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題 名 | 周邊靜脈留置導管引發的靜脈炎相關因素之探討=A Study on Factors Influencing The Peripheral Intravenous Catheter-related Phlebitis |
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作 者 | 顧艷秋; | 書刊名 | 公共衛生 |
卷 期 | 23:4 1997.01[民86.01] |
頁 次 | 頁213-224 |
分類號 | 416.264、416.264 |
關鍵詞 | 周邊靜脈留置導管; 靜脈炎; 導管有關之感染; 院內感染; Peripheral intravenous infection; Phlebitis; Catheter-related infection; Nosocomial infection; |
語 文 | 中文(Chinese) |
中文摘要 | 本調查之目的在瞭解某教學醫院周邊靜脈留置導管感染管制執行現況,與靜脈炎 發生之收集情形,及其相關因素之探討。 經觀察 105 位病患,以自擬之結構式問卷收集資 料,結果發現:1. 周邊靜脈留置導管感染控制執行之情形, 以「洗手」執行最差,執行率 僅 9.5 %。 其餘各項均能依感管政策執行。 2. 周邊靜脈留置導管引發之靜脈炎發生率為 18.9 %。3. 與靜脈炎相關之因素中,性別與皮膚消毒液之種類具有統計上之相關性。女性 靜脈炎為男性之 4 倍。使用 Beta-Iodine 加 75 %酒精得靜脈炎者,為僅使用 75 %酒精 之 1.78 倍。本研究之建議有三:1. 加強洗手及無菌技術,2. 加強靜脈注射之感控措施及 將來成立「靜脈注射小組」,3. 未來之研究宜注意消毒液之問題。 |
英文摘要 | The purpose of this study is to understand: (1) the present status of infection control on peripheral intravenous catheter; (2) the rate of phlebitis at the site of insertion; (3) factors affecting the phlebitis. 105 in-patients from a district teaching hospital of 600 beds have been selected for the study. The results are as follows: (1) most of nurses can follow the infection control policy, however, only 9.5% of nurses washes hands before practicing injection; (2) phlebitis rate is 18.9%; (3) gender and disinfectants are the most important factors related to phlebitis; the infection rate for female is 4 times of that of male; the infection rate in cases using disinfectant of Beta-Iodine with 75% alcohol is 1.78 times of those cases using 75% alcohol only. We propose following recommendations to reduce infection rate for the hospital: (1) implementing promoting campaign on hand washing and antiseptic technique for nurses and physicians, (2) continuing education programs on how to follow the protocols of phlebitis prevention should be enhanced and an IV team be set up to perform the intravenous injection. (3) The effectiveness of various disinfectants should be investigated in future study. |
本系統中英文摘要資訊取自各篇刊載內容。