静脉留置针患儿实施改良人工低负压穿刺法对穿刺情况的影响

The effect of the implementation of a modified manual low negative pressure puncture method on puncture conditions in children with intravenous indwelling needles

目的探讨改良人工低负压穿刺法对静脉留置针患儿穿刺的效果。方法回顾性选取2020年10月至2022年10月在扬州大学医学院附属盐城妇幼保健院(盐城市妇幼保健院)的婴幼儿1000例,通过随机数字表法将其分为研究组和对照组,各500例。研究组实施改良人工低负压穿刺法,对照组实施常规穿刺法。对比两组穿刺情况、并发症发生率及患儿家属对穿刺护理的满意度。结果研究组首次穿刺成功率高于对照组,差异有统计学意义(P<0.05);研究组平均穿刺次数、平均穿刺时间低于对照组,差异均有统计学意义(均P<0.05);研究组药液外渗、皮下血肿、管道堵塞及静脉炎等并发症总发生率低于对照组,差异均有统计学意义(均P<0.05);研究组患儿家属对穿刺手法、穿刺流程、穿刺专业知识、穿刺操作熟练性及护理服务态度评分高于对照组,差异均有统计学意义(均P<0.05)。结论改良人工低负压穿刺法应用在婴幼儿静脉留置针中提升首次穿刺成功率,减少穿刺次数及穿刺时间,降低并发症发生率的同时,提升家属对穿刺护理实施的满意程度。

Objective To investigate the effectiveness of a modified manual low negative pressure puncture method for puncturing children with intravenous indwelling needles.Methods A total of 1000 infants hospitalized in this hospital from October 2020 to October 2022 were selected retrospectively,and they were divided into study group and control group by random number table method,with 500 cases in each group.The improved artificial low negative pressure puncture method was used in the study group,while the conventional puncture method was used in the control group.The puncture situation,the incidence of complications and the satisfaction of the children′s families on puncture care were compared between the two groups.Results The success rate of the first puncture in the study group was higher than that in the control group,with statistical significance(P<0.05).The average puncture times and time in the study group were lower than those in the control group,and the difference was statistically significant(P<0.05).The total incidence of complications such as extravasation of liquid medicine,subcutaneous hematoma,pipe blockage and phlebitis in the study group was lower than that in the control group,with statistical significance(P<0.05).The family members of children in the study group scored higher on puncture technique,puncture process,puncture professional knowledge,puncture operation proficiency and nursing service attitude than those in the control group,with statistical significance(P<0.05).Conclusions The application of improved artificial low negative pressure puncture in infant intravenous indwelling needle can improve the success rate of the first puncture,reduce the puncture times and time,reduce the incidence of complications,and at the same time,improve the satisfaction of family members with puncture nursing.