预见性护理对矮小症激发试验不良反应的影响

Effect of Predictive Care on Adverse Effects of Short Stature Provocation Test

目的研究预见性护理对矮小症激发试验不良反应的影响效果,旨在为提高患儿激发试验的安全性提供参考依据。方法将本院2016年12月—2020年12月接受矮小症激发试验的患儿60例纳入研究,按照入组时间的前后将患儿分为对照组和研究组,每组各30例。对照组开展常规护理干预,研究组则在对照组护理的基础上开展预见性护理干预。分析两组患儿不良反应发生情况,患儿家属满意度,患儿疼痛情况,干预前后血压、呼吸及脉搏频率等方面的差异。结果经干预后,研究组患儿的不良反应总发生率为10.00%,低于对照组的40.00%,差异有统计学意义(P<0.05);患儿家属总体满意度为100.00%,高于对照组的86.67%,差异有统计学意义(P<0.05);患儿采血时及静脉留置针留置后的VAS评分分别为(1.52±0.28)分、(1.49±0.48)分,分别低于对照组,差异均有统计学意义(均P<0.05);干预后血压、呼吸及脉搏频率均低于对照组,差异均有统计学意义(均P<0.05)。结论预见性护理在一定程度上可降低矮小症激发试验不良反应的发生率,同时可减轻患儿疼痛程度,提高患儿家属满意度。

Objective To study the effect of predictive nursing on the adverse reactions of the short stature provocation test,in order to provide reference for improving the safety of the provocation test in children.Methods 60 children receiving the short stature provocation test in December 2016 to December 2020 were included in the study.The children were divided into control group and study group according to the difference of enrollment time,with 30 patients in each group.The control group carried out routine care intervention,while the research group carried out predictive nursing intervention based on the control group care.Differences in adverse effects,family satisfaction,pain,blood pressure,breathing and pulse frequency before and after intervention between the two groups were analyzed.Results After the intervention,the overall incidence of adverse reactions in the children in the study group was 10.00%,lower than the 40.00% of the control group,the difference was significant(P<0.05);the overall satisfaction of the children'families was 100.00%,higher than the 86.67% of the controls,the difference was significant(P<0.05);the VAS scores of the children during blood collection and after intravenous indwelling were(1.52±0.28)and(1.49±0.48),respectively,lower than the control group,the difference was significant(P were all less than 0.05);blood pressure,respiratory and pulse frequency were lower than that of in the control group,the difference was significant(P were all less than 0.05).Conclusion Predictive nursing can reduce the incidence of adverse reactions of short stature provocation test,reduce the pain degree of children,and improve the satisfaction of patients'family members.