头孢菌素皮内过敏试验操作流程的改进.docx

头孢菌素皮内过敏试验操作流程的改进李玉肖陈 艳文清云方 芳湖北省荆州市中心医院输液室袁湖北荆州 434020[摘要] 目的 探讨改进后头孢菌素皮内过敏试验渊以下简称野皮试冶冤操作流程的应用效果遥 方法 选择 2011 年 2 月耀 2012 年 9 月在湖北省荆州市中心医院输液室渊以下简称野我科冶冤行头孢菌素皮试的 8756 例的患者作为对照组袁以姜安丽主编的 2006 年版的本科护理学教材叶新编护理学基础曳的头孢菌素皮试操作流程做皮试曰选择 2012 年10 月耀2014 年 5 月在我科行头孢菌素皮试的患者 9000 例作为观察组袁采用改进后头孢菌素皮试操作流程做皮 试曰改进后流程以护理教材作对照袁从皮试液配制尧皮试操作时皮肤清洁问题尧皮试进针方向与角度尧皮试注射液 量尧皮试相关健康教育尧皮试结果判断时间六个方面进行改进袁对科内护士进行培训并有效实施遥 观察两组头孢 菌素皮试阳性率尧疼痛率及皮试一次操作成功率遥 结果 对照组皮试阳性率为 9.9%渊865/8756冤袁疼痛率为 19.6% 渊1720/8756冤袁皮试一次操作成功率为 97.4%渊8531/8756冤曰观察组皮试阳性率为 5.0%渊446/9000冤袁疼痛率为 10.6% 渊953/9000冤袁皮试一次操作成功率为 99.4%渊8942/9000冤曰两组比较差异均有高度统计学意义渊均 P 约 0.01冤遥 护士 能快速准确完成皮试液配制袁提高了皮试判断准确度及工作效率袁防范了双硫仑样反应的发生遥 结论 改进后的 头孢菌素皮试操作流程与临床护理工作紧密结合袁实用性更强曰体现了以患者为中心的人性化护理理念袁患者满 意度提升曰提高了皮试判断准确率袁减轻了患者痛苦与负担曰防范与减少了医疗安全隐患及纠纷发生袁提升了护 理工作质量遥[关键词] 头孢菌素曰皮内过敏试验曰操作流程曰改进[中图分类号] R472[文献标识码] A[文章编号] 1673-7210渊2015冤06渊c冤-0138-04Improvement on operational process of cephalosporin intradermal allergy testLI Y uxiao CHEN Y an W EN Qingyun FA NG FangDepartment of Transfusion Room, Central Hospital of Jingzhou City, Hubei Province, Jingzhou 434020, China [Abstract] Objective To explore the application effect of operational process within improved cephalosporin intrader鄄 mal allergy test (skin test for short). Methods 8756 patients with cephalosporin skin test at Department of Transfu鄄 sion Room in Central Hospital of Jingzhou City (野our hospital冶 for short) from February 2011 to September 2012 were selected as control group, with Jiang Anli 2006 version of undergraduate nursing teaching materials of the editor of the New Basic Nursing Operation Process of cephalosporin skin test to do skin test. 9000 patients in our department during October 2012 to May 2014 in cephalosporin skin test were selected as observation group, the improved cephalosporin skin test procedures do skin test was applied. The improved process with nursing teaching material contrast, from skin test liquid preparation, skin test operation skin clean, skin t