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实习医生静脉置管知识的调查:一项描述性横断面研究。

Knowledge of Intravenous Cannulation among Interns of a Teaching Hospital: A Descriptive Cross-sectional Study.

机构信息

Department of Anesthesiology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.

Department of Orthopedics and Trauma surgery, Institute of Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 Mar 11;60(247):290-293. doi: 10.31729/jnma.7222.

DOI:10.31729/jnma.7222
PMID:35633263
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9226746/
Abstract

INTRODUCTION

Health care professionals are expected to have a basic understanding of all procedures performed on the patient. Their knowledge has direct implications on patients' morbidity. Interns perform intravenous cannulation during their clinical rotation, their awareness about the procedure are unknown. The aim of this study was to find the knowledge of intravenous cannulation among the interns of the teaching hospital.

METHODS

A descriptive cross-sectional study was conducted in a teaching hospital from November 2020 to October 2021 after clearance from the Institutional Review Committee (Reference number: 2611202002). A total of 151 interns were taken using the convenience sampling method. We prepared a structured questionnaire. This was distributed among interns who had completed 6 months of internship. Data entry and analysis was done using Microsoft Excel. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.

RESULTS

Out of 151 interns, 84 (55.62%) (47.70-63.54 at 95% Confidence Interval) had knowledge about intravenous cannulation. Most of the interns 117 (77.48%) had knowledge about the appropriate place for cannulation. Awareness about serious complications of cannulation was poor; 106 (70.19%) had never heard of these terms. Handwashing was implied as important by 70 (46.36%).

CONCLUSIONS

The knowledge about intravenous cannulation among interns of teaching hospitals was poor compared to the similar study done in a similar setting.

KEYWORDS

complications; cannulation; intravenous; knowledge.

摘要

简介

医疗保健专业人员应该对在患者身上进行的所有操作有基本的了解。他们的知识直接影响患者的发病率。实习生在临床轮转期间进行静脉穿刺,他们对该程序的了解情况未知。本研究旨在了解教学医院实习生对静脉穿刺的认识。

方法

在获得机构审查委员会(参考编号:2611202002)批准后,于 2020 年 11 月至 2021 年 10 月在一所教学医院进行了一项描述性横断面研究。使用便利抽样法抽取了 151 名实习生。我们准备了一份结构化问卷。该问卷分发给已完成 6 个月实习的实习生。使用 Microsoft Excel 进行数据录入和分析。计算了 95%置信区间的点估计值,以及二进制数据的频率和比例。

结果

在 151 名实习生中,有 84 名(55.62%)(95%置信区间为 47.70-63.54)了解静脉穿刺。大多数实习生 117 名(77.48%)了解适当的穿刺部位。对穿刺严重并发症的认识较差;106 名(70.19%)从未听说过这些术语。70 名(46.36%)暗示洗手很重要。

结论

与在类似环境中进行的类似研究相比,教学医院实习生对静脉穿刺的了解较差。

关键词

并发症;穿刺;静脉;知识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff79/9226746/aa1a0ae5a78d/JNMA-60-247-290-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff79/9226746/34ea2daca7f1/JNMA-60-247-290-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff79/9226746/726c39bd82df/JNMA-60-247-290-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff79/9226746/aa1a0ae5a78d/JNMA-60-247-290-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff79/9226746/34ea2daca7f1/JNMA-60-247-290-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff79/9226746/726c39bd82df/JNMA-60-247-290-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff79/9226746/aa1a0ae5a78d/JNMA-60-247-290-g3.jpg

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Incidence of peripheral intravenous catheter failure among inpatients: variability between microbiological data and clinical signs and symptoms.住院患者外周静脉导管失败的发生率:微生物学数据与临床体征和症状之间的差异。
Antimicrob Resist Infect Control. 2019 Jul 22;8:124. doi: 10.1186/s13756-019-0581-8. eCollection 2019.
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Use of Short Peripheral Intravenous Catheters: Characteristics, Management, and Outcomes Worldwide.
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J Hosp Med. 2018 May 30;13(5). doi: 10.12788/jhm.3039.
4
Observational Study of Peripheral Intravenous Catheter Outcomes in Adult Hospitalized Patients: A Multivariable Analysis of Peripheral Intravenous Catheter Failure.成年住院患者外周静脉导管使用结果的观察性研究:外周静脉导管失败的多变量分析
J Hosp Med. 2018 Feb 1;13(2):83-89. doi: 10.12788/jhm.2867. Epub 2017 Oct 18.
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J Infect Prev. 2016 Sep;17(5):207-213. doi: 10.1177/1757177416655472. Epub 2016 Jul 6.
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