目的 调查临床护士对静脉输液治疗相关知识的知晓度,分析存在的问题,以便有针对性地进行专业指导和培训。 方法 2011年8月,自制静脉输液治疗相关知识知晓度的调查问卷,利用护士参加医院集体培训的机会对158名临床护士进行问卷调查。 结果 ① 70.3%的护士静脉输液治疗知识主要来源于医院培训,护士对静脉输液治疗知识的内涵认识欠全面。② 44.2%护士对留置针的规范化固定及冲、封管方法了解不充分,仅约1/3的护士了解留置针A-C-L维护法,规范维护管理知识掌握不充分。③ 护士对静脉输液常见并发症认识欠深入,认为常见并发症发生的主要原因与患者的血管有关(静脉炎占78.5%,渗出占83.5%,导管堵塞占81.0%)。④ 9%的护士发生针刺伤后不能正确处理,护士对针刺伤原因认识清晰,处理方法还需加强培训。 结论 临床护士对静脉输液治疗相关知识的掌握欠全面性、系统性和专业性,需要对护士采取多种形式、多种途径的专业指导和培训,才能使临床护士全面掌握静脉输液治疗相关知识,促进静脉输液治疗规范化和专业化,有效保障护理质量和安全。
ObjectivesTo explore the poor population’s cognition and satisfaction on medical assistance policies in Sichuan province, so as to provide evidence for improving health poverty alleviation policies.Methods A telephone survey was conducted between October and December 2017 among 1 280 poor individuals in Sichuan Province, with multi-stage stratified random sampling. The contents of the survey included general demographics of the poor population, and knowledge and satisfaction of health poverty alleviation policies.ResultsThe awareness rate of medical assistance policy was 91.80%, and the satisfaction rate was 91.88%. Poor individuals from non-poor counties, who had been out of poverty, and who reported that they had not signed up for family doctors, had low awareness of poverty alleviation policies. Poor individuals from non-poor counties, who usually went to the municipal hospital, who reported that they have not signed up for family doctors, and who do not know about health policies for poverty alleviation had a lower satisfaction rate.ConclusionsThe overall awareness rate and satisfaction rate of medical assistance policies in Sichuan province are relatively high, however, there are still some shortage. In the future, more attention should be paid to strengthen the promotion of health poverty alleviation policies for non-poor areas and those who had been lifted out of poverty, speeding up the contract service of family doctors and exploring ways to further alleviate the burden of medical expense of patients with serious diseases.