口服10%水合氯醛的护理干预在儿童医学检查镇静中的效果分析  

Study on the effect of nursing intervention in the sedation of children undergoing medical examination by taking 10% chloral hydrate orally

作　　者：肖秋英[1] 曾甜甜[1] 龙娟[1] XIAO Qiuying;ZENG Tiantian;LONG Juan(Department of Psychology,Special Clinic of Hunan Children's Hospital,Changsha 410007,China)

机构地区：[1]湖南省儿童医院特检科镇静复苏室,长沙410007

出　　处：《中国中西医结合儿科学》2017年第6期542-544,共3页Chinese Pediatrics of Integrated Traditional and Western Medicine

摘　　要：目的观察口服10%水合氯醛的护理干预在儿童医学检查镇静中的效果。方法选择2015年1月至12月湖南省儿童医院接受医学检查并需给予镇静措施的儿童324例作为研究对象,随机分为对照组与观察组各162例。对照组予以10%水合氯醛镇静,并进行常规护理;观察组在对照组常规护理基础上施行干预,如宣教健康知识、心理干预、饮食干预。责任护士负责指导患儿进行口服水合氯醛全过程。分析比较两组儿童镇静效果、镇静起效时间、不良反应发生率与再次给药情况、家长满意率指标。结果观察组儿童镇静有效率为84.57%(137/162),显著高于对照组58.02%(94/162),差异有统计学意义(P<0.01)。观察组儿童镇静起效时间处于5～15min的比例显著高于对照组,镇静起效时间>30min的比例显著低于对照组,差异有统计学意义(P<0.01)。观察组儿童不良反应发生率及再次给药比例显著低于对照组,差异有统计学意义(P<0.01)。观察组儿童家属对镇静护理干预满意率显著优于对照组,差异有统计学意义(P<0.01)。结论通过有效护理干预可显著提高儿童在医学检查镇静中口服10%水合氯醛的有效率,缩短镇静起效时间,减少不良反应,家属满意度较高,值得在临床上广泛推广。Objective To observe the effect of nursing intervention with10%chloral hydrate taken orally in children requiring medical sedation.Methods A total of324children admitted to Hunan Children's Hospital from January to December2015undergoing medical examination and requiring sedation were randomly divided into control group and observation group with162cases in each.The control group was sedated with10%chloral hydrate,and routine nursing was performed.The observation group was intervened in addition to the routine nursing for the control group,such as the missionary health knowledge,psychological intervention and diet intervention.The duty nurse is responsible for guiding children to take oral chloral hydrate.Analyze and compare the sedative effect,sedation onset time,the incidence of adverse reactions and re administration,and the satisfaction rate of parents between the two groups.Results The effective rate of sedation in the observation group was84..57%(137/162),which was significantly higher than that in the control group(58.02%,94/162)(P<0.01).The proportion of sedation onset time at5~15min in observation group was significantly higher than that in control group,while the proportion of the onset time of sedation>30min was significantly lower than that in control group(P<0.01).The incidence of adverse reactions and the rate of re administration in the observation group were significantly lower than those in the control group,with significant differences(P<0.01).The satisfaction rate of the family members in the observation group with sedation nursing intervention was significantly better than that in the control group,the difference being statistically significant(P<0.01).Conclusion Effective nursing intervention can significantly improve the efficiency of oral administration of10%chloral hydrate,reduce the onset time of sedation,and reduce adverse reactions.The satisfaction rate of family members is high,so it is worth applying widely clinically.

关 键 词：医学检查 护理干预 口服10%水合氯醛 儿童 

分 类 号：R985[医药卫生—药品]