急诊输液患儿采用临床健康教育路径的效果评价
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摘要
目的急诊输液患儿采用临床健康教育路径的效果评价。方法该院急诊输液中心于2017年2月开展健康教育护理路径干预,方便选择2017年2—12月间急诊输液患儿共509例,纳入观察组;纳入实施前(2016年3月—2017年1月间)急诊输液患儿共511例,纳入常规组,评价两组患儿输液问题发生情况、护患纠纷发生率、家属满意度及健康知识掌握度评分。结果观察组患儿输液问题发生率35例(6.88%),低于常规组92例(18.00%)(χ~2=5.676,P<0.05);观察组护患纠纷发生率27例(5.30%),低于常规组71例(13.89%)(χ~2=4.253,P<0.05)。观察组家属对护理服务主诉满意度489例(96.07%),高于常规组413例(80.82%)(χ~2=11.378,P<0.05)。观察组家属对健康知识掌握评分均高于常规组(t=97.135、120.009、147.493、134.445,P<0.05)。结论采用健康教育路径干预可有效降低护患纠纷发生率、输液问题发生率,提高患儿家属对护理服务满意度及健康教育知识掌握度。
Objective To evaluate the effect of clinical health education pathways in children with emergency infusion.Methods The emergency infusion center of our hospital carried out the health education nursing intervention in February2017. A total of 509 children with emergency infusion from February to December 2017 were selected and included in the observation group. Before the implementation from March 2016 to January 2017, children with emergency infusion were included. 511 cases were included in the routine group to evaluate the incidence of infusion problems, the incidence of nurses and patients, family satisfaction and health knowledge mastery scores. Results The incidence of infusion problems in the observation group was 35 cases(6.88%), which was lower than that in the conventional group 92(18.00%)(χ~2=5.676, P<0.05). The incidence of nurses and patients in the observation group was 27 cases(5.30%) lower than that of the routine group of 71 cases(13.89%)(χ~2=4.253, P<0.05). The family members of the observation group were satisfied with 489 cases(96.07%) of the nursing service complaints, which was higher than the routine group 413 cases(80.82%)(χ~2=11.378, P<0.05). The family members of the observation group had higher scores on health knowledge than the conventional group(t=97.135, 120.009, 147.493, 134.445, P<0.05). Conclusion Health education pathway intervention can effectively reduce the incidence of nurses and patients, the incidence of infusion problems, and improve the satisfaction of nursing care providers and health education.
Objective To evaluate the effect of clinical health education pathways in children with emergency infusion.Methods The emergency infusion center of our hospital carried out the health education nursing intervention in February2017. A total of 509 children with emergency infusion from February to December 2017 were selected and included in the observation group. Before the implementation from March 2016 to January 2017, children with emergency infusion were included. 511 cases were included in the routine group to evaluate the incidence of infusion problems, the incidence of nurses and patients, family satisfaction and health knowledge mastery scores. Results The incidence of infusion problems in the observation group was 35 cases(6.88%), which was lower than that in the conventional group 92(18.00%)(χ~2=5.676, P<0.05). The incidence of nurses and patients in the observation group was 27 cases(5.30%) lower than that of the routine group of 71 cases(13.89%)(χ~2=4.253, P<0.05). The family members of the observation group were satisfied with 489 cases(96.07%) of the nursing service complaints, which was higher than the routine group 413 cases(80.82%)(χ~2=11.378, P<0.05). The family members of the observation group had higher scores on health knowledge than the conventional group(t=97.135, 120.009, 147.493, 134.445, P<0.05). Conclusion Health education pathway intervention can effectively reduce the incidence of nurses and patients, the incidence of infusion problems, and improve the satisfaction of nursing care providers and health education.
引文
[1]金艳兰.自制健康教育微视频对提高儿童输液安全的效果[J].护理实践与研究,2016,13(20):66-67.
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[7]胡艳春.静脉输液及其不良反应的健康教育和护理管理[J].中国卫生产业,2016,13(27):75-77.
[8]许浪.急诊输液患儿采用临床健康教育路径的效果评价[J].当代护士:学术版,2013(5):172-174.
[2] David R. Kenagy.Essential Nursing:Lessons from the Infus ion Room[J].Journal of Christian nursing:a quarterly public ation of Nurses Christian Fellowship,2015,32(1):31-33.
[3]陈夏冰,林淑端,杨丽娴,等.围输液期个性化护理提高输液质量的效果评价[J].齐鲁护理杂志,2016,22(8):35-36.
[4]杜培花,赵文凤,胡祥梅,等.人性化护理在急诊患者中的应用研究[J].检验医学与临床,2016,13(12):1720-1721.
[5]冯春英,程德梅.优质护理服务在门诊输液室患者中的应用[J].齐鲁护理杂志,2016,22(9):10-12.
[6] Kuensting LL.Subcutaneous infusion of fluid in children.[J].Journal of emergency nursing:JEN:official publication of the Emergency Department Nurses Association,2011,37(4):346-349.
[7]胡艳春.静脉输液及其不良反应的健康教育和护理管理[J].中国卫生产业,2016,13(27):75-77.
[8]许浪.急诊输液患儿采用临床健康教育路径的效果评价[J].当代护士:学术版,2013(5):172-174.