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目的:探讨基于循证护理的重症监护病房(ICU)静脉高危药品警示标识管理的措施,以提高临床ICU静脉高危药品的科学合理安全应用。方法:依据目前循证护理学方法,对当前ICU静脉高危药品警示标识管理措施提出相关存在的问题,并使用相关电子检索软件对当前中英文文献数据库进行检索,再依据检索结果研究制定符合杭州市中医院ICU静脉高危药品警示标识管理的新的科学合理的措施。结果:根据循证护理方法改进ICU静脉高危药品警示标识管理的措施后,改进组在ICU静脉高危药品输液不良事件发生率显著比对照组低,且差异有统计学意义(P<0.05);ICU医护人员对静脉高危药品管理使用的相关知识与技能方面改进组比对照组明显提高,且且差异有统计学意义(P<0.05)。结论:依据循证护理学改进ICU静脉高危药品警示标示管理措施可减少甚或避免在临床ICU静脉高危药品使用过程中的不良事件的发生,并且增强ICU医护人员对静脉高危药品警示标识的认知,提高了ICU医护人员对静脉高危药品管理使用的相关知识及技能。
OBJECTIVE: To investigate the management of warning signs of high-risk intravenous drug in intensive care unit (ICU) based on evidence-based nursing in order to improve the scientific and safe application of intravenous high-risk drugs in clinical ICU. Methods: According to the current evidence-based nursing method, the current ICU venous high-risk drug warning label management measures related problems, and use the relevant electronic search software to retrieve the current Chinese and English literature database, and then based on the search results to develop in line with Hangzhou Chinese Academy of Medical Sciences ICU venous high-risk drug warning label management of the new scientific and rational measures. Results: According to the evidence-based nursing method to improve the management of ICU intravenous high-risk drug warning signs, the incidence of adverse events in ICU-treated high-risk drug infusion group was significantly lower than that in control group (P <0.05); ICU Compared with the control group, the improvement of relevant knowledge and skills of medical staff on the management of high-risk intravenous drug use was significantly improved (P <0.05). CONCLUSION: The improvement of ICU veterinary high-risk drug warning labels based on evidence-based nursing can reduce or even avoid the occurrence of adverse events in the clinical use of ICU high-risk drugs and enhance the cognition of ICU medical staff on the warning signs of high- ICU medical staff to improve the use of high-risk intravenous drug management knowledge and skills.