老年患者使用静脉留置针护理探讨.docVIP

老年患者使用静脉留置针护理探讨 　　【摘要】目的:探讨静脉留置针在老年患者静脉输液中的作用。方法:203例65岁以上老年患者静脉输液随机分成两组。A组:成人静脉留置针(22G);B组:小儿静脉留置针(24G),观察患者一次性穿刺成功率、血肿形成情况,静脉炎、液体渗漏等并发症及病员的再次接受程度、满意度。结果:小儿静脉留置针组一次性穿刺成功率、血肿形成、静脉炎、液体渗漏及病员再次接受程度、满意度与成人静脉留置针相比,P0.05,统计学上有显著性差异。结论:小儿静脉留置针对老年患者静脉输液能使患者痛苦减轻,穿刺成功率高,并发症少,使老年患者更能接受,满意度提高。? 　　【关键词】老年;留置针;护理? 　　doi:10.3969/j.issn.1006-1959.2010.08.173文章编号:1006-1959(2010)-08-2143-01? 　　 　　Study on nursing of elderly patients with intravenous indwelling needle The No.2 Peoples Hospital of Yibin city,Sichuan province Mu Ying Zhao Shu gang? 　　【Abstract】Objective:To investigate the intravenous indwelling needle in elderly patients in the role of intravenous infusion.Methods:203 cases of elderly patients over 65 years old were randomly divided into two groups of intravenous infusion.A group:the intravenous indwelling needle in adults (22G),B group:the intravenous indwelling needle in children (24G),observed in patients with a one-time success rate of puncture,hematoma formation,phlebitis,fluid leakage and other complications and the patients re-acceptance,satisfaction and so on.Results:The intravenous indwelling needle in children group,one puncture success rate,hematoma formation,phlebitis,fluid leakage,the patients re-acceptance,satisfaction,compared with the intravenous indwelling needle in adults,P0.05,statistically significant difference.Conclusions:The elderly patients with pediatric intravenous indwelling needle for intravenous infusion can reduce pain in patients with puncture a high success rate and few complications,so that more acceptable in elderly patients,satisfaction increased.? 　　【Key words】Elderly;Indwelling needle;Nursing 　　 　　我国已进入老龄化社会,住院病人中老年患者占比例越来越高,留置针的使用即减轻了病人痛苦,又提高了工作效率及护理质量,而临床上常用的成人静脉留置针(22G),因老年患者的血管特点,易造成穿刺失败,血肿形成,炎症反映较大,病人不愿再次接受等。我科2007年1月-2009年4月收治老年患者203例,采用小儿静脉留置针(24G)行静脉输液,取得了良好的效果,病员满意度提高。现报告如下:? 　　 　　1.资料与方法? 　　 　　1.1临床资料:2007年1月-2009年4月我科共收治65岁以上老年住院患者203例,行静脉留置针输液治疗,年龄65-92岁。平均年龄78.3岁,126例女,77例男,均为神志清楚,思维正常,能较好配合的患者。随机分为(A组)成人静脉