摘要
目的探讨小儿前臂静脉输液中应用按压式输液手掌稳定器固定肢体的护理干预。方法入选我院2011年9月-2014年9月儿科重症监护病房（pediatricintensivecareunit，PiCU）患儿100例，根据随机数字表法分为研究组与对照组，各50例。研究组进行按压式输液手掌稳定器固定肢体与心理护理干预，对照组进行健康宣教、告知注意事项、体位护理等常规护理模式。结果两组护理后的诱导期合作评分（ICC）、改良耶鲁儿童术前焦虑测评量表（MYPAS）、状态-特质焦虑问卷（STAI）均有改善。但研究组护理后的ICC、MYPAS、STAI各项评分显著优于对照组，差异有统计学意义（P〈0．05）；研究组的影响血液循环、固定的稳定性、患儿的依从性情况显著优于对照组，差异有统计学意义（P〈0．05）；研究组的完成输液情况及一次性穿刺成功率显著优于对照组，差异有统计学意义（P〈0．05）；研究组患儿家属对治疗效果、临床操作、服务态度、环境、健康宣教等各项满意情况显著优于对照组，差异有统计学意义（P〈0．05）。结论小儿前臂静脉输液进行按压式输液手掌稳定器固定肢体可提高穿刺成功率及固定的稳定性，提高患儿的依从性及家属的满意度，效果确切，值得临床推广。
Objective To study the nursing intervention of press type transfusion palm stabilizer in pediatric intrave- nous infusion. Methods 100 PICU children treated from September 2013 to September 2014 in our hospital were se- lected and randomly divided into research group and control group, 50 cases each group. The research group adopted new stabilizer combined with psychological intervention; control group adopted the conventional nursing like health education, notifications, postural care, etc. The scores of ICC, MYPAS and STAI before and after nursing, blood circu- lation, stability of fixation as well as children＇s compliance, completion of infusion and success rate of first puncture of two groups were compared; the satisfaction on the curative effects, clinical operation, service attitude, environment, health education for the children＇s family of two groups were compared. Results After treatment, ICC, MYPAS and STAI scores of research group were significantly better than those of control group （P〈0.05）; The blood circulation, stability of fixation and children＇s compliance of research group was significantly better than that of control group （P〈0.05）; the completion of infusion and success rate of first puncture of research group was significantly better than that of con- trol group （P〈0.05）; the satisfaction on the curative effects, clinical operation, service attitude, environment, health edu- cation for the children＇s family of research group was significantly better than that of children＇s family of control group （P〈0.05）. Conclusion The nursing intervention of pediatric forearm fixation through new stabilizer in intravenous infu- sion has an obvious effect and can improve the success rate of puncture, stability of fixation, children＇s compliance and children family＇s satisfaction. It is worthy of clinical promotion.
出处
《中国现代医生》
2015年第28期146-149,共4页
China Modern Doctor
关键词
护理干预
静脉输液
按压式输液手掌稳定器
Nursing intervention
Intravenous infusion
Press type transfusion palm stabilizer
