摘要
目的探讨音视频干预联合盐酸利多卡因湿敷对婴幼儿静脉穿刺的影响。方法选取我院2017年10～12月进行静脉穿刺的200例婴幼儿作为观察对象,依据是否实施干预分为对照组(常规静脉穿刺)100例和观察组(音视频干预联合盐酸利多卡因湿敷)100例。观察两组穿刺一次性成功率、穿刺时哭闹持续时间、面容疼痛持续时间、穿刺后哭闹持续时间超过10 s的例数,观察两组静脉穿刺后的疼痛程度和不良反应发生率。结果观察组穿刺一次性成功率高于对照组,穿刺时哭闹持续时间、面容疼痛持续时间均短于对照组(P<0.05),穿刺后哭闹持续时间超过10 s的比率低于对照组(P<0.05),观察组静脉穿刺后的疼痛程度轻于对照组,观察组穿刺后不良反应总发生率低于对照组,差异均有统计学意义(P<0.05)。结论音视频干预联合盐酸利多卡因湿敷在静脉穿刺婴幼儿中应用,可提高静脉穿刺效率,降低疼痛程度和不良反应发生率,值得临床推广应用。
Objective To investigate the effect of audio-visual intervention combined with Lidocaine Hydrochloride wet compress on venous puncture in infants and children.Methods A total of 200 infants and children who given venipuncture from October to December 2017 in our hospital were selected as the observation objects.According to whether intervention was implemented,100 patients were assigned to the control group(conventional venipuncture)and 100 patients were assigned to the observation group(audio-visual intervention combined with Lidocaine Hydrochloride wet compress).The one-time success rate of puncture in infants and children,the duration of crying during puncture,the duration of facial pain,and the number of cases with the duration of crying exceeding 10 s after puncture were observed in both groups.The degree of pain and the incidence rate of adverse reactions after venipuncture in infants and children were observed in both groups.Results The one-time success rate in the infants and children in the observation group was higher than that in the control group(P<0.05).During puncture,the duration of crying and the duration of facial pain were shorter than those in the control group,and the rate of crying duration after puncture exceeding 10 s was lower than that in the control group(P<0.05).In the observation group,the pain degree of infants and children after venipuncture was lighter than that in the control group(P<0.05).The total incidence rate of adverse reactions in the infants and children in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Audio-visual intervention combined with Lidocaine Hydrochloride wet compress in the infants and children receiving venipuncture can improve the efficiency of venipuncture,reduce the degree of pain and the incidence rate of adverse reactions,which is worthy of clinical promotion and application.
作者
赵宁
李洁
ZHAO Ning;LI Jie(Department of Nursing,Shenyang Children′s Hospital,Liaoning Province,Shanyang 110032,China)
出处
《中国当代医药》
2019年第1期218-220,共3页
China Modern Medicine
基金
辽宁省沈阳市卫生和计划生育委员会科研课题项目(沈卫办[2014]291号)
关键词
音视频干预
盐酸利多卡因
湿敷
婴幼儿
静脉穿刺
Audio-visual intervention
Lidocaine Hydrochloride
Wet compress
Infants
Venipuncture
