两种按压方法在门诊患者静脉输液拔针后的应用效果比较.docVIP

精品论文 参考文献 两种按压方法在门诊患者静脉输液拔针后的应用效果比较 麦竹丹 任春菊 （湛江中心人民医院门诊部 广东湛江 524037） 【摘要】目的 观察并比较门诊患者静脉输液拔针后采用两种按压方法的效果。方法 将门诊静脉输液的570例患者随机分为两组，设为观察组和对照组各285例，观察组采用小鱼际肌按压法，对照组采用拇指按压法。观察两组患者输液完毕拔针后局部发生疼痛、针眼出血及皮下淤血的情况。结果 观察组局部疼痛、针眼出血及皮下淤血的发生率分别为16.1%、4.6%及3.9%，对照组局部疼痛、针眼出血及皮下淤血的发生率分别为27.7%、10.9%及15.4%，两组比较差异具有显著性（P＜0.05）。结论 静脉输液拔针后采用小鱼际肌按压法能减轻患者的痛苦，保护患者血管，提高再次静脉穿刺的成功率，促进护患关系，值得推广。 【关键词】静脉输液 拔针 按压方法 【中图分类号】R472 【文献标识码】A 【文章编号】2095-1752（2014）07-0091-02 Comparison of the Effects of Tow Compression Methods after Withdrawal of Needles from out patients at the End of Venous Transfusion Mai Zhu-dan, Ren Chun-ju 【Abstract】Objective To investigate and compare of the effects of tow compression methods after withdrawal of needles from the out patients at the end of venous transfusion. Methods 570 out patients were divided randomly into two groups of venous transfusion, for the observation group and the control group of 285 cases. The observation group were using the minor thenar-hitting method, and the control group were using the thumb pressing method. Aching responses were observed as local pain, bleeding of needle hole and subcutaneous congestion of needle withdrawal of two groups. Results The rates of local pain, bleeding of needle hole and subcutaneous congestion were 16.1%, 4.6% and 3.9% in the observation group, and were 27.7%, 10.9% and 15.4% in the control group. Differences between the two groups was significant (P lt; 0.05). Conclusions It can alleviate the pain of patients, and protect vascular of patients who were used the minor thenar-hitting method after withdrawal of needles, and it can improve the success rate of vein puncture in again. This method can promote the relationship between nurses and patients, is worth popularizing. 【Key words】 Venous Transfusion Withdrawal of Needles Compression Methods 静脉输液是最常应用的一项临床护理操作技术，拔针后按压是静脉输液的最后一步操作，