应用不同安瓿产品注射药物的细菌污染情况及护士工作效率比较分析

摘要

Objective To explore the effect of small package plastic ampoule products in preventing bacterial contamination of injectable drugs.Methods A retrospective study was carried out.In August 2015,78 first-line nurses in our hospital were recruited to the observation group using convenience sampling method,and the other 78 first-line nurses in the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine were selected as the control group at the same period.The control group utilized glass ampoule products in intravenous infusion of drugs,while the observation group utilized plastic ampoule products.Recorded the incidence of bacterial contamination of injectable drugs and sharp instrument injury.Results The incidence rate of bacterial contamination of injectable drugs in the observation group (1.3 ％) was obviously lower than that in the control group (10.2 ％),there was statistically significant difference (P＜0.05).The times expended in opening and identifying ampoule products in the observation group were (20.42±3.22)s and (28.40-4-4.20)s,which were significantly shorter than times expended in the control group[(40.20±4.10)s and (34.20±t5.21)s],there were statistically significant differences (P＜0.05).No sharp instrument injury was observed in the observation group,and the incidence rate of sharp instrument injury in the control group was 5.1 ％,the incidence rate of the observation group was significantly lower than that of the control group (P＜0.05).Conclusion Clinical application of plastic ampoule products can shorten the nurses operating time,effectively prevent the bacterial contamination of injectable drugs,and reduce the occurrence of sharp instrument injury during operation.%目的 探讨小包装塑料安瓿产品在预防注射药物细菌污染中的效果.方法 采用回顾性研究方法,于2015年8月采用便利抽样选择该院临床一线护士78名作为观察组,同期选取天津中医药大学第二附属医院临床一线护士78名作为对照组,在静脉内输注药物时对照组使用玻璃安瓿产品,观察组使用塑料安瓿产品,记录两组注射药物细菌污染情况及护士锐器伤发生情况.结果 观察组注射药物细菌污染发生率(1.3％)明显低于对照组(10.2％),差异有统计学意义(P＜0.05).观察组开启安瓿与辨认所需时间分别为(20.42士3.22)、(28.40±4.20)s,明显低于对照组的(40.20±4.10)、(34.20±5.21)s,差异均有统计学意义(P＜0.05).观察组在安瓿使用过程中无一名护士发生锐器伤,对照组锐器伤发生率为5.1％,差异有统计学意义(P＜0.05).结论 临床应用塑料安瓿产品可缩短护士的操作时间,有效防止注射药物细菌污染,减少护士操作过程中锐器伤的发生.