综合护理干预在小儿静脉输液中的应用

Effects of comprehensive nursing intervention on infants and children receiving intravenous therapy

目的：探讨综合护理干预对小儿静脉输液的影响。方法：将100例输液治疗患儿随机分为观察组和对照组各50例。2组均给予常规治疗和护理,观察组同时给予综合护理干预,包括环境干预、心理干预、静脉输液前干预、静脉穿刺前干预、输液过程中干预、拔针与按压穿刺点干预。比较2组穿刺成功率、输液依从性、护理满意度和护患纠纷发生率。结果：观察组患儿护理满意度、输液依从性和穿刺成功率均高于对照组（P〈0.05~P〈0.01）,而2组护患纠纷发生率差异无统计学意义（P〉0.05）。结论：综合护理干预可提高输液穿刺成功率,减轻患儿痛苦,提升家长满意度及患儿输液依从性。

Objective： To investigate the role of comprehensive nursing intervention in the intravenous therapy for infants and children. Methods： One hundred patients were randomly divided into observation group and control group（ n = 50 in each）. Both groups were administered the routine therapy and nursing care; and the observation group were given additional comprehensive nursing interventions including environmental management,psychological intervention and interventions before intravenous infusion,before venipuncture,during and after the infusion. The success rate of venipuncture,the patients＇ compliance in receiving the infusion therapy,their satisfaction to the nursing care and incidence of nursing disputes between the nurses and patients were compared between the two groups. Results： The observation group were superior to the control group in satisfaction to the nursing care,compliance and success rate of venipuncture（ P〈0. 05 to P〈0. 01）; the difference in the incidence of nursing disputes between the two groups was not statistically significant（ P〉0. 05）. Conclusions： The comprehensive nursing intervention for infants and children receiving intravenous therapy can increase the success rate of venipuncture,alleviate the patients＇ suffering and improve their satisfaction and compliance.