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健康教育处方在减少我院妇产科药物静脉滴注渗漏中的作用

发布时间:2018-04-30 01:13

  本文选题:健康教育处方 + 静脉滴注 ; 参考:《中国药房》2017年11期


【摘要】:目的:探讨健康教育处方在减少我院妇产科药物静脉滴注渗漏中的作用。方法:选取2015年6-11月我院妇产科住院患者300例,按随机数字表法分为观察组和对照组,各150例。对照组患者在药物静脉滴注中按照日常操作中的口头健康教育进行干预。观察组患者在药物静脉滴注治疗牌上附带一张静脉滴注健康教育处方,方便患者及家属查阅;护士每天在患者输液过程中按照处方对患者进行健康教育;临床药师陪同主治医师查房,进行健康教育抽查。比较两组患者健康教育处方内容知晓率、治疗满意率及硫酸镁注射液、注射用五水头孢唑啉钠滴注速率和不良反应发生率,观察两组患者静脉滴注渗漏情况。结果:观察组患者对健康教育处方内容知晓率为94.0%,治疗满意率为96.0%,显著高于对照组的70.3%、85.7%,差异有统计学意义(P0.05)。其中,观察组患者硫酸镁注射液滴注速率≤40滴/min占比为97.6%,显著高于对照组的91.6%;不良反应发生率为0.3%,显著低于对照组的1.3%。注射用头孢唑啉钠滴注速率≤60滴/min占比为92.3%,显著高于对照组的85.0%;不良反应发生率为0.4%,显著低于对照组的1.0%,差异均有统计学意义(P0.05)。观察组患者静脉滴注渗漏率为5.5%,显著低于对照组的9.5%,差异有统计学意义(P0.05)。结论:健康教育处方可明显提高患者对治疗的满意度,减少静脉滴注中的不良反应和渗漏情况。
[Abstract]:Objective: to explore the effect of health education prescription on reducing the leakage of gynaecology and obstetrics drugs. Methods: 300 inpatients of gynecology and obstetrics in our hospital from June to November 2015 were randomly divided into observation group (n = 150) and control group (n = 150). The patients in the control group were treated with oral health education in daily operation. The patients in the observation group were given a health education prescription for intravenous drip on the drug intravenous drip treatment board, which was convenient for the patients and their families to consult, and the nurses carried out health education according to the prescription during the infusion of the patients every day. The clinical pharmacist accompanied the attending physician to the ward inspection and carried out health education spot check. The rate of knowing the content of health education prescription, the satisfaction rate of treatment, the injection rate of magnesium sulfate, the rate of injection of cefazolin pentahydrate for injection and the incidence of adverse reactions were compared between the two groups. The leakage of intravenous drip was observed in the two groups. Results: in the observation group, the rate of knowing the prescription content of health education was 94.0, and the satisfaction rate of treatment was 96.0, which was significantly higher than that of the control group (70.3%, 85.7%), the difference being statistically significant (P 0.05). Among them, the percentage of magnesium sulfate injection infusion rate 鈮,

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