自制输液按压贴和按压扣带在输液依从性欠佳患者中的应用  

Application of self-designed infusion pressing paster and buckle among patients with poor infusion compliance

作　　者：鲁金莹[1] 冯小梅[1] 王彤华[1] 罗洁[1] 许瑛[1] 罗丽[1] 

机构地区：[1]广西医科大学第四附属医院输液室,柳州545005

出　　处：《中华现代护理杂志》2015年第15期1843-1845,共3页Chinese Journal of Modern Nursing

基　　金：广西壮族自治区柳州市科协软科学研究项目（20140108）

摘　　要：目的探讨使用自制输液按压贴和按压扣带对输液依从性欠佳患者拔针后皮下出血、淤血的影响。方法选择就诊的60岁以上慢性病输液患者和小儿头皮针输液患儿各800例，按就诊日期单双号分成两组。单号试验组使用输液按压贴和按压扣带，双号对照组按常规棉签按压。结果成年组试验组皮下出血、淤血的发生率分别为1．25％和1．75％，与对照组7．75％和9．75％相比降低，差异有统计学意义（X2值分别为19．663，23．619；P〈0．01）。小儿组试验组皮下出血、淤血的发生率分别为4．25％和3．00％，与对照组15．75％和13．50％相比降低，差异有统计学意义（χ2值分别为29．389，29．131；P〈0．01）。结论对输液依从性欠佳患者，输液按压贴及输液按压扣带的使用，简单实用，可有效降低输液拔针后出现皮下出血、淤血及血肿并发症的发生率，保证输液护理安全，提高患者满意度，适合临床推广使用。Objective To explore the application of self-designed infusion pressing paster and buckle on subcutaneous hemorrhage and blood stasis among patients with poor infusion compliance. Methods Totals of 800 infusion patients over 60 years old and having chronic disease and 800 children with scalp needle infusion were randomly divided into two groups by the visit date of even and oddnumber. The patients of test group used infusion pressing paster and pressing buckle on odd visit date, but the patients of control group were treated with conventional cotton press on the even visit date. Results The incidence of subcutaneous hemorrhage, blood stasis in the test group were significantly decreased to 1.25% and 1.75% lower than 7.75% and 9.75% of control group （X2 = 19.663, 13. 619 ;P 〈 0.01 ）. Among children and blood stasis were 4.25% and 3.00% of test group compared with 15.75% and 13.50% of control group （χ2 =29.389,29. 131;P〈0.01）. Conclusions The use of self-designed infusion pressing paster and buckle are simple and practical. They effectively reduce the incidence of subcutaneous hemorrhage, blood stasis and hematoma complications in patients with poor infusion compliance. They ensure the safety of nursing care quality and improve patient＇s satisfaction. It is suitable for clinical use.

关 键 词：护理 输液 按压贴 按压扣带 止血 

分 类 号：R472[医药卫生—护理学]