| Abstract |
Objective To understand the status and problems of intravenous treatment nursing for hospitalized patients in a tertiary general hospital in a certain city, compare the status of intravenous treatment in hospitals of the same level and compare the intravenous treatment data of the hospital in the previous year, further improve the quality of intravenous treatment in the hospital and provide a basis for the hospitals intravenous treatment specialist team to carry out targeted work. Methods A cross-sectional survey method was adopted. The survey content was entered into the Questionnaire Star applet. The investigators conducted a cross-sectional survey. The survey results were entered into the Questionnaire Star on site. A cross-sectional survey of intravenous treatment was conducted on 1839 hospitalized patients in 45 departments involved in intravenous treatment in the hospital from 9:00 to 12:00 on January 24, 2024. Results The total infusion rate in this survey was 51.3%. The intravenous infusion tools included 5 types: steel needle, indwelling needle, central venous catheter (CVC), peripherally inserted central venous catheter (PICC), and infusion port (PORT). Among them, the use rate of peripheral infusion tools was 84.8%, and the use rate of central venous catheters was 15.2%. The steel needle was not used for single infusion in 43.9%, and 57.5% of the peripheral venous infusion sites did not choose the upper limbs. The retention time was less than 3 days in 77.3%, and complications occurred in 15.6%. The use of indwelling needles was not safe in 53.8%, and the connector connection method was needle connection in 13.2%. The use of irritating drugs such as chemotherapy drugs, parenteral nutrition agents, and vasoactive drugs accounted for 19.4%. Conclusion In recent years, intravenous treatment has been professionally developed nationwide, but there are still many problems. It is recommended that hospitals should not only learn theoretical knowledge, but also improve the job competence of intravenous treatment nurses, effectively reduce the occurrence of adverse events of infusion, and promote the rapid recovery of patients.
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