心理疏导联合家属配合宣教对门急诊静脉输液患儿治疗配合度及家长满意度的影响

Effect of psychological counseling combined with family coordination education on treatment compliance and family satisfaction of children patients with intravenous infusion in outpatient emergency department

目的:探讨心理疏导联合家属配合宣教对门急诊静脉输液患儿治疗配合度及家长满意度的影响。方法:遴选136例门急诊静脉输液患儿随机分为两组,其中68例患儿给予门急诊输液常规干预为对照组,另68例患儿在对照组干预基础上给予心理疏导联合家属配合宣教,观察两组静脉输液穿刺配合度、穿刺情况、患儿哭闹情况、主客观疼痛情况及患儿家属满意度。结果:观察组静脉穿刺输液配合率(80.88%)显著高于对照组(64.71%)(Z=4.492,P<0.05);干预后,观察组的穿刺一次性成功率(92.65%)显著高于对照组(80.88%)(χ^2=4.098,P<0.05),穿刺完成时间显著短于对照组(t=-10.720,P<0.05),输液顺利率(88.24%)显著高于对照组(64.71%)(χ^2=3.970,P<0.05);干预后,观察组的哭闹率显著低于对照组(χ^2=14.248,P<0.05),哭闹持续时间显著短于对照组(t=-12.247,P<0.05),穿刺主观疼痛(t=-14.857,P<0.05)及客观疼痛评分(t=-10.322,P<0.05)显著低于对照组;干预后,观察组家属静脉穿刺过程中服务态度(t=7.000,P<0.05)、健康教育(t=7.012,P<0.05)、病区环境(t=7.145,P<0.05)、穿刺技术(t=4.400,P<0.05)、心理干预(t=7.833,P<0.05)及输液质量(t=4.341,P<0.05)共6个方面满意度评分显著高于对照组。结论:心理疏导联合家属配合宣教可提高门急诊静脉输液患儿的治疗配合度、穿刺一次性成功率,降低穿刺障碍率,有效缓解患儿在静脉穿刺输液中操作性疼痛,改善患儿不良情绪,提高患儿家属满意度。

Objective:To explore the effects of psychological counseling combined with family coordination education on the treatment compliance and parental satisfaction of children patients with intravenous infusion in outpatient emergency department.Methods:A total of 136 cases of children patients with intravenous infusion in outpatient emergency department were selected and randomly divided into two groups.Among them,68 cases were given routine intervention of infusion in outpatient emergency department as control group,and another 68 cases were given psychological counseling combined with family coordination education on the basis of control group.The compliance of intravenous infusion puncture,puncture,crying and screaming of children patients,subjective and objective pain and family satisfaction were observed in the two groups.Results:The compliance rate of intravenous infusion puncture in observation group was significantly higher than that in control group(Z=4.492,P<0.05).After intervention,the one-time success rate of puncture in observation group was significantly higher than that in control group(χ^2=4.098,P<0.05),and the puncture completion time was significantly shorter than that in control group(t=-10.720,P<0.05),and the infusion success rate was significantly higher than that in control group(χ^2=3.970,P<0.05).After intervention,the crying and screaming rate in observation group was significantly lower than that in control group(t=14.248,P<0.05),and the duration of crying and screaming was significantly shorter than that in control group(t=12.247,P<0.05).The scores of puncture subjective pain(t=14.857,P<0.05)and objective pain(t=10.322,P<0.05)were significantly lower than those in control group.After intervention,the six aspects scores of service attitude during puncture,health education,ward environment,puncture technique,psychological nursing and infusion quality in observation group were significantly higher than those in control group(t=7.000,7.012,7.145,4.400,7.833,4.341,P<0.05).Conclusion:Psychological counseling combined with family coordination education can improve the treatment compliance and the one-time puncture success rate,reduce the puncture barrier rate,relieve the operative pain during intravenous infusion,and improve the bad emotions and the family satisfaction.