现代医药卫生
現代醫藥衛生
현대의약위생
MODERN MEDICINE HEALTH
2014年
14期
2125-2127
,共3页
儿童%导管,留置%输注,静脉内%家庭护理
兒童%導管,留置%輸註,靜脈內%傢庭護理
인동%도관,류치%수주,정맥내%가정호리
Child%Catheters,indwelling%Infusions,intravenous%Home nursing
目的：了解目前门诊静脉留置针患儿家庭护理的现状，为护士开展静脉留置针家庭护理与指导提供依据。方法采用问卷调查、临床观察、访谈等方法，对523例门诊静脉留置针患儿及其家属进行调查分析。结果留置针患儿的家庭护理状况，99.4%家属接受留置针静脉滴注及留置针价格、80.5%使用前理解并知晓留置针的护理、40.5%家属对留置针留置时间长短满意、39.6%留置针被患儿抓扯、36.9%家属满意护士对留置针并发症的处理、23.3%家属认为留置针适宜家庭护理、99.0%家属担心脱针。留置针并发症中，渗漏占14.3%、堵管占6.1%、脱管占7.3%、红肿占12.2%、静脉炎占0.3%。结论目前，门诊静脉滴注患儿留置针家庭护理现状不理想，护士应加强静脉留置针的穿刺技巧以及系统的健康教育，保证留置针家庭护理安全性，有效降低留置针的并发症，从而提高患儿及家属的满意度。
目的：瞭解目前門診靜脈留置針患兒傢庭護理的現狀，為護士開展靜脈留置針傢庭護理與指導提供依據。方法採用問捲調查、臨床觀察、訪談等方法，對523例門診靜脈留置針患兒及其傢屬進行調查分析。結果留置針患兒的傢庭護理狀況，99.4%傢屬接受留置針靜脈滴註及留置針價格、80.5%使用前理解併知曉留置針的護理、40.5%傢屬對留置針留置時間長短滿意、39.6%留置針被患兒抓扯、36.9%傢屬滿意護士對留置針併髮癥的處理、23.3%傢屬認為留置針適宜傢庭護理、99.0%傢屬擔心脫針。留置針併髮癥中，滲漏佔14.3%、堵管佔6.1%、脫管佔7.3%、紅腫佔12.2%、靜脈炎佔0.3%。結論目前，門診靜脈滴註患兒留置針傢庭護理現狀不理想，護士應加彊靜脈留置針的穿刺技巧以及繫統的健康教育，保證留置針傢庭護理安全性，有效降低留置針的併髮癥，從而提高患兒及傢屬的滿意度。
목적：료해목전문진정맥류치침환인가정호리적현상，위호사개전정맥류치침가정호리여지도제공의거。방법채용문권조사、림상관찰、방담등방법，대523례문진정맥류치침환인급기가속진행조사분석。결과류치침환인적가정호리상황，99.4%가속접수류치침정맥적주급류치침개격、80.5%사용전리해병지효류치침적호리、40.5%가속대류치침류치시간장단만의、39.6%류치침피환인조차、36.9%가속만의호사대류치침병발증적처리、23.3%가속인위류치침괄의가정호리、99.0%가속담심탈침。류치침병발증중，삼루점14.3%、도관점6.1%、탈관점7.3%、홍종점12.2%、정맥염점0.3%。결론목전，문진정맥적주환인류치침가정호리현상불이상，호사응가강정맥류치침적천자기교이급계통적건강교육，보증류치침가정호리안전성，유효강저류치침적병발증，종이제고환인급가속적만의도。
Objective To understand the current status of home nursing of children intravenous indwelling needle in the outpatient,in order to provide basis and guidance for nurses to carry out home nursing. Methods Questionnaire survey,clinical observation,interview and so on were conducted among 523 outpatient children with intravenous indwelling needle and their rela-tives. Results 99.4%of the patient′s relatives accepted the intravenous infusion with indwelling needle and the price ,80.5%of the relatives understood and knew the nursing of indwelling needle before use ,40.5%of relatives was satisfied with the indwelling time,39.6%of indwelling needle was caught by the childern,36.9%of relatives was satisfied with the nurses′s treatment methods in dealing with the complications of indwelling needle ,23.3%of the relatives thought the indwelling needle was suitble for home care and 99.0%of the relatives was worried about the needle off the skin. Among the complications of indwelling needle ,leakage accounted for 14.3%,tube plugging accounted for 6.1%,needle slide accounted for 7.3%,swelling accounted for 12.2%,and phlebitis accounted for 0.3%. Conclusion Currently,home nursing children with intravenous indwelling needle is not satisfacto-ry,it is necessary to strengthen the puncture skills and systematic health education of intravenous indwelling needle ,in order to ensure the safety of home nursing for indwelling needle ,reduce the complications effectively and improve the satisfactory degree of patients and the relatives.
