儿童医疗辅导在慢性肾脏病患儿静脉穿刺中的应用

Application of Child Life intervention in venipuncture of children with chronic kidney disease

目的探讨儿童医疗辅导在慢性肾脏病住院患儿静脉穿刺中的应用效果。方法选择学龄前期慢性肾脏病住院患儿240例,2018年10月至12月的120例患儿为对照组,2019年1月至3月的120例患儿为观察组,对照组实施留置针健康教育并发放健康教育手册,观察组在对照组基础上实施儿童医疗辅导干预。采用Wong-Baker面部表情量表和儿童疼痛行为量表评价两组患儿穿刺过程中的疼痛程度,并比较两组患儿静脉穿刺依从性和患儿家属满意度。结果与对照组相比,观察组患儿的Wong-Baker面部表情和疼痛评分均显著降低(P<0.05),患儿静脉穿刺过程依从性和患儿家属满意度均显著提高(P<0.05)。结论儿童医疗辅导应用于学龄前期慢性肾脏病住院患儿静脉穿刺,可有效降低患儿疼痛,减少哭闹,提高穿刺依从性和家属满意度。

Objective To explore the effect of Child Life in venipuncture of hospitalized children with chronic kidney disease.Methods A total of 240 hospitalized children with chronic kidney disease were selected.Children from October to December 2018 were given routine education about indwelling needle were set as control group(n=120),and children from January to March 2019 were given Child Life intervention were set as the observation group(n=120).Wong-Baker facial expression scale and the face,legs,activity,cry,consolability behavioral tool(FLACC)were used to evaluate the pain score of the two groups,and the venipuncture compliance and family satisfaction were compared between the two groups.Results Wong-Baker facial expression and FLACC scores of children in the observation group were significantly lower than those of control group(P<0.05),and compliance and family satisfaction of children were significantly higher than those of control group(P<0.05).Conclusion The application of Child Life intervention in intravenous puncture of hospitalized children with chronic kidney disease can effectively reduce pain and crying,and improve puncture compliance and family satisfaction.