多功能留置针敷贴在小儿外周静脉留置针固定中的应用  

Effects of multifunctional indwelling needle application on the fixation of indwelling peripheral venous needle in children

作　　者：庞海燕[1] 王兰英[2] 柴学红[2] 李轶晓 石红英[2] Pang Haiyan;Wang Lanying;Chai Xuehong;Li Yixiao;Shi Hongying(Emergency Department,the First People's Hospital of Shangqiu,Henan Provincey Shangqiu 476100,China;Department of Nursing,the First People's Hospital of Shangqiu,Henan Province,Shangqiu 476100,China)

机构地区：[1]河南省商丘市第一人民医院急诊科,476100 [2]河南省商丘市第一人民医院护理部,476100

出　　处：《中华现代护理杂志》2020年第22期3064-3067,共4页Chinese Journal of Modern Nursing

摘　　要：目的:探讨多功能留置针敷贴在小儿外周静脉留置针固定中的效果。方法:选取2018年6月—2019年3月在某三级医院输液室输液的216例患儿为研究对象,采用随机数字表法分为对照组(107例)与试验组(109例)。试验组患儿采用多功能留置针敷贴固定,对照组患儿采用留置针自带透明贴膜固定。观察两组患儿的静脉留置针留置时间、留置针脱出或移位、敷贴卷边、皮肤破损及胶布残留的情况,比较两组的静脉输液配合度与家属满意度。结果:试验组患儿的留置针留置时间长于对照组,留置针脱出或移位、敷贴卷边、皮肤破损及胶布残留发生率均低于对照组,患儿的配合度及家属满意度评分均高于对照组,差异均有统计学意义(P<0.05)。结论:多功能留置针敷贴牢固性强,能减少皮肤破损,延长静脉留置针留置时间,可以提高患儿的配合度及家属满意度,推荐应用于小儿临床护理中。Objective:To explore the effects of multifunctional indwelling needle application on the fixation of indwelling peripheral venous needle in children.Methods:Totally 216 children receiving transfusion in the transfusion room of a ClassⅢGrade A hospital from June 2018 to March 2019 were selected and divided into the control group(n=107)and the experimental group(n=109)according to the random number table.The indwelling needle of children in the experimental group were fixed with the indwelling needle application,while the indwelling needle of children in the control group were fixed with the transparent sticker provided together with the needle.The indwelling time of the indwelling needle,prolapse or displacement of the indwelling needle,curling application,skin damage and residual adhesive tape in the two groups of patients were observed,and the compliance with intravenous infusion and family satisfaction were compared between the two groups.Results:The indwelling time of the indwelling needle of the children in the experimental group was longer than that of the control group;the incidence of indwelling needle prolapse or displacement,curling application,skin damage and residual adhesive tape of the experimental group were lower than that of the control group;the compliance and family satisfaction scores of the experimental group was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusions:The multifunctional indwelling needle application is strongly firm,which can reduce skin damage,prolong the indwelling time of the indwelling needle,and improve the compliance of the children and the satisfaction of family members.It is recommended in the clinical care of children.

关 键 词：革新推广 儿童 静脉输液 多功能留置针敷贴 外周静脉留置针 

分 类 号：R473.72[医药卫生—护理学]