棉袜固定小儿患者外周静脉留置针的效果评价

Efficacy Evaluation of Vein Detained Needle fixed by Socks in Pediatric Patients

目的:探讨减少小儿患者静脉留置针的针头滑出、液体渗出、意外拔针的概率,延长外周静脉留置针的时间。方法:将150例静脉留置针输液患者随机分成3组各50例。A组留置针穿刺成功后用3M透明敷料固定和胶布外固定,B组外用弹力绷带包扎固定,C组外用小儿自己的棉袜包扎固定。比较3组外周静脉留置针的针头滑出、液体渗出、意外拔针情况和留置时间。结果:B、C组针头滑出、液体渗出、意外拔针比A组明显下降,留置时间明显长于A组。结论:外用小儿自己的棉袜包扎固定,延长了患儿外周静脉留置针的时间,减轻了患儿的痛苦,同时减轻了护士的工作量,减少了患儿的经济费用,医护、患者及其家属均易接受。

Objective： To discuss how to reduce the occurrence of needle drop, liquid leakage, and accidental needle withdrawal in pediatric patients＇ vein detained needle, thereby to prolong the time for vein detailed needle. Methods： 150 cases of patients with vein detailed needle were randomly divided into 3 groups, 50 in each. A group was fixed by 3M transparent dressing and tape. The B group used elastic bandage. The C group employed the chil- dren＇s own socks. Comparisons were made in terms of needle drop, liquid leakage, accidental needle withdrawal and detained time. Results： Needle drop, liquid leakage and accidental withdraw of the B and C groups significantly re- duced, and detained time was remarkably longer as opposed to the A group. Conclusion： Application of personal socks lengthened the time of vein detained needle, relieve patients sufferings, alleviate nurses＇ workload, reduce patients fi- nancial burden, which is acceptable on the part of patients and medical staff.