护理学报 ›› 2022, Vol. 29 ›› Issue (22): 74-78.doi: 10.16460/j.issn1008-9969.2022.22.074
• 临床护理-静疗护理 • 上一篇
曹洁, 顾婕, 吕春, 黄建业, 李冬梅, 陆小英, 钱火红
摘要: 目的 对美国输液护理学会发布的2021年第8版《输液治疗实践标准》更新内容进行解读,旨在为我国静脉输液专科护士的临床实践与管理决策提供参考。方法 通过翻译和阅读2021年第8版《输液治疗实践标准》及相关领域的文献,对其在输液治疗实践、感染预防和控制、血管通路装置的选择和放置、血管通路装置管理和血管通路装置相关并发症这5个章节中更新部分进行解读。结果 2021年第8版《输液治疗实践标准》从静疗护士角度推荐了9大类66项实践标准,更加强调了输液装置的个体化选择、困难静脉置管的可视化技术应用、装置置入时的疼痛管理和置入后的妥善固定,以及血管通路装置相关并发症的防控;其中无菌非接触技术和导管相关性皮肤损伤的评估与护理,是2大重要新增内容。静疗护士根据临床情景遵循正确的无菌非接触技术方法,严格按照规范流程置管,定期维护和严密观察导管引起的各类并发症,可提升血管通路装置的护理质量。结论 通过对2021年第8版《输液治疗实践标准》更新内容的解读,开展新版静脉输液实践标准培训,以保持专业护士的持续实践能力和知识更新;保证患者得到同质的护理。
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