儿科门急诊患儿静脉输液疼痛相关因素的研究

Related factors research of intravenous infusion-related pain access in out-patient and emergency departments of pediatrics

目的:通过研究儿科门急诊患儿静脉输液疼痛相关因素,分析影响静脉输液时患儿疼痛的原因以及改进工作的最佳方法,提高患儿及家长的满意度。方法:通过应用疼痛量表Wong-Baker面部表情评估法和改良面部表情评分法评估327例儿科门急诊患儿静脉输液疼痛程度,收集与儿科门急诊患儿静脉输液疼痛相关的因素并详细记录,运用统计学的方法分析其对疼痛结果的影响程度。结果:Logistic回归分析显示:转移患儿注意力和血管清晰度为静脉输液相关疼痛的保护因素;家长陪伴人数>2人是其危险因素。强制固定患儿、近期重复输液对静脉输液相关疼痛没有统计学意义上的影响。结论:采取有效的安抚和诱导患儿转移注意力,提高操作技能,限制家长陪伴人数使患儿配合护士操作,能减轻患儿疼痛,保证静脉输液成功实施。

Objective：Through the related factors research of intravenous infusion -related pain access in out -patient and emergency departments of pediattics, to search the main cause of intravenous infusion - related pain and the best method of improving the work in order to heighten the contentment rate of the sick children and parents. Metheds ：Apply the modified Wong - Baker faces scale and the modified faces,legs, activity, cry and console ability scale, data collections list to completely record every related factor about intravenous infusion and the influence degree to the result, adopt statistics means to get a conclusion. Rosults：A total of 327 patients were included in the study. By multivariate logistic regression analysis, to transfer the children＇s attention and blood vessel appearance degree were found as protected （ or beneficial） factors of intravenous infusion - related pain, more than 2 people of households accompanying was risk factor. Whether mandatory fixed children and recent repeated infusion have no statistics meanings influence. Conclusion ： Adopt effective conciliation and transfer the children＇s attention to make sick children cooperate the nurse＇s work, relieve pain and improve the success rate of intravenous access; If the blood vessel appearance is not clear, the nurses must care and resolve it from the technique point. The operation room must control the member of households entering and assure the success of intravenous infusion.