摘要
目的:探讨改良头皮静脉穿刺结合行为干预在婴儿头皮静脉输液中的应用效果。方法:选取洛阳市第一人民医院2018年1~12月婴儿头皮静脉输液病例190例作为研究对象,按照随机数字表法分为对照组和观察组各95例。对照组采用常规头皮静脉穿刺方法,观察组采用改良头皮静脉穿刺结合行为干预。比较两组的一次穿刺成功率、穿刺疼痛评分、穿刺依从性、不良事件发生率及患儿家属对护理工作的满意度。结果:观察组的一次穿刺成功率为94.70%,明显高于对照组的85.30%;观察组穿刺疼痛主观Wong-Baker笑脸量表评分及疼痛客观FLSACC量表评分均明显低于对照组;观察组穿刺依从性明显高于对照组,差异均有统计学意义(均 P<0.05);观察组不良事件发生率略低于对照组,但组间差异无统计学意义( P>0.05);观察组患儿家属对护理工作的满意度明显高于对照组,差异有统计学意义( P<0.05)。 结论:改良头皮静脉穿刺结合行为干预在婴儿头皮静脉输液中的应用效果满意,能够提高一次穿刺成功率及患儿依从性,降低穿刺疼痛感,且安全性可靠,护理满意度较高。
Objective To explore the application effect of modified scalp venipuncture combined with behavioral intervention on scalp intravenous infusion in infants.Methods A total of 190 cases of infants receiving scalp intravenous infusion from January to December 2018 in the First People's Hospital of Luoyang were selected as the research objects,and were divided into control group and observation group with 95 cases each according to the random number table method.The control group was treated with routine scalp vein puncture,while the observation group was treated with improved scalp vein puncture combined with behavioral intervention.The success rate of one puncture,puncture pain score,puncture compliance,incidence of adverse events and the satisfaction of the family members of the children to the nursing work were compared between the two groups.Results The success rate of one puncture in the observation group was 94.70%,significantly higher than that 85.30%in the control group.The scores of puncture pain subjective Wong-Baker smiley face scale and pain objective FLSACC scale in the observation group were significantly lower than those in the control group.The puncture compliance of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of adverse events in the observation group was slightly lower than that in the control group,but there was no statistically significant difference between the two groups(P>0.05).The satisfaction of the family members of the observation group to the nursing work was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions The application effect of modified scalp venipal puncture combined with behavioral intervention in infant scalp intravenous infusion is satisfactory,which can improve the success rate of a puncture and compliance of children,reduce puncture pain,and is safe and reliable,with high nursing satisfaction.
作者
吕晓娟
武乐娟
赵莹
Lyu Xiaojuan;Wu Lejuan;Zhao Ying(Department of Pediatrics,the First People's Hospital of Luoyang,471000,China)
出处
《国际护理学杂志》
2020年第22期4051-4054,共4页
international journal of nursing
基金
河南省科技研发专项项目(173102310334)。
关键词
静脉输液
头皮静脉
婴儿
静脉穿刺
行为干预
Intravenous infusion
Scalp vein
Infants
Venipuncture
Behavior intervention
