Thực trạng chăm sóc trẻ sau phẫu thuật thoát vị bẹn của điều dưỡng tại Bệnh viện Sản - Nhi tỉnh Quảng Ninh=Nursing Care for Children Post-Inguinal Hernia Surgery at Quang Ninh Obstetrics and Pediatrics Hospital

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Tác giả: Văn Huấn Hoàng, Thị Thu Phạm, Đình Dũng Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Điều dưỡng, 2024

Mô tả vật lý: tr.97-106

Bộ sưu tập: Báo, Tạp chí

ID: 480148

Thêm vào giỏ

Mục tiêu: Mô tả thực trạng chăm sóc trẻ sau phẫu thuật thoát vị bẹn của điều dưỡng tại Bệnh viện Sản - Nhi tỉnh Quảng Ninh. Phương pháp: Sử dụng thiết kế nghiên cứu mô tả cắt ngang trên 30 điều dưỡng tham gia chăm sóc trẻ sau phẫu thuật thoát vị bẹn. Thực hiện quan sát quy trình tiêm tĩnh mạch, cho người bệnh dùng thuốc, thay băng và rửa vết thương. Mỗi điều dưỡng quan sát 03 quy trình, mỗi quy trình quan sát 03 lần. Tổng số quan sát cho 1 quy trình là 30 người x 3 lần quan sát/người = 90 lần quan sát. Tổng số quan sát của toàn bộ nghiên cứu là 90 lần x 3 quy trình = 270 lần quan sát. Các điều dưỡng được đánh giá thực hiện quy trình đạt yêu cầu khi làm đúng và đầy đủ các bước theo tuần tự của các bước trong quy trình kỹ thuật. Kết quả: Chỉ có 03/10 bước trong quy trình được quan sát thực hiện đạt yêu cầu, ở các bước còn lại số lần thực hiện đầy đủ giao động từ 88,9%-96,7%. Tỷ lệ số bước được quan sát thực hiện đầy đủ trong quy trình thay băng, rửa vết thương bệnh nhi là 31,3%. Tỷ lệ số bước được quan sát thực hiện đạt yêu cầu trong quy trình tiêm tĩnh mạch là 50%. Tỷ lệ số lượt quan sát đạt yêu cầu đối với quy trình tiêm tĩnh mạch, cho người bệnh dùng thuốc, thay băng và rửa vết thương lần lượt là 96,1%
95,8% và 96,6%. Kết luận: Các điều dưỡng trong nghiên cứu đã thực hiện tương đối tốt các quy trình chăm sóc người bệnh. Tuy nhiên vẫn cần cẩn trọng trong quá trình thực hiện vì chăm sóc bệnh nhi có nhiều rủi ro tác động đến hiệu quả chăm sócObjective: To describe the current status of postoperative care for children with inguinal hernia by nurses at Quang Ninh Obstetrics and Pediatrics Hospital. Methods: A cross-sectional descriptive study design was employed, involving 30 nurses participating in the postoperative care of children with inguinal hernia. The study involved observing procedures such as intravenous injections, medication administration, and wound dressing and cleaning. Each nurse was observed performing three procedures, each procedure being observed three times. The total number of observations for one procedure was 30 nurses x 3 observations/nurse = 90 observations. The total number of observations for the entire study was 90 observations x 3 procedures = 270 observations. Nurses were evaluated on whether they performed each procedure in accordance with the sequential steps outlined in the technical guidelines. Results: Only 3 out of 10 steps in the observed procedures met the required standards. For the remaining steps, the compliance rates ranged from 88.9% to 96.7%. The proportion of fully observed steps in the wound dressing and cleaning procedures for pediatric patients was 31.3%. The proportion of fully observed steps in the intravenous injection procedure was 50%. The compliance rates for the observed procedures intravenous injection, medication administration, and wound dressing and cleaning were 96.1%, 95.8%, and 96.6%, respectively. Conclusion: The nurses in the study generally performed the patient care procedures well. However, caution is still necessary during the implementation process as pediatric care involves various risks that can affect care outcomes

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