心理护理在儿科静脉穿刺中的应用

Application of mental nursing in children intravenous puncture

目的探讨应用心理护理提高小儿静脉穿刺成功率中的作用。方法选择我院2015年1~6月儿科门诊输液室收治的300例门诊就诊患儿,将其随机分为干预组和对照组,各150例。输液时对干预组患儿、患儿家长及护理人员进行心理评估并给予相应的心理护理,对照组按常规输液,比较两组患儿输液配合程度,静脉穿刺成功率、患儿家长满意率。结果干预组患儿的治疗依从率（71.10%）、一次穿刺成功率（90.40%）显著高于对照组（57.20%,72.90%）,干预组患儿家长满意率（93.96%）也高于对照组（85.41%）,差异有统计学意义（P〈0.05）。结论心理护理适用于儿科,患儿、家长、护士的情绪直接影响静脉穿刺的成功率,运用不同的心理干预方案,可有效地提高小儿静脉穿刺的成功率。

Objective To explore the experience of using mental nursing enhancing successful rate of intravenous puncture in children.Methods 300 children patients with outpatient treatment from January to June in 2015 of transfusion room were selected,and they were randomly divided into intervention group and control group.Each group was 150 cases.Children patients,their parents and nurses in intervention group were given psychological evaluation and corresponding psychological nursing,while patients in control group were given routine transfusion.Infusion coordination degree,successful rate of intravenous puncture and satisfaction rate of children′ patients in two groups were compared.Results The treatment compliance rate（71.10%） and successful rate（90.40%） of once intravenous puncture（90.40%） in intervention group were obvious higher than control group（57.20%,72.90%）,the satisfaction rate of children′ patients（93.96%） was higher than control group（85.41%）,and the difference was statistical significance when compared between two groups（P〈0.05）.Conclusion Mental nursing is suitable in pediatrics,the emotion of children patients,their parents and nurses is direct influence on the success rate of vein puncture.Using different mental intervention can improve the successful rate of children intravenous puncture effectively.