内科外科病房护士外周静脉插管冲洗治疗前管理的实践和知识

Mohamed Goda Elbqry
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引用次数: 0

摘要

背景:外周静脉插管(PIVC)是一种常用的护理技术,用于输注饮料、药物和血液制品,大多数患者都需要使用。因此,保持充足的 PIVC 供应至关重要,因为它们很容易出现阻塞、静脉炎和渗出等问题,需要经常更换。然而,插入后 PIVC 发生故障的情况很常见,这很可能是由于冲洗等维护措施不一致造成的。因此,医院的政策导致了对这一问题缺乏实践和认识,从而影响了护士的临床教育和患者护理。目的:本研究旨在评估内外科病房护士在治疗前冲洗外周静脉插管的实践和知识。研究对象和方法:采用描述性研究设计。研究对象为伊斯梅利亚市教学医院内外科病房的 62 名护士。数据收集使用了两种工具:自制调查问卷用于确定护士的个人数据和知识,观察清单用于评估护士的实践。结果:研究结果表明,大多数被研究的护士对外周静脉插管冲洗的知识水平一般,实践水平不尽人意。此外,她们的知识总分和实践总分之间存在统计学意义上的正相关,P 值≤0.05。结论在本研究中,护士的实践水平不足,对外周静脉插管冲洗的知识掌握一般。此外,总成绩(实践和知识)与护士资质之间存在高度统计学意义,P 值≤0.05。建议:护士应获得有关短外周导管静脉冲洗的持续教育机会和在职培训计划,以提高其专业技能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nurses’ Practice and Knowledge of Peripheral Intravenous Cannula Flushing Pre-Therapy Administration at Medical-Surgical Wards
Background: Peripheral intravenous cannula (PIVC) are a frequent nursing technique used for the infusion of beverages, medicines, and blood products and are required by the majority of patients. As a result, it is critical to maintain a sufficient supply of PIVC because they are prone to problems such as obstruction, phlebitis, and exudation, necessitating frequent replacement. However, post-insertion PIVC failure is common, most likely due to inconsistencies in maintenance practices such as flushing. As a result, hospital policies contribute to a lack of practice and awareness about this issue, which improves clinical education for nurses and patient care. Aim: This study aimed to assess nurses’ practice and knowledge of peripheral intravenous cannula flushing pre-therapy administration at medical-surgical wards. Subjects and Methods: A descriptive research design was utilized. A purposive sample of sixty-two nurses who were working in the medical-surgical wards at Teaching Hospital, Ismailia city , was used. Two tools were used for data collection : a self-administered questionnaire to identify nurses’ personal data and knowledge and an observational checklist to assess nurses’ practice. Results: The findings of this study revealed that most of the studied nurses had a fair level of knowledge and an unsatisfactory level of practice with regard to peripheral intravenous cannula flushing. Furthermore, there was a statistically significant positive correlation between their total knowledge and practice scores , with a p value ≤0.05. Conclusion: In the present study, the nurses’ level of practice was inadequate , and their knowledge of peripheral intravenous cannula flushing was fair . Additionally, there was a highly statistically significant relationship between total performance score (practices and knowledge) and their qualifications, with a p value≤0.05. Recommendations: Nurses should have access to ongoing educational opportunities and in-service training programs on short peripheral catheter intravenous flushing to improve their expertise.
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