老年患者静脉穿刺后两种针头固定方法的效果比较  

老年患者静脉穿刺后两种针头固定方法的效果比较

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作  者:莫小眉 

机构地区:[1]阳江市人民医院,广东阳江529500

出  处:《现代临床护理》2009年第5期14-15,共2页Modern Clinical Nursing

摘  要:目的观察老年患者静脉穿刺后两种针头固定方法的效果。方法按入院先后次序将180例老年静脉输液患者随机分为实验组和对照组,每组各90例。实验组和对照组均按常规静脉穿刺方法进行,穿刺成功后对照组在滴速顺畅后按传统的方法(针头斜面朝上)固定头皮针,实验组采用针头斜面朝下固定的方法。结果实验组的输液速度为(60.79±7.09)gtt/min,对照组为(53.67±8.59)gtt/min,两组比较,经统计学分析,t=6.068,P<0.05,差异具有统计学意义;实验组液体外漏有7例(7.8%),对照组液18例(20.0%),两组比较,经统计学分析,χ2=5.621,P<0.05,差异具有统计学意义。结论静脉穿刺后针头斜面朝下固定方法简单易行,可减少液体外漏的发生率,使输液更加顺畅。Objective To observe the effects of two needle-fixed methods after venepuneture in elderly patients. Methods According to the admission order, 180 hospitalized elderly patients undergoing intravenous transfusion were randomly divided into the experiment group (n = 80) and the control group (n = 80). After the completion of routine venepuncture, the scalp acupunctures were fixed by upward and downward slope methods in the control and the experiment groups, respectively. Result The transfusion velocity in the experiment group was superior to that in the control group [(60.79 ± 7.09) vs (53.67 ± 8.59) gtt/min, P 〈 0.05 ], whereas the incidence of fluid oudeakage was higher in the control group than that in the experiment group (20.0% vs 7.8%, P 〈 0.05). Conclusions The downward slope fixation method after venepuncture is simple and easy for the aged patients. It can relieve patients" pain due to repeated venepuncture and improve the nursing efficiency.

关 键 词:静脉穿刺 老年人 液体外漏 输液速度 护理 

分 类 号:R472[医药卫生—护理学]

 

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