中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
34期
4351-4353
,共3页
儿童,学龄前%护理%门诊病人%静脉输液
兒童,學齡前%護理%門診病人%靜脈輸液
인동,학령전%호리%문진병인%정맥수액
Child,preschool%Nursing care%Out-patient%Intravenous infusion
目的：评价学龄前患儿周围静脉输液管理的临床过程和结果，为临床学龄前患儿静脉输液护理提供依据。方法选择门诊静脉输液的学龄前患儿100例，按照随机数字表法分为观察组与对照组各50例，对照组采用常规输液护理措施，观察组采用输液安全预防性护理措施，使用自行设计的学龄前患儿静脉输液风险评估及防范措施表记录患儿输液情况，比较两组首次穿刺成功率、药液外渗情况、呼叫换液和满意度情况。结果观察组患儿静脉输液首次穿刺成功率为94．00％，静脉药液外渗发生率为12．00％，输液呼叫率为43．33％，均优于对照组的68．00％，40．00％，49．21％，差异有统计学意义（χ2／Z值分别为10．981，－3．098，75．614；P＜0．05）。观察组患儿家长对换液及时满意度、巡视维护、解决问题能力得分分别为（4．27±0．56），（4．43±0．38），（4．48±0．51）分，均高于对照组的（3．13±0．42），（3．16±0．64），（3．11±0．60）分，差异有统计学意义（t值分别为2．828，2．963，2．977；P＜0．05）。结论学龄前患儿静脉输液过程中安全管理能提高首次穿刺成功率，减少不良反应的发生，患儿家长满意度更高，值得临床推广与使用。
目的：評價學齡前患兒週圍靜脈輸液管理的臨床過程和結果，為臨床學齡前患兒靜脈輸液護理提供依據。方法選擇門診靜脈輸液的學齡前患兒100例，按照隨機數字錶法分為觀察組與對照組各50例，對照組採用常規輸液護理措施，觀察組採用輸液安全預防性護理措施，使用自行設計的學齡前患兒靜脈輸液風險評估及防範措施錶記錄患兒輸液情況，比較兩組首次穿刺成功率、藥液外滲情況、呼叫換液和滿意度情況。結果觀察組患兒靜脈輸液首次穿刺成功率為94．00％，靜脈藥液外滲髮生率為12．00％，輸液呼叫率為43．33％，均優于對照組的68．00％，40．00％，49．21％，差異有統計學意義（χ2／Z值分彆為10．981，－3．098，75．614；P＜0．05）。觀察組患兒傢長對換液及時滿意度、巡視維護、解決問題能力得分分彆為（4．27±0．56），（4．43±0．38），（4．48±0．51）分，均高于對照組的（3．13±0．42），（3．16±0．64），（3．11±0．60）分，差異有統計學意義（t值分彆為2．828，2．963，2．977；P＜0．05）。結論學齡前患兒靜脈輸液過程中安全管理能提高首次穿刺成功率，減少不良反應的髮生，患兒傢長滿意度更高，值得臨床推廣與使用。
목적：평개학령전환인주위정맥수액관리적림상과정화결과，위림상학령전환인정맥수액호리제공의거。방법선택문진정맥수액적학령전환인100례，안조수궤수자표법분위관찰조여대조조각50례，대조조채용상규수액호리조시，관찰조채용수액안전예방성호리조시，사용자행설계적학령전환인정맥수액풍험평고급방범조시표기록환인수액정황，비교량조수차천자성공솔、약액외삼정황、호규환액화만의도정황。결과관찰조환인정맥수액수차천자성공솔위94．00％，정맥약액외삼발생솔위12．00％，수액호규솔위43．33％，균우우대조조적68．00％，40．00％，49．21％，차이유통계학의의（χ2／Z치분별위10．981，－3．098，75．614；P＜0．05）。관찰조환인가장대환액급시만의도、순시유호、해결문제능력득분분별위（4．27±0．56），（4．43±0．38），（4．48±0．51）분，균고우대조조적（3．13±0．42），（3．16±0．64），（3．11±0．60）분，차이유통계학의의（t치분별위2．828，2．963，2．977；P＜0．05）。결론학령전환인정맥수액과정중안전관리능제고수차천자성공솔，감소불량반응적발생，환인가장만의도경고，치득림상추엄여사용。
Objective To investigate the clinical course and outcome evaluation of preschool children peripheral venous transfusion management, and provide the basis for clinical nursing care of preschool children intravenous infusion.Methods Totals of 100 preschool children with outpatient intravenous infusion were divided into observation group and control group with 50 cases in each according to random number table, routine nursing measures adopted in control group, transfusion safety preventive nursing measures adopted in observation group.According to America Boston Children’ s Hospital child venous transfusion clinical process and outcomes monitoring content, self-designed preschool children with intravenous infusion of risk assessment and preventive measures.Comparison of two groups of children with intravenous infusion of first puncture successful cases, venous medicine exosmosis and call for solution and satisfaction.Results The success rate of first puncture in observation group was 94.00%, significantly higher than 68.00% in control group of (χ2 =10.981,P <0.05).Observation group with 6 cases with venous medicine exosmosis happened in different degree with the incidence rate was 12.00%, significantly lower than the control group of 20 cases with 40.00%(Z =-3.098, P <0.05).Observation group with intravenous infusion the call rate of 43.33% was significantly lower than 49.21%in control group (χ2 =75.614, P<0.05).The parents of children with liquid timely satisfaction scores (4.27 ±0.56 vs 3.13 ±0.42), inspection maintenance scores (4.43 ±0.38 vs 3.16 ±0.64), solves the question ability scores (4.48 ±0.51 vs 3.11 ±0.60) in observation group were higher than that in control group,and the differences were statistically significant ( t=2.828,2.963,2.977, respectively;P <0.05).Conclusions Preschool children in intravenous infusion safety management can significantly improve the success rate of first puncture, reduce the incidence of adverse reactions, satisfaction of parents of children with more high, which is worth the clinical promotion.
