摘要
目的研究优质护理服务在门诊儿童输液室中的应用效果及对患儿家属满意度的影响。方法用随机数字法将方便选取的福建医科大学附属福州儿童医院急诊科2019年2月—2020年1月期间收治的110例被诊断为儿科疾病,需在该院行输液治疗的患儿分为甲组和乙组,各55例,甲组采用该院改进后的优质护理方法进行服务,乙组采用常规护理方法进行服务。比较两组患儿的一次穿刺成功率、患儿哭闹时长、患儿穿刺中疼痛程度、输液中意外情况发生次数。结果甲组患儿一次穿刺成功率为65.45%,乙组患儿一次穿刺成功率为45.45%,两组比较差异有统计学意义(χ^(2)=4.453,P=0.035);甲组55例患儿中哭闹49例,平均哭闹时长(13.90±5.21)min,乙组55例患儿中哭闹48例,平均哭闹时长(21.21±8.33)min,两组比较差异有统计学意义(P<0.05),甲组患儿穿刺中的疼痛和不适程度相较于乙组更低,两组比较差异有统计学意义(P<0.05);甲组穿刺部位肿胀、药液外渗和输液反应3种情况的干预效果优于乙组,两组比较差异有统计学意义(P<0.05)。结论优质护理服务在门诊儿童输液室中的应用效果极佳,安全性高,建议在门诊儿童输液室中选择该护理方案进行干预。
Objective To study the application effect of high-quality nursing service in outpatient children's infusion room and its influence on the satisfaction of children's family members.Methods A random number method was used to divide 110 children diagnosed as pediatric diseases and needed infusion therapy in the emergency department of Fuzhou Children's Hospital affiliated to Fujian Medical University from February 2019 to January 2020 who were conveniently selected into group A and group B,with 55 cases in each group.Group A used the improved quality nursing methods of the hospital to provide services,and group B used conventional nursing methods to provide services.The success rate of one puncture,the duration of crying,the degree of pain in puncture,the number of accidents in infusion were compared between the two groups.Results The success rate of one-time puncture was 65.45%in group A and 45.45%in group B,the difference between the two groups was statistically significant(χ^(2)=4.453,P=0.035);there were 49 crying children in group A,with an average crying duration of(13.90±5.21)min,and 48 crying children in group B,with an average crying duration of(21.21±8.33)min,the difference between the two groups was statistically significant(P<0.05),the degree of pain and discomfort in group A was lower than that in group B,and the difference between the two groups was statistically significant(P<0.05);the intervention effects of puncture site swelling,drug liquid extravasation and infusion reaction in group A were better than those in group B,the difference between the two groups was statistically significant(P<0.05).Conclusion The application of high-quality nursing services in the outpatient children's infusion room is very effective and safe.It is recommended to choose this nursing plan for intervention in the outpatient children's infusion room.
作者
梁宝凤
LIANG Baofeng(Emergency Department,Fuzhou Children's Hospital,Fujian Medical University,Fuzhou,Fujian Province,350001 China)
出处
《中外医疗》
2021年第36期146-149,154,共5页
China & Foreign Medical Treatment
关键词
优质护理服务
门诊儿童输液室
儿科
High-quality nursing services
Outpatient infusion room for children
Pediatrics
