摘要
目的:探讨安全型静脉留置针的使用感受、成本核算及安全效果。方法:通过随机对照研究对某综合医院59名护理人员分为两组,实验组使用安全型静脉留置针,对照组使用传统型留置针,通过问卷调查统计两组的使用感受、不良反应,并统计使用期间发生锐器伤的例数、期初成本及期末成本。结果:实验组护理人员使用安全型留置针熟悉程度与穿刺把握评分分别为(4.07±0.842)、(3.62±0.728),均低于对照组护理人员使用传统型留置针的对照组护理人员评分[(4.80±0.407)、(3.97±0.556)],两组数据差异均有统计学意义(P<0.05);然而,实验组护理人员对其所使用的留置针安全感评分(4.07±0.593)高于对照组(2.63±1.159),差异具有统计学意义(P<0.05)。安全性留置针锐器伤发生为0,普通型留置针锐器伤发生率为0.6%,部分科室为1.3%。安全型留置针的期初成本较传统型留置针高出3倍,普通型留置针期末成本较期初成本增长68.84%。结论:传统留置针操作性能更好,启动成本低,而安全型留置针在减少锐器伤发生及成本可控性更有优势,在投入使用安全型留置针,需进行有别于传统型留置针的标准化培训。
Objective:To explore the use experience,cost accounting and safety effect of safety intravenous indwelling needle.Methods:Through a randomized controlled study,59 nurses in a general hospital were divided into two groups.The experimental group used safety intravenous indwelling needle,and the control group used traditional indwelling needle.Through the questionnaire survey,the use feelings and adverse reactions of the two groups were counted,and the number of sharp injuries,the initial cost and the end of the cost were counted.Results:The scores of familiarity and puncture assurance were(4.07±0.842)and(3.62±0.728),They were lower than the scores of control caregivers(4.80±0.407),(3.97±0.556).Significant differences were found between the two groups(P<0.05);However,the safety score of the experimental group(4.07±0.593)was higher than that of the control group(2.63±1.159).The difference was statistically significant(P<0.05).The occurrence of safety indwelling needle injury was 0,the incidence of traditional indwelling needle injury was 0.6%while some departments was 1.3%.The initial cost of safety indwelling needle is 3 times higher than that of traditional indwelling needle,and the end cost of ordinary indwelling needle has increased by 68.84%compared with the initial cost.Conclusion:Safe indwelling needle has more advantages in reducing the occurrence of sharp injuries and cost controllability,but more standard training is needed to make sure the smoothly use of safety indwelling needle.
作者
冼俊芳
谭腾芳
丁雅莉
陈依梦
齐晓贵
XIAN Jun-fang;TAN Teng-fang;DING Ya-li;CHEN Yi-meng;QI Xiao-gui(People's Hospital of Longhua District,Guangdong Shenzhen 518109)
出处
《中国医疗器械信息》
2024年第8期1-4,11,共5页
China Medical Device Information
基金
深圳市龙华区医疗卫生机构区级科研项目(项目编号:2020008)
龙华区医学重点学科建设经费资助(项目编号:MKD202007090211)。
关键词
护理人员
安全器具
锐器伤
成本
nurses
safety device
sharps injury
cost measure
