CAJ | 학술논문

目的：探讨单手送管在儿科留置针穿刺置管中的应用效果.方法将2012年9月至2013年9月862例行外周浅静脉留置针穿刺的患儿采用随机数字表分为两组，观察组采用单手送管，对照组采用双手送管.比较两组患儿的一次穿刺成功率、留置针留置时间、穿刺时需助手配合率、家属及穿刺者满意度.结果观察组患儿一次穿刺成功率(93．49％)、患儿亲属满意度(97．21％)、穿刺者满意度(98．37％)均高于对照组，穿刺时需助手配合率(17．21％)低于对照组，差异均有统计学意义(P＜0．05或P＜0．01)；两组留置针留置时间差异无统计学意义(P＞0．05).结论采用单手送管技术进行留置针穿刺，提高了穿刺成功率和患儿亲属满意度，提高了工作效率，适宜在儿科推广应用.
목적：탐토단수송관재인과류치침천자치관중적응용효과.방법장2012년9월지2013년9월862례행외주천정맥류치침천자적환인채용수궤수자표분위량조，관찰조채용단수송관，대조조채용쌍수송관.비교량조환인적일차천자성공솔、류치침류치시간、천자시수조수배합솔、가속급천자자만의도.결과관찰조환인일차천자성공솔(93．49％)、환인친속만의도(97．21％)、천자자만의도(98．37％)균고우대조조，천자시수조수배합솔(17．21％)저우대조조，차이균유통계학의의(P＜0．05혹P＜0．01)；량조류치침류치시간차이무통계학의의(P＞0．05).결론채용단수송관기술진행류치침천자，제고료천자성공솔화환인친속만의도，제고료공작효솔，괄의재인과추엄응용.
Objective To investigate the application effect of pushing cannula with single hand for punctu-ring the outer periphery superficial veins to indwell the cannula in pediatrics.Methods 862 sick children who were punctured the outer periphery superficial veins to indwell the cannula were randomly divided into two groups.Observation group wasd use the technique of pushing cannula with single hand.Control group was used the technique of pushing cannula with both hands.One time success rate,indwelling time,assis-tant required rate and family satisfaction rate were compared between two groups.Results The one time puncture success rate (93.49%),the satisfactory rate of sick children relatives(97.21%)and puncturing nurses (98.37%)in observation group were all significantly higher than those in control group.The number of assistant needed (17.21%)when puncturing significantly reduced in observation group (P<0.05 or P<0.01).The difference of remaining needle retention time between the two groups was not statistically signif-icant (P >0.05 ).Conclusion Pushing cannula with single hand for puncturing the outer periphery superficial veins to indwell the cannula can improve the satisfaction of sick children relatives and punctu-ring nurses,and work efficiency,so it is suitable for popularization and application in pediatrics.