中医情志护理联合正强化干预对急诊静脉输液患儿依从性及穿刺成功率的影响

Effect of Emotional Nursing of Chinese Medicine Combined with Positive Reinforcement on Compliance and Success Rate of Puncture in Children with Intravenous Infusion in Emergency

目的:探讨中医情志护理联合正强化干预对急诊静脉输液患儿依从性及穿刺成功率的影响。方法:将急诊静脉输液患儿120例根据随机数字表法分为2组,对照组60例患儿采用中医情志护理,观察组60例患儿采用中医情志护理联合正强化干预。对比2组护理前后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分;对比2组疼痛程度、依从性、一次穿刺成功率以及护理满意度。结果:2组护理前SAS、SDS评分比较,差异无统计学意义(P>0.05)。护理后,观察组后SAS、SDS评分较对照组降低,差异有统计学意义(P<0.05)。护理后,观察组穿刺疼痛程度与对照组比较,差异有统计学意义(P<0.05)。护理后,观察组依从性及一次穿刺成功率与对照组相比更优,差异有统计学意义(P<0.05)。护理后,观察组患儿家属护理满意度较对照组患儿家属高,差异有统计学意义(P<0.05)。结论:中医情志护理联合正强化干预用于急诊静脉输液患儿中效果明显,可缓解患儿不良情绪,减轻穿刺疼痛感,从而提高患儿依从性、一次穿刺成功率以及护理满意度。

Objective: To discuss the effect of emotional nursing of Chinese medicine combined with positive reinforcement on compliance and success rate of puncture in children with intravenous infusion in emergency. Methods:A total of 120 cases of children with intravenous infusion in emergency were divided into two groups according to the random number table method,60 cases in each group. The control group was treated with emotional nursing of Chinese medicine,and the observation group was additionally treated with positive reinforcement based on the treatment of the control group.Before and after nursing,the scores of Self-rating Anxiety Scale(SAS) and Self-rating Depressing Scale(SDS),the degrees of pain, the compliance, the success rates of the first puncture and the nursing satisfaction in the two groups were compared. Results:Before nursing,there was no significant difference being found in the comparison of the scores of SAS and SDS in the two groups(P>0.05). After nursing, the scores of SAS and SDS in the observation group were decreased when compared with those in the control group,the difference being significant(P<0.05). After nursing,the comparison of degree of pain between the two groups showed significance in the difference(P<0.05). After nursing,the compliance and the success rate of the first puncture in the observation group were better than those in the control group,the difference being significant(P<0.05). After nursing,the nursing satisfaction of the family members in the observation group was better than that in the control group, the difference being significant(P<0.05). Conclusion: The therapy of emotional nursing of Chinese medicine combined with positive reinforcement has obvious effect in intervening children with intravenous infusion in emergency,which can alleviate the bad mood of children and reduce the pain of puncture,thus improving the compliance,the success rate of the first puncture and nursing satisfaction.