中医情志护理联合正强化干预模式对急诊静脉输液患儿依从性、疼痛程度及穿刺成功率的影响

Influence of Chinese Medicine Emotional Nursing Combined with Positive Reinforcement Intervention Mode on Compliance,Pain Degree and Success Rate of Puncture in Children with Emergency Intravenous Infusion

目的观察中医情志护理联合正强化干预模式对急诊静脉输液患儿依从性、疼痛程度及穿刺成功率的影响并探讨其作用机制。方法将120例患儿按照随机数字表法分为两组,对照组给予中医情志护理,观察组给予中医情志护理联合正强化干预护理,比较两组患儿的依从性、疼痛程度、穿刺成功率及不良反应。结果观察组患儿的依从性及穿刺成功率分别为93.33%与98.33%,明显高于对照组71.67%与85.00%(P<0.05);观察组患儿的静脉穿刺疼痛程度低于对照组(P<0.05);观察组患儿的不良反应发生率15.00%,低于对照38.33%(P<0.05)。结论中医情志护理联合正强化干预模式可提高急诊静脉输液患儿依从性,降低静脉穿刺疼痛程度,提高穿刺成功率,且不良反应发生率较低。

Objective： To explore the influence of Chinese medicine emotional nursing combined positive reinforcement intervention mode on compliance,pain degree and success rate of puncture in children with emergency intravenous infusion. Methods： 120 children were divided into the control group（60 cases） and the observation group（60 cases） according to the random number table method. The control group was given the traditional Chinese medicine emotional nursing care. The observation group was given the traditional Chinese medicine emotional nursing care combined with positive reinforcement intervention nursing,and the compliance,the pain degree,the puncture success rate and the adverse reaction were compared between the two groups. Results： The compliance rate of the observation group was 93.33%,which was significantly higher than that of the control group（71.67%）,and the difference was statistically significant（P〈0.05）. The pain degree of venipuncture in the observation group was significantly lower than that in the control group,and the difference was statistically significant（P〈0.05）. The success rate of puncture in the observation group was 98.33%,which was significantly higher than that in the control group（85.00%）;the difference was statistically significant（P〈0.05）. The incidence of adverse reactions in the observation group was 15%,significantly lower than that in the control group（38.33%）;the difference was statistically significant（P〈0.05）. Conclusion： The combination of TCM emotional nursing care and positive reinforcement intervention can improve the compliance of children with emergency intravenous infusion,reduce the degree of venipuncture pain,improve the success rate of puncture,and have low incidence of adverse reaction,which is worthy of application in emergency.