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护理干预对于小儿静脉输液患儿的作用与效果(1)
http://www.100md.com 2020年5月1日 《健康之友·下半月》 202005
     【摘 要】目的:探究护理干预对于小儿静脉输液患儿的作用与效果。方法:选取我院儿科门诊部在2019年1月到12月期间收治的200例小儿静脉输液患者为研究对象,分为观察组(n=102)和对照组(n=98),对照组常规护理,观察组应用护理干预。对比两组患者的护理效果,统计一次性穿刺成功率、患儿的治疗依从性以及静脉炎的发生率。结果:统计结果表明,护理后,观察组患儿的治疗依从性和一次性穿刺成功率显著高于对照组,且静脉炎的发生率显著低于对照组,两组相比结果具有统计学意义 (P<0.05)。结论:在小儿静脉输液过程中使用护理干预能显著提高一次性穿刺成功率和患儿的治疗依从性,同时能降低静脉炎的发生,该护理干预措施在临床上能起到积极的作用,值得应用并推广。

    【关键词】护理干预;静脉输液;临床效果;小儿

    【中图分类号】R472 【文献标识码】B 【文章编号】1002-8714(2020)05-0015-02

    【Abstract】Objective To explore the effect of nursing intervention on infantile intravenous infusion. Methods The 200 pediatric intravenous infusion patients admitted to the pediatric outpatient department of our hospital between January and December 2019 were selected as the research objects, and were divided into observation group (n = 102) and control group (n = 98). The observation group applied nursing intervention. The nursing effect of the two groups of patients was compared, and the success rate of one-time puncture, treatment compliance of the children, and incidence of phlebitis were counted.Results The statistical results showed that after nursing, the treatment compliance and one-time puncture success rate of the observation group were significantly higher than that of the control group, and the incidence of phlebitis was significantly lower than that of the control group. The comparison between the two groups was statistically significant (P < 0.05).Conclusion The use of nursing intervention in the process of infantile intravenous infusion can significantly improve the success rate of one-time puncture and the treatment compliance of infantile intravenous infusion, and can reduce the occurrence of phlebitis, the nursing intervention can play a positive role in clinical practice, worthy of application and promotion.

    【Key words】 Nursing intervention; Intravenous infusion; Clinical effect; pediatric

    靜脉输液是小儿临床上常见的治疗方式,常用于药物递送,而小儿由于自身毛细血管细且比较浅,皮肤薄嫩等,输注时常会引发强烈不适感且造成疼痛,使得患儿的治疗依从性降低,给静脉输注带来了一定困难[1]。许多临床研究报告显示,在患儿静脉输注时给予积极的护理干预,能够显著提高患儿的输注成功率以及患儿的治疗依从性,同时降低疼痛感和静脉炎的发生率[2]。本次研究选取我院200例静脉输液患儿为研究对象,探讨护理干预的作用,现将结果作以下报道。

    1 资料与方法

    1.1一般资料

    本次研究选取我院儿科输液门诊部在2019年度收治的200例患儿为研究对象,按照护理方法的不同分为对照组和实验组。其中对照组98人,男患儿50例,女患儿48例,年龄范围2~9岁,平均年龄(4.90±0.61)岁;实验组102人,其中男患儿60例,女患儿42例,年龄范围2~9岁,平均年龄(4.89±0.58)岁。统计资料显示两组患儿在一般资料上无显著差异(P>0.05),此次研究具有可比性。

    1.2护理方法

    对照组的患儿使用常规护理方法,观察组患儿在对照组的基础上使用综合护理干预的方法,具体护理方法如下:当家属陪同患儿入院后,医护人员应当给予热情接待,向患儿家属详细介绍所处的环境,告诉其输液的作用。同时让患儿家属积极抚慰患儿,消除患儿的恐惧和焦虑心情,必要时医护人员也应当和患儿进行互动,播放患儿喜欢看的动画片,放置儿童玩具,给患儿讲故事等转移患儿的注意力;静脉输注前,医护人员可以轻轻抚摸患儿的头部,同时询问患儿的小名,与患儿进行亲切的交谈,消除陌生感,建立信任;向患儿讲述其他小朋友输液成功的案例,鼓励患儿积极配合,输注时要做到快、准、稳,尽量减少患儿的疼痛感,输注完成时应当轻柔患儿的注射处,并且给予棉签止血,同时夸赞患儿表现勇敢。, http://www.100md.com(马永娇)
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