at the end of the internship by convenient sampling and a self-designed questionnaire to 156 probationer nurses entering the hospital ICU internship from January 2014 to January 2016 in our hospital ICU,and the results were statistically independent.Results:156 questionnaires were all recovered,and the effective questionnaire results showed that the number was 95 people(60.1%)which admitted medication safety issues happened.The error type incidence level were as follows from high to low:wrong route of administration(71.2%,68/95),the dosage error(57.9%,55/95),delayed administration(40%,38/95)and the omission of Administration(11.6%,11/95).Busy work and ignore the medication“three inspections and seven verifications”were the highest proportion(67.4%,64/95),following that the teaching of nursing faculty was not strict(44.2%,42/95),and the lack of drug understanding was the lowest(17.9%,17/95)in probationer nurses reported the reasons of drug safety problems.In addition,it found that ICU probationer nurses had higher proportion of medication at early practice(3 months ago)and lately practice(after 3 months)during the internship period of 1 years,which were 85.4%(35/41)and 68.4%(26/38),however mid-term relatively low were 40.5%(4-6 month,15/37)and 47.5%(7-9 months,19/40).The medication errors occurred at the day and before the night shift(85.3%,76.8%,multiselect),and after the night shift was relatively good(48.4%,multiselect).Conclusion:The security problems of intravenous medication has seriously happened during the ICU proba
出处
《湖南中医药大学学报》
CAS
2018年第A01期305-307,共3页
Journal of Hunan University of Chinese Medicine
关键词
ICU
护理实习生
用药安全
影响因素
ICU
probationer nurses
medication safety
influence factors
