摘要
为进一步规范护理人员的操作流程,保障注射安全,降低不良反应发生率,特制订《抗凝剂皮下注射技术临床实践指南》.本指南是在《抗凝剂皮下注射护理规范专家共识》的基础上,通过系统检索近10年国内外皮下注射相关最佳临床证据,聚焦抗凝剂皮下注射的操作步骤和细节,综合全国38所医院46名医护专家的6轮函询结果形成的.最终从注射前评估、注射前准备、注射部位及体位、皮下注射、在院注射宣教、居家注射管理6个方面汇总并形成抗凝剂皮下注射技术临床实践指南推荐意见64条,从皮下出血、疼痛、渗(漏)液、过敏反应、弯针与断针5个常见皮下注射不良反应方面汇总并形成抗凝剂皮下注射技术不良反应及处理对策临床实践指南推荐意见23条,旨在为临床护理人员的科学决策提供实践依据.
Abstract
To further standardize the operating procedures of nurses,ensure injection safety,and reduce the incidence of adverse reactions,the Clinical Practice Guideline for Subcutaneous Injection of Anticoagulants is formulated.The guideline is based on the Expert Consensus on Nursing Standards for Subcutaneous Injection of Anticoagulant Agents,and is formed by systematically searching for the best evidence on subcutaneous injection of anticoagulants in the past 10 years both domestically and internationally.The guideline focuses on the operational steps and details of subcutaneous injection of anticoagulants,and integrates the results of six rounds of consultations from 46 medical and nursing experts from 38 hospitals across the country.Finally,64 pieces of recommendations for subcutaneous injection of anticoagulants were summarized from six aspects of pre-injection evaluation,pre-injection preparation,injection site and position,subcutaneous injection,hospital injection education,and home injection management.23 pieces of recommendations for adverse reactions and strategies of subcutaneous anticoagulant injection from five common adverse reactions of subcutaneous injection,including subcutaneous bleeding,pain,exudation(leakage),allergic reactions,curved needles and broken needles,aiming to provide practical basis for scientific decision-making of clinical nurses.
维普
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