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ZHOU Yingwen; ZHOU Yufu; AN Yulin

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- China Pharmacy Vol. 28, Issue 11, (2017)
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ZHOU Yingwen, ZHOU Yufu, AN Yulin. [J]. China Pharmacy 28(11).(2017)
DOI：

ZHOU Yingwen, ZHOU Yufu, AN Yulin. [J]. China Pharmacy 28(11).(2017) DOI：

摘要

目的：探讨健康教育处方在减少我院妇产科药物静脉滴注渗漏中的作用。方法：选取2015年6－11月我院妇产科住院患者300例，按随机数字表法分为观察组和对照组，各150例。对照组患者在药物静脉滴注中按照日常操作中的口头健康教育进行干预。观察组患者在药物静脉滴注治疗牌上附带一张静脉滴注健康教育处方，方便患者及家属查阅；护士每天在患者输液过程中按照处方对患者进行健康教育；临床药师陪同主治医师查房，进行健康教育抽查。比较两组患者健康教育处方内容知晓率、治疗满意率及硫酸镁注射液、注射用五水头孢唑啉钠滴注速率和不良反应发生率，观察两组患者静脉滴注渗漏情况。结果：观察组患者对健康教育处方内容知晓率为94.0％，治疗满意率为96.0％，显著高于对照组的70.3％、85.7％，差异有统计学意义（P＜0.05）。其中，观察组患者硫酸镁注射液滴注速率≤40滴/min占比为97.6％，显著高于对照组的91.6％；不良反应发生率为0.3％，显著低于对照组的1.3％。注射用头孢唑啉钠滴注速率≤60滴/min占比为92.3％，显著高于对照组的85.0％；不良反应发生率为0.4％，显著低于对照组的1.0％，差异均有统计学意义（P＜0.05）。观察组患者静脉滴注渗漏率为5.5％，显著低于对照组的9.5％，差异有统计学意义（P＜0.05）。结论：健康教育处方可明显提高患者对治疗的满意度，减少静脉滴注中的不良反应和渗漏情况。

Abstract

OBJECTIVE： To investigate the influence of health education prescription on the reduction of intravenous dripping leakage in obstetrics and gynecology department of our hospital. METHODS： Totally 300 inpatients selected from obstetrics and gynecology department of our hospital Jun. -Nov. 2015 were divided into observation group and control group according to random number table， with 150 cases in each group. Control group received health education of daily operation during intravenous dripping. In observation group， intravenous dripping treatment card came with a health education prescription of intravenous dripping， which facilitate the patients and families to consult； the nurses carried out health education for patients every day during dripping in accordance to the prescriptions； clinical pharmacists accompanied resident physicians to make patient round and conducted random health education inspection. Awareness rate of health education prescription content， satisfactory rate of treatment， dripping rate of Magnesium sulfate injection and Cefazolin sodium for injection， the incidence of ADR were compared between 2 groups. The intravenous dripping leakage were observed in 2 groups. RESULTS： The awareness rate of health education prescription content and satisfactory rate of treatment were 94.0％ and 96.0％ in observation group， which was significantly higher than 70.35％ and 85.75％ of control group， with statistical significance （P＜0.05）. The dripping rate of Magnesium sulfate injection ＜40 drops/min accounted for 97.6％ in observation group， which was significantly higher than 91.6％ of control group； the incidence of ADR was 0.3％ in observation group， which was significantly lower than 1.3％ of control group. The dripping rate of Cefazolin sodium for injection ＜60 drops/min accounted for 92.3％， which was significantly higher than 85.0％ of control group； the incidence of ADR was 0.4％ in observation group， which was significantly lower than 1.0％ of control group， with statistical significance （P＜0.05）. The intravenous dripping leakage rate was 5.5％ in observation group， which was significantly lower than 9.5％ of control group， with statistical significance （P＜0.05）. CONCLUSIONS： Health education prescription can significantly improve satisfactory degree of treatment and reduce ADR and leakage during intravenous dripping

关键词

健康教育处方静脉滴注渗漏率不良反应

Keywords

Health education prescriptionIntravenous drippingLeakage rateADR

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Dept. of Pharmacy， Second Affiliated Hospital， Army Medical University

Dept. of Pharmacy， Chongqing Health Center for Women and Children/Women and Children’s Hospital of Chongqing Medical University

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