静脉留置针保护套应用于四肢创伤患者的效果观察  

Effects observation of protection sleeve of venous indwelling needle applied for patients with limb trauma

作　　者：佘琴[1] 廖灯彬[1] 刘莉慧[1] 侯晓玲[1] 李晔[1] 宁宁[1] 

机构地区：[1]四川大学华西医院骨科,成都610041

出　　处：《中华现代护理杂志》2016年第5期724-726,共3页Chinese Journal of Modern Nursing

摘　　要：目的：探讨静脉留置针保护套对四肢创伤患者留置针的保护和对焦虑情绪的影响。方法将152例创伤患者按入院顺序分为对照组和观察组各76例，对照组穿刺成功后采用3M透明敷贴、胶布固定；观察组在常规留置针护理的基础上加用尼龙弹力网套固定，静脉输液1周后，对患者采用William W. K. Zung编制的焦虑自评量表进行评定，并对住院期间患者满意度进行问卷调查；观察两组患者的焦虑评分情况及患者睡眠情况、留置针脱落、静脉炎、堵管情况以及住院期间患者的满意度。结果观察组11例患者发生焦虑，对照组23例，观察组较对照组低，差异有统计学意义（P〈0.05）；观察组患者留置针脱落次数少于对照组，对护理满意度高于对照组，差异有统计学意义（P〈0.05）；两组患者静脉炎、堵管情况比较差异无统计学意义（P〉0.05）。结论在常规留置针护理的基础上加用尼龙弹力网套固定可以有效防止留置针脱落，明显缓解创伤患者的焦虑情绪，提高患者夜间睡眠质量，让患者感到更安全、放心，同时提高护理满意度。Objective To explore the influences of protection sleeve of venous indwelling needle on patients with limb trauma and its impact on anxiety. Methods A total of 152 patients with limb trauma were divided into control group （fixed by 3M transparent dressing and tape after successful puncture） and observation group （routine nursing care of indwelling needle ＋ fixed by nylon elastic mesh sleeve） according to admission sequence. One week after intravenous transfusion, patients were evaluated by self-rating anxiety scale （ SAS ） developed by William W. K. Zung. Patients′satisfaction was investigated by questionnaires during hospitalization. We also compared the score of SAS, sleep quality, indwelling needle drop-off, phlebitis, condition of tube blocking as well as patients′satisfaction during hospitalization between two groups. Results Cases with anxiety in observation group （11 cases） were less than that in the control group （23 cases） with a significant difference （P〈0. 05）. Times of indwelling needle dropping off in the observation group were less than that in the control group （P〈0. 05）. Satisfaction with nursing in the observation group was better than that in the control group （P〈0. 05）. There was no significant difference between two groups in conditions of phlebitis and tube blocking （P〉0. 05）. Conclusions The use of nylon elastic mesh sleeve based on routine nursing care of indwelling needle can effectively prevent the indwelling needle from dropping off. It also obviously alleviates the anxiety of patients with trauma, improves sleep quality, makes patients safe and comfortable and improves satisfactions with nursing.

关 键 词：革新推广 留置针 焦虑 四肢创伤 弹力网套 

分 类 号：R472.9[医药卫生—护理学]