疼痛管理在某三级甲等儿童医院门诊输液中心的实践  

作　　者：李汶静[1] 程晓红[1] 尹华英[1] 陶怡[1] 谢红燕[1] 冯美[1] 

机构地区：[1]重庆医科大学附属儿童医院急诊医学科儿童发育疾病研究教育部重点实验室儿童发育重大疾病国家国际科技合作基地儿科学重庆市重点实验室,重庆400000

出　　处：《当代护士（下旬刊）》2018年第9期3-5,共3页Modern Nurse

基　　金：2013-2014年度国家临床重点专科建设项目(临床护理)(国卫办医函[2013]544号)

摘　　要：目的探讨疼痛管理方法在儿科门急诊输液中心的效果。方法根据随机数字表将门急诊输液中心的输液患儿分成对照组(n=200)和实验组(n=200),对照组采用传统的输液方法,在输液过程中给予语言安慰和鼓励。实验组采用疼痛管理方法,即输液前半小时在穿刺部位涂抹利多卡因乳膏,穿刺时配合语言安慰和鼓励。比较两组静脉输液穿刺时的疼痛分值、一针穿刺成功率、家属满意度。结果采用疼痛管理方法的实验组的静脉穿刺疼痛分值明显低于对照组,一针穿刺成功率、家属满意度明显高于对照组(P<0.05)。结论疼痛管理方法能有效实现对儿科门急诊患者的疼痛管理,降低儿童静脉输液穿刺的疼痛,提高静脉穿刺成功率和家属满意度。Objective to explore the effect of the pain management in the pediatric infusion center.Methods by random number table the children in the pediatric infusion center were divided into control group and experimental group. traditional infusion method was used in the control group,only given language comfort and encouragement in the process of infusion.the method of pain management was used in the experimental group,half an hour before transfusion the lidocaine cream was daubed in the puncture,with the language comfort and encouragement in the process of infusion. the faces pain scores and successful rate of first puncture and rate of family satisfaction were compared in the two groups.Results with pain management the faces pain scores of the experimental group was significantly lower than the control group,the successful rate of first puncture and rate of family satisfaction were significantly higher than the control group（ P〈 0.05）. Conclusion the lidocaine can effectively reduce the pain of venous transfusion puncture,and improve the successful rate of first puncture and family satisfaction.

关 键 词：疼痛管理 静脉输液 穿刺成功率 

分 类 号：R471[医药卫生—护理学] R473.72[医药卫生—临床医学]