弹力绷带与输液保护罩在婴幼儿静脉留置针中的应用效果  

Application effect of elastic bandage and infusion protective cover in intravenous indwelling needle for infants

作　　者：高俊芳[1] 纪鑫[1] 朱美玉[1] 安冉冉[1] Gao Junfang;Ji Xin;Zhu Meiyu;An Ranran(Department of Pediatric Gastroenterology and Nephrology,Affiliated Hospital of Binzhou Medical College,256600,China)

机构地区：[1]滨州医学院附属医院儿童消化与肾病,256600

出　　处：《国际护理学杂志》2020年第19期3546-3550,共5页international journal of nursing

基　　金：山东省医药卫生科技发展计划项目(2016WS0029)。

摘　　要：目的探讨弹力绷带与输液保护罩在婴幼儿静脉留置针中的应用效果。方法选取2019年4~5月该科住院的婴幼儿100例,按入院时间顺序随机分为对照组和观察组,各50例。两组手背位置给予留置针穿刺成功、康惠尔透明贴予以保护后,对照组采用弹力绷带针对患儿留置部位进行合理固定,观察组采用输液保护罩进行固定,两组固定原则为安全、耐用,均不采用其他材料协助固定。比较两组留置针的留置时间,24 h,48 h,72 h内的留置针固定效果,留置期间弹力绷带与输液保护罩松解次数及花费的时间,留置期间出现的并发症。结果①观察组平均留置时间长长于对照组留置时间,但差异无统计学意义(t=0.557,P=0.082)。②两组比较,总体固定效果差异无统计学意义(均P>0.05)。③两组比较,对照组松解花费时间明显长于观察组,差异有统计学意义(χ2=170.014,P=0.000)。④两组比较,观察组留置针并发症发生率低于对照组,差异有统计学意义(χ2=13.014,P=0.043)。结论两种固定方式固定留置针效果良好,均有关并发症发生,医用保护罩易于护理人员有效评估,减轻护理工作量,但应用部位有限。护理人员在婴幼儿临床留置针固定过程中,可结合患儿具体位置选择合理的固定方式。Objective To compare the application effect of elastic bandage and infusion protective cover in infant peripheral venous catheter.Methods A total of 100 infants and young children hospitalized in the department from April to May 2019 were selected.They were randomly divided into control group and observation group according to admission time,50 cases in each group.After successful indwelling needle puncture was performed on the back of the hands of the two groups,and comfeel transparent paste was used to protect the hands,elastic bandage was used for reasonable fixation of the indwelling parts of the children in the control group,and infusion protective cover was used for fixation in the observation group.The fixation principle of the two groups was safety and durability,and no other materials were used to assist fixation.The retention time of indwelling needle,the fixation effect of indwelling needle within 24 hours,48 hours and 72 hours,the release times and time of elastic bandage and infusion protective cover during indwelling,and the complications during indwelling were compared between the two groups.Results ①The average indwelling time of the observation group was longer than that of the control group,but there was no significant difference(t=0.557,P=0.082).②There was no significant difference in the overall fixation effect between the two groups(P>0.05).③Compared with the two groups,the time spent in the control group was significantly longer than that in the observation group(χ2=170.014,P=0.000).④The complication rate of indwelling needle in the observation group was lower than that in the control group,and the difference was statistically significant(χ2=13.014,P=0.043).Conclusions The effect of two kinds of fixed indwelling needle is good,and the related complications occur.Medical protective cover is easy for nurses to evaluate effectively and reduce nursing workload,but its application is limited.In the process of fixing clinical indwelling needles for infants and young children,nurses can c

关 键 词：弹力绷带 输液保护罩 静脉留置针 婴幼儿 

分 类 号：R472[医药卫生—护理学]