CAJ | 학술논문

目的：观察并比较门诊患者静脉输液拔针后采用两种按压方法的效果。方法将门诊静脉输液的570例患者随机分为两组，设为观察组和对照组各285例，观察组采用小鱼际肌按压法，对照组采用拇指按压法。观察两组患者输液完毕拔针后局部发生疼痛、针眼出血及皮下淤血的情况。结果观察组局部疼痛、针眼出血及皮下淤血的发生率分别为16.1%、4.6%及3.9%，对照组局部疼痛、针眼出血及皮下淤血的发生率分别为27.7%、10.9%及15.4%，两组比较差异具有显著性（P＜0.05）。结论静脉输液拔针后采用小鱼际肌按压法能减轻患者的痛苦，保护患者血管，提高再次静脉穿刺的成功率，促进护患关系，值得推广。
목적：관찰병비교문진환자정맥수액발침후채용량충안압방법적효과。방법장문진정맥수액적570례환자수궤분위량조，설위관찰조화대조조각285례，관찰조채용소어제기안압법，대조조채용무지안압법。관찰량조환자수액완필발침후국부발생동통、침안출혈급피하어혈적정황。결과관찰조국부동통、침안출혈급피하어혈적발생솔분별위16.1%、4.6%급3.9%，대조조국부동통、침안출혈급피하어혈적발생솔분별위27.7%、10.9%급15.4%，량조비교차이구유현저성（P＜0.05）。결론정맥수액발침후채용소어제기안압법능감경환자적통고，보호환자혈관，제고재차정맥천자적성공솔，촉진호환관계，치득추엄。
Objective To investigate and compare of the effects of tow compression methods after withdrawal of needles from the out patients at the end of venous transfusion. Methods 570 out patients were divided randomly into two groups of venous transfusion, for the observation group and the control group of 285 cases. The observation group were using the minor thenar-hitting method, and the control group were using the thumb pressing method. Aching responses were observed as local pain, bleeding of needle hole and subcutaneous congestion of needle withdrawal of two groups. Results The rates of local pain, bleeding of needle hole and subcutaneous congestion were 16.1%, 4.6% and 3.9% in the observation group, and were 27.7%, 10.9% and 15.4% in the control group. Differences between the two groups was significant (P < 0.05). Conclusions It can al eviate the pain of patients, and protect vascular of patients who were used the minor thenar-hitting method after withdrawal of needles, and it can improve the success rate of vein puncture in again. This method can promote the relationship between nurses and patients, is worth popularizing.