摘要
目的 研究共情护理辅助预见性护理对采血室儿童静脉采血穿刺成功率、不合格血标本数的影响。方法 回顾性分析我院2022年9月至2022年11月282例静脉采血患儿的的临床资料,根据护理方式不同分为对照A组(94例)、对照B组(94例)、观察组(94例),对照A组予以常规护理,在此基础上,对照B组予以预见性护理,观察组予以共情护理辅助预见性护理。比较3组一次采血成功率、不合格血标本数、疼痛行为反应(FLACC)、儿童哭闹时长、采血时长、穿刺次数、静脉穿刺并发症、家属护理满意度。结果 观察组、对照B组一次采血成功率95.74%(90/94)、91.49%(86/94)高于对照A组81.91%(77/94),不合格血标本数0.86%(2/233)、1.29%(3/232)低于对照A组5.22%(12/230)(P<0.05);观察组儿童哭闹时长、采血时长短于对照A组、对照B组,且对照B组短于对照A组,穿刺次数少于对照A组、对照B组,且对照B组少于对照A组(P<0.05);观察组FLACC量表体位、面部表情、腿部活动、可安慰度、哭闹条目评分低于对照A组、对照B组,且对照B组低于对照A组(P<0.05);观察组、对照B组静脉穿刺并发症2.13%(2/94)、3.19%(3/94)低于对照A组12.77%(12/94)(P<0.05);观察组家属护理满意度98.94%(93/94)高于对照A组80.85%(76/94)、对照B组90.43%(85/94),且对照B组高于对照A组(P<0.05)。结论 共情护理辅助预见性护理能减轻静脉采血患儿疼痛程度,提高一次穿刺成功率,减少不合格血标本数,也能提高家属护理满意度。
Objective To study the effects of empathic nursing assisted predictive nursing on the success rate of venous blood aspiration and the number of unqualified blood samples in children's blood collection room.Methods A retrospective analysis was conducted on the clinical data of 282 children with venous blood sampling in our hospital from September 2022 to November 2022.They were divided into control group A(94 cases),control group B(94 cases),and observation group(94 cases)according to different nursing methods.Control group A was given routine nursing,and control group B was given predictive nursing.The observation group was given empathic nursing assisted by predictive nursing.The success rate of one blood collection,the number of unqualified blood samples,the behavioral response to pain(FLACC),the crying time of children,the blood collection time,the number of puncture,the complications of venipuncture,and the nursing satisfaction of family members of the three groups were compared.Results The success rate of one-time blood collection in observation group and control group B was 95.74%(90/94)and 91.49%(86/94)higher than that in control group A,81.91%(77/94).The number of substandard blood specimens was lower in 0.86%(2/233)and 1.29%(3/232)than in 5.22%(12/230)of control group A(P<0.05)The crying time and blood collection time of children in observation group were shorter than those in control group A and control group B,and the number of puncture was less than that in control group A and control group B,and the number of puncture in control group B was less than that in control group A(P<0.05).FLACC scores of body position,facial expression,leg movement,comfort and crying in observation group were lower than those in control group A and control group B,and those in control group B were lower than those in control group A(P<0.05).The complications of venipuncesis in observation group and control group B were 2.13%(2/94)and 3.19%(3/94)lower than those in control group A(12.77%)(12/94)(P<0.05).The nursing satisfaction of family members in observation group was 98.94%(93/94)higher than that in control group A 80.85%(76/94)and control group B 90.43%(85/94),and control group B was higher than control group A(P<0.05).Conclusion Empathic nursing assisted predictive nursing can alleviate the pain degree of children with venous blood collection,improve the success rate of one puncture,reduce the number of unqualified blood samples,and also improve the nursing satisfaction of family members.
作者
张素颖
孔莎
张晓玲
韩艳红
ZHANG Su-ying;KONG Sha;ZHANG Xiao-ling;HAN Yan-hong(Department of Clinical Laboratory,Henan Provincial People's Hospital,Zhengzhou 450003,Henan Province,China)
出处
《罕少疾病杂志》
2024年第9期158-160,共3页
Journal of Rare and Uncommon Diseases
关键词
静脉采血穿刺
预见性护理
共情护理
穿刺成功率
不合格血标本数
Venous Blood Sampling and Puncture
Predictive Care
Empathic Nursing
Puncture Success Rate
Number of Unqualified Blood Samples