Boyer C L, Wade D C
Cleveland Clinic Foundation Health Care Ventures, Inc., Ohio, USA.
J Intraven Nurs. 1998 Sep-Oct;21(5 Suppl):S161-5.
Home intravenous therapy is a standard form of treatment for many recipients of healthcare in the United States. The use of intravascular devices can, however, be complicated by a variety of local or systemic infectious complications. A study was undertaken to address the role that patient noncompliance with infusion protocols plays in the complication rate of those receiving infusion therapy in the home. This article examines the compliance of patients involved in the self-administration of home infusion products, their compliance with the protocols set forth by the home infusion provider, and the resultant infection rates. Home infusion patients at risk for infection should be prospectively monitored in a quality management program. On the basis of our findings, this program should be expanded to include surveillance for patient adherence to standards of treatment. Education and reinforcement of protocols, combined with a sound monitoring program, will decrease infection rates and improve patient outcomes.
家庭静脉治疗是美国许多医疗保健接受者的一种标准治疗形式。然而，血管内装置的使用可能会因各种局部或全身感染性并发症而变得复杂。一项研究旨在探讨患者不遵守输液方案在接受家庭输液治疗患者并发症发生率中所起的作用。本文研究了参与家庭输液产品自我给药的患者的依从性、他们对家庭输液提供者制定的方案的遵守情况以及由此产生的感染率。有感染风险的家庭输液患者应在质量管理计划中进行前瞻性监测。根据我们的研究结果，该计划应扩大到包括对患者遵守治疗标准情况的监测。方案的教育和强化，再加上完善的监测计划，将降低感染率并改善患者预后。
