摘要
[摘要 ] 目的 探讨老年患者静脉输液过程中液体外渗的危险因素及护理对策。方法 方便选取 2018年 1—12月该院接受静脉输液的 122例（静脉输液 682例次）老年患者进行调查，统计静脉输液过程中液体外渗的发生情况，分析、总结诱使液体外渗发生的危险因素，同时对护理对策进行探讨。结果 静脉输液 682例次中，发生液体外渗 87例次，发生率为 12.8%；局部表现：肿胀 77例次（ 88.5%），肿胀累及穿刺部位皮肤 >20 cm 8例次（ 9.2%），水疱 2例次（ 2.3%）；均未出现皮肤组织坏死情况。液体外渗发生因素：患者因素占 40.2%（ 35/87），疾病因素占 25.3%（ 22/87），药物因素占 20.7%（ 18/87），技术因素占 13.8%（ 12/87）。结论 静脉输液过程中液体外渗的发生与患者因素、疾病因素、药物因素、技术因素等密切相关。对此，积极采取护理措施进行干预，加强静脉输液外渗的处理及预防，有助于提高静脉输液的安全性。
[关键词 ] 静脉输液；液体外渗；护理对策
[abstract] Objective To explore the risk factors and nursing strategies of fluid exosmosis in elderly patients during intravenous infusion. Methods 122 Elderly Patients (682 times) who received intravenous infusion in our hospital from January to December 2018 were conveniently selected for investigation. The occurrence of fluid extravasation during intravenous infusion was counted, the risk factors inducing fluid extravasation were analyzed and summarized, and the nursing countermeasures were discussed. Results Among 682 times of intravenous infusion, 87 cases (12.8%) had fluid exosmosis, local manifestations were swelling in 77 cases (88.5%), swelling involving skin > 20 cm in 8 cases (9.2%) and blister in 2 cases (2.3%) without skin tissue necrosis. The risk factors of fluid extravasation were 40.2% (35/87), 25.3% (22/87), 20.7% (18/87) and 13.8% (12/87) respectively. Conclusion The occurrence of fluid extravasation during intravenous infusion is closely related to patient factors, disease factors, drug factors and technical factors. Therefore, it is helpful to improve the safety of intravenous infusion by actively taking nursing measures to intervene and strengthening the treatment and prevention of extravasation of intravenous infusion.
出版日期
2019年04月14日（中国期刊网平台首次上网日期，不代表论文的发表时间）
