儿童预防接种中疼痛护理的临床应用

Clinical Application of Pain Nursing in Children's Vaccination

目的探讨疼痛护理在儿童预防接种中的应用效果。方法抽取2019年1月—2020年1月在该中心接种的儿童88名为研究对象,根据儿童入院先后顺序按1~88顺序编号,再按随机抓阄的方式将88名儿童平均分为两组,即对照组与实验组,两组44名。对照组行常规护理,实验组行疼痛护理,对比两组儿童预防接种过程中的疼痛发生率、儿童家长满意度及儿童接种过程中哭闹程度。结果实验组轻度疼痛发生率50.00%高于对照组22.73%,中度疼痛发生率38.64%,重度疼痛发生率6.82%低于对照组50.00%、27.27%,差异有统计学意义(χ^(2)=7.071、5.575、6.510,P<0.05)。实验组儿童家长满意度95.45%高于对照组81.82%,差异有统计学意义(χ^(2)=4.062,P<0.05)。对照组儿童哭闹程度为1分几率38.63%低于实验组59.09%,对照组儿童哭闹程度为2分几率20.45%低于实验组25.00%,对照组儿童哭闹程度为3分的几率22.72%高于实验组11.36%,对照组儿童哭闹程度为4分的几率18.18%高于实验组4.54%,差异有统计学意义(χ^(2)=4.657,P<0.05)。实验组儿童治疗依从性97.72%高于对照组77.27%,差异有统计学意义(χ^(2)=8.416,P<0.05)。结论对预防接种的儿童行疼痛护理能够降低儿童疼痛率,使儿童更加配合护理人员的工作,提高儿童家属满意度。

Objective To explore the application effect of pain nursing in children's vaccination.Methods Eighty-eight children who were vaccinated in the hospital from January 2019 to January 2020 were selected as the research objects.The children were numbered in the order of 1-88 according to the order of admission,and the 88 children were divided into two groups according to random lottery,namely the control group and the experimental group,both groups have 44 children.The control group received routine care,and the experimental group received pain care.The incidence of pain,the satisfaction of the parents of the children and the crying degree of the children during the vaccination process were compared between the two groups.Results The incidence of mild pain in the experimental group was 50.00% higher than 22.73% in the control group,the incidence of moderate pain was 38.64%,and the incidence of severe pain 6.82% was lower than the control group by 50.00%and 27.27%,the difference was statistically significant(χ^(2)=7.071,5.575,6.510,P<0.05).Parental satisfaction of children in the experimental group was 95.45%higher than 81.82% of the control group,the difference was statistically significant(χ^(2)=4.062,P<0.05).The crying degree of children in the control group was 1 point,the probability of 38.63% was lower than that of the experimental group 59.09%,the crying degree of children in the control group was 2 points,the probability of 20.45% was lower than the 25.00% of the experimental group,the control group children crying probability 3 points was 22.72% higher than that of the experimental group at 11.36%,and the probability of crying at a level of 4 in the control group was 18.18% higher than that of the experimental group 4.54%,the difference was statistically significant(χ^(2)=4.657,P<0.05).The treatment compliance of children in the experimental group was 97.72% higher than that in the control group77.27%,the difference was statistically significant(χ^(2)=8.416,P<0.05).Conclusion Pain care for vaccinated children can reduce the rate of children's pain,make children more coordinated with the work of nursing staff,and improve the satisfaction of children's family members.