护理干预提高小儿静脉输液依从性及穿刺成功率的效果观察.DOCVIP

护理干预提高小儿静脉输液依从性及穿刺成功率的效果观察 李轶晓 (商丘市第一人民医院急诊输液室 河南商丘 476100) [摘要] 目的:探讨给予静脉穿刺的患儿护理干预对输液依从性及穿刺成功率的影响。方法: 选取2014年6月-2016年6月在商丘市第一人民医院急诊输液室治疗的患儿50例，随机分为两组，观察组和对照组，各25例。对照组给予常规护理，观察组给予全面、针对性的护理干预，对比分析两组穿刺一次成功率、穿刺依从性及满意度。结果:对照组穿刺一次成功率、穿刺依从性及满意度均明显低于观察组，差异有统计学意义（P＜0.05）。结论:给予静脉穿刺的患儿全面、针对性的护理干预效果显著，可明显提高患儿依从性及穿刺成功率，促进输液顺利完成，改善医患关系，值得在临床上推广并应用。 [关键词] 护理干预；小儿静脉输液；依从性；穿刺成功率 Effect of Nursing Intervention on Adherence of Pediatric Intravenous Infusion and Percutaneous Successful Percutaneous Infusion LI Yi-xiao (Department of Emergency Infusion, Shangqiu First Peoples Hospital, Shangqiu 476100, China) [Abstract] Objective: To investigate the effect of nursing intervention on infusion compliance and success rate of puncture in infants with venipuncture. Methods: Fifty patients were randomly divided into two groups: the observation group and the control group (25 cases). The patients were randomly divided into two groups: the control group (n = 25) and the control group (n = 25). The control group was given routine nursing, the observation group given comprehensive, targeted nursing intervention, comparative analysis of two groups of puncture success rate, puncture compliance and satisfaction. Results: The success rate of puncture, puncture compliance and satisfaction were significantly lower in the control group than in the observation group (P 0.05). Conclusion: The comprehensive and targeted nursing intervention can significantly improve the compliance and success rate of puncture in children with venipuncture, promote the successful completion of infusion, improve the relationship between doctors and patients, and be worth popularizing and applying clinically. [Key words] nursing intervention; pediatric intravenous infusion; compliance; puncture success rate 由于多数患儿的吞咽能力相对较差，无法口服药物，因而临床上常选择静脉输液的方式给药。临床大量试验发现[1]，患儿的血管较为浅细，输液配合度较差，在静脉输液时极易发生脱针、穿刺失败、家长满意度差等情况，不利于输液的顺利进行，且易增加医疗纠纷。因此，本研究探讨了给予静脉穿刺的患儿护理干预对输液依从性及穿刺成功率的影响。结果报道如下。 1 资料与方法 1.1 一般资料 选取2014年6月-2016年6月在商丘市第一人民医院急诊输液室治疗的患儿50