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住院成年患者氧疗合理性与规范性现状的调查分析

Investigation and Analysis of the Current Status of Rationality and Standardization of Oxygen Therapy in Hospitalized Adult Patients.

作者信息

Wang Jun, Zhou Li, Liu Ke, Dou Luqun, Wang Rui, Chen Bing

机构信息

Department of Nursing, Leshan People's Hospital, Leshan, 614000, People's Republic of China.

Department of Intensive Care Unit, Leshan People's Hospital, Leshan, 614000, People's Republic of China.

出版信息

J Multidiscip Healthc. 2023 Jul 12;16:1915-1926. doi: 10.2147/JMDH.S404595. eCollection 2023.

Abstract

OBJECTIVE

To investigate the rationality and standardization of oxygen therapy for hospitalized adult patients, so as to provide a basis for improving the quality of oxygen therapy care.

METHODS

Self-designed "Inpatient Oxygen Therapy Status Questionnaire", using a cross-sectional survey, surveyed 185 oxygen inhalation patients in a tertiary general hospital from August 3-15, 2020, based on the formulation and promulgation of the Chinese Nursing Association The "Nursing care for adult patient with oxygen therapy" standard evaluates the rationality of clinical oxygen therapy implementation and the standardization of nursing measures.

RESULTS

The reasonable rate of oxygen therapy for hospitalized adult patients was 19.46%, and the standardized rate of nursing measures was 54.52%. The reasonable and standardized rates of medical wards were higher than those of surgical and specialized wards, and were statistically significant (<0.05). The incidence of complications of oxygen therapy was positively correlated with the rationality of oxygen therapy and the standardized data of nursing measures.

CONCLUSION

The clinical oxygen therapy nursing practice and the standard of "Nursing care for adult patient with oxygen therapy" are quite inadequate. There are differences in the quality of oxygen therapy in different wards. Nursing managers should strengthen training and management, standardize nursing behaviors, and improve the quality of oxygen therapy and ensure oxygen therapy for patients' safety.

摘要

目的

调查住院成年患者氧疗的合理性与规范性,为提高氧疗护理质量提供依据。

方法

自行设计“住院患者氧疗现状调查问卷”,采用横断面调查法,于2020年8月3日至15日对某三级综合医院185例吸氧患者进行调查,依据中华护理学会制定并颁布的《成人患者氧疗护理》标准,评价临床氧疗实施的合理性及护理措施的规范性。

结果

住院成年患者氧疗合理率为19.46%,护理措施规范率为54.52%。医疗病房的合理率和规范率高于外科及专科病房,差异有统计学意义(<0.05)。氧疗并发症发生率与氧疗合理性及护理措施规范数据呈正相关。

结论

临床氧疗护理实践与《成人患者氧疗护理》标准落实情况欠佳。不同病房氧疗质量存在差异。护理管理者应加强培训与管理,规范护理行为,提高氧疗质量,确保患者氧疗安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e6c/10350415/6f74e6a58d99/JMDH-16-1915-g0001.jpg

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