For the safety problems of internal medicine intravenous infusion,we carry out meticulous management,establish quality control system of intravenous infusion safety management,and formulate quality control plan.We collect and analyse the potential unsafety factors in the various departments of internal medicine.We have revised the intravenous infusion system and procedures,formulated standards for safety inspection of intravenous fluids,and standardized the admission system for nurses.We carry out training on intravenous infusion related knowledge for nursing staff,carry out meticulous management of venous transfusion links,and actively carry out learning and communication.All these measures have greatly enhanced the safety awareness of the nursing staff.The safety index of intravenous infusion for liver diseases was preliminarily summarized.The use rate of the safe indwelling needle was increased from 30.60％ to 92.30％,the rate of appropriate rate of drop speed increased from 68.45％ to 93.20％,the three sign standard rate rose from 75.20％ to 95.10％,and the patient's satisfaction with infusion increased from 85.60％ to 96.82％.Meticulous management can improve the safety of the internal medicine intravenous infusion as a whole.

目的 探讨Roy适应模式在原发性胆汁性肝硬变(PBC)患者护理中对其情绪的影响.方法 对60例诊断为PBC的患者进行回顾性分析,其中干预组和对照组各30例.对照组在常规治疗的同时实施一般护理;干预组在对照组的基础上采用Roy适应模式引导下的护理干预方法.并应用焦虑自评量表(SAS)、抑郁自评量表(SDS)、原发性胆汁性肝硬化中医症状量表在护理前后对2组患者进行问卷调查、分析.结果 2组患者护理前后分别进行比较,治疗后,干预组SAS、SDS评分显著低于对照组,差异有统计学意义(P＜0.05);对照组治疗前后SAS、SDS评分对比差异无统计学意义(P＞0.05),干预组治疗前后SAS、SDS评分差异有统计学意义(P＜0.05).治疗后,干预组中医症状评分显著低于对照组,差异有统计学意义(P＜0.05);对照组治疗前后评分对比差异有统计学意义(P＜0.05),干预组治疗前后差异有显著统计学意义(P＜0.001).结论 Roy适应模式能改善PBC患者的不良情绪状态,并能刺激他们主动参与疾病管理.