摘要
目的探究阳性强化法应用于静脉输液病儿中对改善穿刺效果及依从性的影响。方法选取徐州市儿童医院2016年2—10月收治的接受常规护理干预的静脉输液病儿58例作为对照组,再选取徐州市儿童医院2016年11月至2017年7月收治的接受阳性强化法护理干预的静脉输液病儿58例作为观察组。对比两组病儿穿刺疼痛程度、穿刺效果、静脉输液依从性以及家长满意度。结果护理后,观察组疼痛面容持续时长为(21.91±2.46)s,心率为(105.62±15.22)次/分,分别低于对照组的(36.41±1.01)s、(144.78±12.24)次/分,差异有统计学意义(t=41.526,15.270,均P<0.01);观察组穿刺耗时>5 min比率为25.86%,一次穿刺成功率为93.10%,分别优于对照组的62.07%、68.97%,差异有统计学意义(t=15.432,9.480,均P<0.01);观察组静脉输液依从性为87.93%,优于对照组的56.90%,差异有统计学意义(χ2=12.472,P<0.01);观察组病儿家长满意度为93.10%高于对照组,差异有统计学意义(χ2=7.616,P<0.01)。结论对静脉输液病儿应用阳性强化法有利于缓解病儿疼痛程度,改善穿刺效果,且能有效提升病儿静脉输液依从性以及家长满意度,值得推广。
Objective To investigate the effect of positive reinforcements on improving the puncture effect and compliance in children with intravenous infusion.Methods Fifty-eight children with intravenous infusion were enrolled in Xuzhou Children’s Hospl from November 2016 to July 201ital from February 2016 to October 2016 were taken as control group and 58 cases received from our hospita7 were treated with positive enhancement intravenous infusion as nursing group.The puncture pain,puncture effect,intravenous compliance and parental satisfaction of the two groups were compared.Results After nursing,the duration of pain in the observation group was(21.91±2.46)s,and the heart rate was(105.62±15.22)times/min,which was lower than that of the con-trol group(36.41±1.01)s,(144.78±12.24)times/min.Statistically significant(t=41.526,15.270,all P<0.01)The observation group had a puncture time>5 min ratio of 25.86%,and one puncture success rate was 93.10%superior to the control group of 62.07%and 68.97%,the difference was statistically significant(t=15.432,9.480,all P<0.01).The compliance of intravenous infusion was 87.93%in the observation group compared with 56.90%in the control group,the difference was statistically significant(χ^2=12.472,P<0.01).The parental satisfaction of the children in the observation group was 93.10%higher than that in the control group.The difference was statistically significant.Significance(χ^2=7.616,P<0.01).Conclusion The application of positive enhancement method in children with intravenous infusion is helpful to alleviate the pain of children and improve the puncture effect,which can effectively improve the compliance of children with intravenous infusion and parental satisfaction.
作者
马亚囡
桑艳
MA Yanan;SANG Yan(Infusion Room,Xuzhou Children’s Hospital,Xuzhou,Jiangsu 221000,China)
出处
《安徽医药》
CAS
2019年第5期888-891,共4页
Anhui Medical and Pharmaceutical Journal
基金
江苏省徐州市科技项目(社会发展)(KC16SH069)
