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一次性输液针分离式安全管的研制与应用。

Development and Application of One Separation-Free Safety Tube on the Disposable Infusion Needle.

机构信息

Department of Respiration, First Hospital of Jiaxing (Affiliated Hospital of Jiaxing University), 314000 Jiaxing, China.

Department of Cardiothoracic Surgery, First Hospital of Jiaxing (Affiliated Hospital of Jiaxing University), 314000 Jiaxing, China.

出版信息

Comput Math Methods Med. 2020 May 16;2020:6896517. doi: 10.1155/2020/6896517. eCollection 2020.

DOI:10.1155/2020/6896517
PMID:32508977
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7246391/
Abstract

OBJECTIVE

To develop a new type infusion set and apply it to the clinic, as well as explore its effectiveness in the prevention from needle stick injuries.

METHODS

A total of 200 inpatients who were in need of intravenous infusion with a disposable infusion needle were included and randomly divided into two groups: intervention group and control group. Disposable infusion needles with a separation-free safety tube were used in the intervention group, whereas conventional ones were used in the control group. Then, effects of the two types of infusion sets were observed and compared.

RESULTS

As for the operation time for infusion, it was (82.19 ± 1.80) seconds in the intervention group and (83.02 ± 1.83) seconds in the control group, with the difference statistically significant ( < 0.05). Besides, the exposure time of the needles after infusion in the intervention group was (3.36 ± 0.17) seconds while (18.85 ± 1.18) seconds in the control group; the difference between which was statistically significant ( < 0.05). In terms of the time for needle disposal, (18.60 ± 0.84) seconds was required in the intervention group, while for the control group, it took (18.85 ± 1.18) seconds, and the difference between two groups was of statistical significance as well ( < 0.05). Nevertheless, there was no statistically significant difference in the accidental slip rate of the needles as that turned out 0% in both groups ( > 0.05). It was worth noting that the block rate of the disposed needles in the intervention group was 100%.

CONCLUSION

The separation-free safety tube on the disposable infusion needle could instantly block the sharp needle after infusion, which reduces the needle exposure time and lowers the risk of needle stick injuries. In the meantime, the safety tube is convenient to use, and its application can shorten the time for infusion and needle disposal, consequently improving the working efficiency of nurses. As the new type safety tube has above advantages and would not raise the risk of needle slippage, it is worthy of clinical promotion.

摘要

目的

研制一种新型输液器并将其应用于临床,探讨其在预防针刺伤中的效果。

方法

选择需使用一次性输液针进行静脉输液的 200 例住院患者,随机分为干预组和对照组,干预组采用带分离式安全管的一次性输液针,对照组采用常规一次性输液针。观察比较两种输液器的效果。

结果

干预组输液操作时间为(82.19±1.80)s,对照组为(83.02±1.83)s,差异有统计学意义( < 0.05);干预组输液后针尖暴露时间为(3.36±0.17)s,对照组为(18.85±1.18)s,差异有统计学意义( < 0.05);干预组处理针头时间为(18.60±0.84)s,对照组为(18.85±1.18)s,差异有统计学意义( < 0.05);两组意外滑针率均为 0%,差异无统计学意义( > 0.05);干预组处理后废弃针头的堵塞率为 100%。

结论

一次性输液针带分离式安全管可在输液后瞬间将锐器封闭,减少针尖暴露时间,降低针刺伤风险;安全管使用方便,可缩短输液和处理针头时间,提高护士工作效率;新型安全管具有上述优点,不会增加滑针风险,值得临床推广。

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Comput Math Methods Med. 2023 Aug 2;2023:9875915. doi: 10.1155/2023/9875915. eCollection 2023.

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Gloves, extra gloves or special types of gloves for preventing percutaneous exposure injuries in healthcare personnel.手套、额外的手套或用于预防医护人员经皮暴露损伤的特殊类型手套。
Cochrane Database Syst Rev. 2014 Mar 7;2014(3):CD009573. doi: 10.1002/14651858.CD009573.pub2.
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Changes in hospital nurse work environments and nurse job outcomes: an analysis of panel data.医院护士工作环境和护士工作结果的变化:面板数据分析。
Int J Nurs Stud. 2013 Feb;50(2):195-201. doi: 10.1016/j.ijnurstu.2012.07.014. Epub 2012 Aug 14.
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Urgent action needed in preventing sharps injuries.
预防锐器伤需采取紧急行动。
Aust Nurs J. 2010 Jun;17(11):17.
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Occupational human immunodeficiency virus infection in health care workers: worldwide cases through September 1997.医护人员职业性人类免疫缺陷病毒感染:截至1997年9月的全球病例情况
Clin Infect Dis. 1999 Feb;28(2):365-83. doi: 10.1086/515101.