无痛技术联合心理疏导在门诊输液儿童中应用.doc

无痛技术联合心理疏导在门诊输液儿童中应用 　【摘要】目的:探讨无痛技术联合心理疏导对门诊输液儿童的护理效果。方法:将门诊输液136例儿童患者随机分为观察组和对照组各68例，对照组给予常规护理，观察组在常规护理基础上实施无痛技术联合心理疏导；观察两组患儿在输液过程中的行为表现和静脉穿刺的成功率。结果 观察组患儿恐惧心理减轻，抗拒心理降低，配合治疗的主动性和静脉穿刺的成功率明显高于对照组(Plt;0.01)。结论 无痛技术联合心理疏导能缓解输液儿童的恐惧心理。 【关键词】　静脉输液；儿童；无痛技术；心理疏导 【Abstract】 Objective To evaluate the nursing effects of painless technique combined psychological counseling in children undergoing infusion in outpatient department. Methods One hundred and thirty-six children undergoing infusion in outpatient department were randomly divided into two groups: the control group( 68 patients), and the observation group( 68 patients), the control group received routine nursing; the observation group received painless technique combined with psychological counseling on the basis of the control group. The behavior in the transfusion process and the success rate of vein puncture in two group were observed. Results Compared with the control group , in the observation group , the improvement in psychological fear and psychological resistance were better with improvement of the initiative of infusion (Plt;0.001), and the success rate of vein puncture was significantly higher(P＜0.01).Conclusion The painless technology combined with psychological counseling can ease children’s psychological fears. 【Key words 】Intravenous infusion; children; painless technology; psychological counseling 在临床护理工作中，静脉输液已经成为治疗疾病、补充体能最主要的方法之一。但在儿童患者静脉输液过程中，由于患儿的不配合，造成穿刺成功率低，这不仅给患儿带来痛苦，而且使患儿家属对护理人员产生不信任感，从而导致护患矛盾。我院2011-01开始，对门诊输液儿童患者进行无痛技术联合心理疏导，取得满意效果，现报道如下。 1资料和方法 1.1一般资料　抽取2011-01～03在门诊输液患儿136例，将136例患者随机分为观察组和对照组。观察组68例：其中男36例，女32例；年龄2-10岁；平均年龄（7.6±4.2）；上肢静脉输液39例，下肢静脉输液18例，头皮静脉输液11例。对照组68例：其中男35例，女33例；年龄2-9岁，平均年龄（7.5±3.8）；上肢静脉输液39例，下肢静脉输液19例，头皮静脉输液10例。两组患儿年龄、性别、静脉条件方面比较差异无统计学意义，具有可比性。 1.2方法　对照组按输液操作规程进行操作，观察组按输液操作规程操作的基础上，实施无痛技术联合心理疏导。具体措施：根据无痛据无痛静脉穿刺原理[1]，穿刺前用蘸2%利多卡因的小棉签涂抹穿刺部位1min局部麻醉，然后按输液操作规程进行操作，操作时动作轻柔，亲切称呼患儿的名字，轻轻地抚摸患儿的头部，跟患儿讲些小孩感兴趣的话题，以表示关爱和分散患儿注意力等心理安慰方法进行无痛静脉穿刺。两组患儿均由小儿静脉穿刺技术熟练、善于沟通的主管护