CAJ | 학술논문

目的评价改良头皮针固定与拔针法在静脉输液中的效果.方法我院急诊输液室自2013年9月在静脉输液时采用改良头皮针固定与拔针法.选取2015年1月在每日输液低峰时段12:00～14:00的246例输液患者,根据就诊号的奇数和偶数分为传统组122例,采用三步骤固定与拔针法;改良组124例,采用两步骤固定与拔针法.护士采用数字疼痛分级法(NRS)评估患者拔针时疼痛程度,用秒表测量固定与拔针耗时,并统计输液贴脱落的概率,2组分别进行以上3项指标的对比观察.结果改良组比传统组拔针时患者疼痛发生率明显降低[48.39％(60/124)比81.97％(100/122)]x2=3049,P＜ 0.05,差异有统计学意义;改良组比传统组固定针和拔针耗时均明显缩短[(7.55±2.01)s比(10.88±2.72)s、(2.44±0.84)s比(11554.62)s],Z=8.70、1355,P＜0.05,差异均有统计学意义;改良组比传统组输液贴的总脱落率明显降低[4.0％(5/124)比18.9％(23/122)],x2=13.39,P＜0.05,差异有统计学意义.结论改良静脉输液固定与拔针法能减少拔针时患者疼痛感;护士操作省时便捷;输液贴固定可靠、减少脱落,达到护患双赢.
목적 평개개량두피침고정여발침법재정맥수액중적효과.방법 아원급진수액실자2013년9월재정맥수액시채용개량두피침고정여발침법.선취2015년1월재매일수액저봉시단12:00～14:00적246례수액환자,근거취진호적기수화우수분위전통조122례,채용삼보취고정여발침법;개량조124례,채용량보취고정여발침법.호사채용수자동통분급법(NRS)평고환자발침시동통정도,용초표측량고정여발침모시,병통계수액첩탈락적개솔,2조분별진행이상3항지표적대비관찰.결과 개량조비전통조발침시환자동통발생솔명현강저[48.39％(60/124)비81.97％(100/122)]x2=3049,P＜ 0.05,차이유통계학의의;개량조비전통조고정침화발침모시균명현축단[(7.55±2.01)s비(10.88±2.72)s、(2.44±0.84)s비(11554.62)s],Z=8.70、1355,P＜0.05,차이균유통계학의의;개량조비전통조수액첩적총탈락솔명현강저[4.0％(5/124)비18.9％(23/122)],x2=13.39,P＜0.05,차이유통계학의의.결론 개량정맥수액고정여발침법능감소발침시환자동통감;호사조작성시편첩;수액첩고정가고、감소탈락,체도호환쌍영.
Objective To evaluate the effects of modified method of fixation and withdrawal of needles in intravenous infusion.Methods The modified method of two-step fixation and withdrawal of needles was adopted in emergency transfusion room of our hospital from September 2013.In January 2015,during every day's low peak period 12:00-14:00,246 emergency transfusion patients were chosen and divided into the traditional group (122 cases,using three-step fixation and withdrawal of needles) and the modified group (124 cases,using two-step fixation and withdrawal of needles) according to transfusion order.The pain degree caused by withdrawal of needles using Numeric Rating Scale (NRS),time consumption of fixation and withdrawal of needles and rate of adhesive pastes abscission was assessed by nurses and compared between two groups.Results The incidence of pain in the modified group was lower than that of the traditional group [48.39％ (60/124) vs.81.97％ (100/122)],x2=30.49,P＜0.05.The time consumption of fixation and withdrawal of needles in the modified group was shorter than that of the control group [(7.55 ±2.01) seconds vs.(10.88 ±2.72) seconds;(2.44 ±0.84) seconds vs.(11.55 ± 4.62) seconds],Z=8.70,13.55,P＜0.05.Therate of adhesive pastes abscission in the modified group was lower than that of the control group [4.0％(5/124) vs.18.9％ (23/122)],x2 =13.39,P＜0.05.All the difference between two groups was statistically significant.Conclusions The modified method of fixation and withdrawal of needles can relieve the pain caused by withdrawal of needles.Nurses can operate easily,adhesive pastes is fixed sturdily,which is popular among nurses and patients.