静脉留置针与头皮钢针在儿科门诊中的应用效果比较
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摘要
目的比较静脉留置针和头皮钢针在儿科门诊中的应用效果。方法选取2016年6月～2017年5月我院门诊收治的102例患儿,将其随机分为对照组与实验组,每组各51例。对照组采用一次性头皮钢针进行输液,实验组采用静脉留置针进行输液,比较两组的不良事件发生率、穿刺成功率和护理总满意度。结果实验组不良事件发生率低于对照组,且护理总满意度与一次穿刺成功率均高于对照组,差异均有统计学意义(P<0.05)。结论使用静脉留置针可减少穿刺次数,减轻患儿的痛苦,降低药液外渗和脱管等情况的发生,值得临床推广应用。
objective To compare the effect of intravenous indwelling needle and scalp needle in pediatric clinic.Methods 102 cases of children admitted to our hospital from June 2016 to May 2017 were included in the study. They were randomly divided into control group and experimental group, 51 cases in each group. Children in the control group were treated with disposable scalp needles for infusion. The experimental group of children Intravenous indwelling needles were used for infusion. The incidence of adverse events, puncture success rate, and care satisfaction were compared between the two groups. Results The incidence of adverse events in the experimental group was lower than that in the control group, and the satisfaction rate of nursing and the success rate of one puncture were higher than those in the control group, and the differences were statistically significant(P<0.05). Conclusion The use of intravenous indwelling needle can reduce the number of puncture, reduce the pain of children, and reduce the occurrence of drug fluid extravasation and detubation.
objective To compare the effect of intravenous indwelling needle and scalp needle in pediatric clinic.Methods 102 cases of children admitted to our hospital from June 2016 to May 2017 were included in the study. They were randomly divided into control group and experimental group, 51 cases in each group. Children in the control group were treated with disposable scalp needles for infusion. The experimental group of children Intravenous indwelling needles were used for infusion. The incidence of adverse events, puncture success rate, and care satisfaction were compared between the two groups. Results The incidence of adverse events in the experimental group was lower than that in the control group, and the satisfaction rate of nursing and the success rate of one puncture were higher than those in the control group, and the differences were statistically significant(P<0.05). Conclusion The use of intravenous indwelling needle can reduce the number of puncture, reduce the pain of children, and reduce the occurrence of drug fluid extravasation and detubation.
引文
[1]单波.静脉留置针与头皮钢针在儿科门诊中的应用效果比较[J].齐鲁护理杂志,2013,19(7):103-104.
[2]荣德明,姚荣芳.留置针与头皮钢针在儿科门诊输液的对比观察[J].现代预防医学,2011,38(2):368-369.
[3]李菲菲,吴月丽,Li FF,等.不同小儿头皮静脉留置针在门诊输液中应用效果与安全性比较[J].中华现代护理杂志,2016,22(1):95-97.
[4]郭春梅.儿科门诊输液室开展浅静脉留置针的体会[J].海南医学,2014,12(7):1085-1086.
[5]贾虹,王丽梅,常久静,等.直接送软管法在小儿头皮静脉留置针置管中的应用[J].蚌埠医学院学报,2014,39(2):263-264.
[6]王海峰,卞来兄.静脉留置针集束化管理在门诊输液室的应用[J].中国医药导刊,2013,25(1):245-246.
[7]余湘,夏芳.小儿静脉留置针固定方法的改进[J].护理学杂志,2013,28(15):76.
[8]仝海霞,方雪娟.提高新生儿静脉留置针穿刺成功率方法探讨[J].西北国防医学志,2011,32(3):225-226.
[9]李孚伟.小儿静脉留置针缺陷分析与护理对策[J].中国实用护理杂志,2009,25(17):65-66.
[10]陈熙,李爱华,刘艳超,等.静脉留置针在急诊输液患者中应用的可行性研究[J].中国妇幼健康研究,2016,24(S2):203-204.
[11]徐晶晶.临床应用静脉留置针常见并发症的预防和护理[J].中国实用护理杂志,2010,26(S1):269-270.
[12]邢齐宁,刘丽,王文,等.CQI在小儿静脉留置针穿刺护理管理中的应用及其实施体会[J].济宁医学院学报,2013,36(3):211-214.
[13]轩妍,向伟,王仁媛,等.新生儿静脉留置针患儿PDCA循环在安全管理中的应用效果分析[J].中国地方病防治杂志,2016,12(5):558-560.
[14]杭建苓,姚芃,李金星,等.经外周穿刺中心静脉置管在早产儿中的应用[J].中国实用护理杂志,2008,24(1):34-35.
[15]刘晓伟,岳婧婧.静脉留置针进行输液的护理[J].中国煤炭工业医学杂志,2014,17(1):137-139.
[2]荣德明,姚荣芳.留置针与头皮钢针在儿科门诊输液的对比观察[J].现代预防医学,2011,38(2):368-369.
[3]李菲菲,吴月丽,Li FF,等.不同小儿头皮静脉留置针在门诊输液中应用效果与安全性比较[J].中华现代护理杂志,2016,22(1):95-97.
[4]郭春梅.儿科门诊输液室开展浅静脉留置针的体会[J].海南医学,2014,12(7):1085-1086.
[5]贾虹,王丽梅,常久静,等.直接送软管法在小儿头皮静脉留置针置管中的应用[J].蚌埠医学院学报,2014,39(2):263-264.
[6]王海峰,卞来兄.静脉留置针集束化管理在门诊输液室的应用[J].中国医药导刊,2013,25(1):245-246.
[7]余湘,夏芳.小儿静脉留置针固定方法的改进[J].护理学杂志,2013,28(15):76.
[8]仝海霞,方雪娟.提高新生儿静脉留置针穿刺成功率方法探讨[J].西北国防医学志,2011,32(3):225-226.
[9]李孚伟.小儿静脉留置针缺陷分析与护理对策[J].中国实用护理杂志,2009,25(17):65-66.
[10]陈熙,李爱华,刘艳超,等.静脉留置针在急诊输液患者中应用的可行性研究[J].中国妇幼健康研究,2016,24(S2):203-204.
[11]徐晶晶.临床应用静脉留置针常见并发症的预防和护理[J].中国实用护理杂志,2010,26(S1):269-270.
[12]邢齐宁,刘丽,王文,等.CQI在小儿静脉留置针穿刺护理管理中的应用及其实施体会[J].济宁医学院学报,2013,36(3):211-214.
[13]轩妍,向伟,王仁媛,等.新生儿静脉留置针患儿PDCA循环在安全管理中的应用效果分析[J].中国地方病防治杂志,2016,12(5):558-560.
[14]杭建苓,姚芃,李金星,等.经外周穿刺中心静脉置管在早产儿中的应用[J].中国实用护理杂志,2008,24(1):34-35.
[15]刘晓伟,岳婧婧.静脉留置针进行输液的护理[J].中国煤炭工业医学杂志,2014,17(1):137-139.