摘要
目的 探讨骨科患者静脉注射蔗糖铁注射液致静脉炎的相关因素,为采取有针对性的预防措施提供依据.方法 采用方便抽样法选取2016年12月—2017年5月在四川大学华西医院骨科住院并接受蔗糖铁注射液静脉注射的588例患者.采用静脉注射蔗糖铁注射液致静脉炎相关因素记录表记录患者的年龄、性别、是否患高血压病、BMI、血管条件、留置针留置时间、留置针型号、蔗糖铁浓度、日输液量、使用蔗糖铁天数、穿刺护士年资、是否发生静脉炎.采用单因素和多因素Logistic逐步回归分析方法对静脉炎发生的影响因素进行研究分析.结果 接受蔗糖铁注射液治疗的患者中,发生静脉炎的69例（11.73%）.单因素分析显示性别、日输液量、血管条件、留置针留置时间、留置针型号、蔗糖铁注射液浓度不同的患者,其静脉炎发生率差异有统计学意义（χ2值分别为8.654、32.587、68.313、136.206、10.662、10.191;P〈0.05）.Logistic回归分析结果显示,日输液量、留置针留置时间、蔗糖铁注射液浓度是静脉注射蔗糖铁注射液致静脉炎的独立危险因素,血管条件、留置针型号为静脉注射蔗糖铁注射液致静脉炎的保护性因素.结论 在骨科患者静脉注射蔗糖铁注射液时,应加强对患者采取针对性的预防措施,以减少患者痛苦.
Objective To explore the correlative factors of phlebitis caused by iron sucrose injection through intravenous drip in Department of Orthopedics so as to provide a basis for take pertinently preventive steps. Methods A total of 588 inpatients with iron sucrose injection through intravenous drip in Department of Orthopedics of West China Hospital, Sichuan University were selected, by convenient sampling from December 2016 to May 2017. This research recorded the ages, sexes, whether they were with hypertension, body mess index （BMI）, vascular condition, retaining time and models of detaining needle, concentrations of iron saccharate, daily infusion quantity, days using iron saccharate, seniority of puncture nurses, whether there were with phlebitis through the correlative factors of phlebitis caused by iron sucrose injection through intravenous drip record sheet. Single factor and multiple factors Logistic stepwise regression was used to analyze the influencing factors of phlebitis. Results There were 69 cases （11.73%） with phlebitis in patients with ron sucrose injection treatment. Single factor analysis showed that there were statistically significant differences in the incidence of phlebitis among different sexes, daily infusion quantity, vascular condition, retaining time of detaining needle, type of detaining needle concentrations of iron saccharate of patients （χ2=8.654,32.587,68.313,136.206, 10.662,10.191; P〈0.05）. Logistic regression analysis revealed that the independent risk factors of phlebitis caused by iron sucrose injection through intravenous drip included daily infusion quantity, retaining time of detaining needle, concentrations of iron saccharate, and the protective factors of that involved the vascular condition and the type of detaining needle. Conclusions Take pertinently preventive steps actively when patients in Department of Orthopedics are with iron sucrose injection through intravenous drip so as to lessen the suffering of the patients.
作者
廖霞
宁宁
朱红彦
李佩芳
Liao Xia;Ning Ning;Zhu Hongyan;Li Peifang(Department of Orthopedics, West China Hospital, Sichuan University, Chengdu 610041, China)
出处
《中华现代护理杂志》
2018年第10期1174-1179,共6页
Chinese Journal of Modern Nursing
关键词
医院
骨科
静脉炎
多元分析
注射
静脉内
蔗糖铁注射液
影响因素
Hospital
orthopedic
Phlebitis
Multivariate analysis
Injections
intravenous
Iron sucrose injection
Influencing factors
