情景游戏在喘息性支气管炎患儿静脉输液过程中的应用效果

The application eff ect of situational games in the intravenous infusion process of children with asthmatic bronchitris

目的探讨情景游戏对喘息性支气管炎住院治疗患儿静脉输液配合度及输液事故发生率的影响。方法将2021年1-7月入院的患儿28例作为对照组,按照组间基本特征匹配的原则,选择2021年8月-2022年3月入院的患儿32例作为观察组。对照组应用常规输液护理,观察组在此基础上加用情景游戏。比较两组患儿首次静脉穿刺一次成功率、输液配合度、疼痛行为评估量表(FLACC)、儿童行为量表(CBCL)评分、焦虑情绪筛查量表(SCARED)评分、儿童医疗恐惧量表(CMFS)评分、临床症状缓解时间、住院时间、输液事故发生率和家属满意度评分。结果护理干预后,观察组患儿的首次静脉穿刺一次成功率、输液配合程度均高于对照组,FLACC评分低于对照组(P<0.05);两组患儿的CBCL、SCARED、CMFS评分均低于干预前,且观察组均低于对照组(P<0.05);观察组患儿的肺部哮鸣音、发热、喘息、咳嗽咳痰症状减退时间和住院时间均短于对照组(P<0.05);观察组患儿药液渗漏、感染输液事故的发生率均低于对照组(P<0.05);观察组患儿家属对护理工作态度、护理内容、沟通技巧、护理效果、患儿行为的满意度评分均高于对照组(P<0.05)。结论情景游戏干预应用于喘息性支气管炎住院治疗患儿的护理中,能有效提高患儿的静脉输液配合度,改善负面情绪,进而缓解临床症状,减少输液事故发生的风险,提高家属对护理的满意度。

Objective To explore the effects of situational games on the cooperation of intravenous infusion and the incidence of infusion accidents in children hospitalised for asthmatic bronchitis.Methods 28 cases of children admitted from January to July 2021 were taken as the control group,and 32 cases of children admitted from August 2021 to March 2022 were selected as the observation group according to the principle of matching basic characteristics between groups.The control group applied conventional infusion care,and the observation group added situational games on this basis.The two groups were compared in terms of the success rate of the first venipuncture,infusion cooperation,FLACC Behavioral Pain Assessment Scale(FLACC),Children's Behavioral Scale(CBCL)scores,The Screen for Child Anxiety Related Emotional Disorder(SCARED)scores,Children's Medical Fear Scale(CMFS)scores,the time of clinical symptom relief,hospital stay,the incidence rate of infusion accidents,and the family's satisfaction scores.Results After the nursing intervention,the children in the observation group had a higher rate of one successfulfirst venipuncture and infusion cooperation than the control group,and the FLACC score was lower than that of the control group(P<0.05),the CBCL,SCARED,and CMFS scores of the children in both groups were lower than those before the intervention,and they were all lower than those of the control group in the observation group(P<0.05),and the children in the observation group had higher rates of pulmonary croup,fever,wheeze,cough and sputum symptom reduction time and hospitalisation time were shorter than that of the control group(P<0.05),the incidence of medication leakage and infected infusion accidents of the children in the observation group were lower than that of the control group(P<0.05),the satisfaction scores of the families of the children in the observation group on the attitude of nursing work,nursing content,communication skills,nursing effect,and behaviour of the children were higher than that of the control group(P<0.05).Conclusion Situational game intervention applied to the care of children hospitalised for asthmatic bronchtis can effectively improve the children's cooperation with intravenous infusion,improve negative emotions,thereby alleviating clinical symptoms,reducing the risk of infusion accidents,and improving the families'satisfaction with nursing care.