中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
17期
2034-2036
,共3页
氯化钾%小儿%头皮静脉%静脉滴注%原因分析%哭闹
氯化鉀%小兒%頭皮靜脈%靜脈滴註%原因分析%哭鬧
록화갑%소인%두피정맥%정맥적주%원인분석%곡료
Potassium chloride%Infant%Scalp vein%Intravenous drip%Cause analysis%Crying and screaming
目的 探讨6～18个月小儿经头皮静脉滴注氯化钾溶液导致哭闹的原因以及相关护理对策.方法 选择需静脉补给氯化钾患儿68例,随机分为观察组和对照组各34例,对照组进行常规输液方法,观察组实施护理干预措施,比较两组患儿哭闹发生率.结果 观察组患儿中25例顺利完成治疗,仅9例患儿出现哭闹情况；对照组患儿中仅2例顺利完成治疗,32例在治疗过程中存在不同程度的哭闹,两组比较差异有统计学意义(x2=4.722,P＜0.05).结论 补钾前对患儿、药物、用物、环境和穿刺技术进行正确的评估；穿刺时保证穿刺质量；输液中加强巡视,对出现的问题再次认真评估、分析和正确处理,可有效地减轻补钾引起的疼痛和不适,减少患儿哭闹不安的状况和家属烦躁不满的情绪,防止补钾隐患和医疗纠纷,提高治疗效果.
目的 探討6～18箇月小兒經頭皮靜脈滴註氯化鉀溶液導緻哭鬧的原因以及相關護理對策.方法 選擇需靜脈補給氯化鉀患兒68例,隨機分為觀察組和對照組各34例,對照組進行常規輸液方法,觀察組實施護理榦預措施,比較兩組患兒哭鬧髮生率.結果 觀察組患兒中25例順利完成治療,僅9例患兒齣現哭鬧情況；對照組患兒中僅2例順利完成治療,32例在治療過程中存在不同程度的哭鬧,兩組比較差異有統計學意義(x2=4.722,P＜0.05).結論 補鉀前對患兒、藥物、用物、環境和穿刺技術進行正確的評估；穿刺時保證穿刺質量；輸液中加彊巡視,對齣現的問題再次認真評估、分析和正確處理,可有效地減輕補鉀引起的疼痛和不適,減少患兒哭鬧不安的狀況和傢屬煩躁不滿的情緒,防止補鉀隱患和醫療糾紛,提高治療效果.
목적 탐토6～18개월소인경두피정맥적주록화갑용액도치곡료적원인이급상관호리대책.방법 선택수정맥보급록화갑환인68례,수궤분위관찰조화대조조각34례,대조조진행상규수액방법,관찰조실시호리간예조시,비교량조환인곡료발생솔.결과 관찰조환인중25례순리완성치료,부9례환인출현곡료정황；대조조환인중부2례순리완성치료,32례재치료과정중존재불동정도적곡료,량조비교차이유통계학의의(x2=4.722,P＜0.05).결론 보갑전대환인、약물、용물、배경화천자기술진행정학적평고；천자시보증천자질량；수액중가강순시,대출현적문제재차인진평고、분석화정학처리,가유효지감경보갑인기적동통화불괄,감소환인곡료불안적상황화가속번조불만적정서,방지보갑은환화의료규분,제고치료효과.
Objective To discuss the reason of 6-18 months old infants crying and screaming during scalp vein infusion of potassium chloride and related nursing methods.Methods Totals of 68 infants who needed scalp vein infusion of potassium chloride were chosen and divided into the observation group and the control group,each with 34 cases.The control group received conventional infusion method while the observation group received nursing intervention.Incidence rate of crying and screaming was compared between two groups.Results 25 out of 34 infants completed treatment successfully in the observation group,and only 9 cried and screamed.Only 2 out of 34 infants completed treatment successfully in the control group,and 32 cried and screamed to different degrees.The differences were statistically significant (x2 =4.722,P ＜ 0.05).Conclusions Correct evaluation of infants,medicine,material,environment and puncture technique before infusion is needed,quality of puncture should be ensured,patrol during infusion should be strengthened,and problems should be re-evaluated,analyzed and properly dealt with,so that pain and discomfort caused by infusion can be effectively alleviated,infants' crying and screaming as well as parents' discontent can be reduced,hidden trouble and medical tangle can be prevented,and treatment effect can be improved.
