循证护理干预对腹泻患儿静脉输液不良事件及家属满意度的影响

Effect of Evidence-based Nursing Intervention on Adverse Events of Intravenous Infusion and Satisfaction of Family Members in Children with Diarrhea

目的探讨循证护理干预对腹泻患儿静脉输液不良事件及家属满意度的影响。方法选取2017年1月—2018年1月在浙江省永康市第一人民医院静脉输液的101例腹泻患儿作为研究对象,采用随机数字表法将其分为观察组(51例)与对照组(50例)。观察组患儿予以循证护理干预,对照组患儿予以常规护理干预。干预结束后比较两组患儿穿刺效果、输液过程中与拔针后的不良事件发生率,并记录两组患儿家属满意度情况。结果对照组患儿静脉穿刺首次穿刺成功率(88.0%)明显低于观察组(98.0%),输液管内残余液体量明显高于观察组,差异均具有统计学意义(P<0.05)。干预后,观察组患儿输液过程中针头脱落、液体外渗、反复穿刺发生率均低于对照组,差异均具有统计学意义(P<0.05)。干预后,观察组患儿拔针后疼痛、皮下淤血、皮下血肿发生率均低于对照组,差异均具有统计学意义(P<0.05)。观察组护理总满意度(98.0%)明显优于对照组(88.0%),差异具有统计学意义(P<0.05)。结论腹泻患儿在静脉输液时应用循证护理干预具有良好的临床疗效,可明显提高患儿穿刺效果,降低输液过程中、拔针后的不良事件发生率,且更易被患儿家属所接受,可作为腹泻患儿静脉输液时的首选干预模式。

Objective To investigate the effect of evidence-based nursing intervention on adverse events of intravenous infusion and satisfaction of family members in children with diarrhea.Methods 101 children with diarrhea who received intravenous infusion from January 2017 to January 2018 in the First People’s Hospital of Yongkang City,Zhejiang,were selected as the research objects.And they were randomly divided into the observation group(51 cases)and the control group(50 cases).The children in the observation group were given evidence-based nursing intervention,and the children in the control group were given routine nursing intervention.After the intervention,the puncture effect,the incidence of adverse events during infusion and after needle extraction were compared between the two groups,and the satisfaction of the family members of the two groups was recorded.Results The success rate of the first venipuncture in the control group(88.00%)was significantly lower than that in the observation group(98.04%)and the residual fluid volume in the infusion tube was significantly higher than that in the observation group(P<0.05).After intervention,the incidence of needle dropping,fluid exudation and repeated puncture in the observation group were lower than those in the control group(P<0.05).After intervention,the incidence of adverse events such as pain,subcutaneous congestion and subcutaneous hematoma in the observation group were lower than those in the control group(P<0.05).The total satisfaction rate of nursing in the observation group(98.04%)was significantly better than that in the control group(88.00%)(P<0.05).Conclusion Evidence-based nursing intervention for children with diarrhea during intravenous infusion has good clinical efficacy,which can significantly improve the puncture effect of children,reduce the incidence of adverse events during infusion and after needle extraction,and is more acceptable to the family members of children with diarrhea.It can be used as the preferred intervention mode for children with diarrhea during intravenous infusion.