改良固定静脉留置针在儿科中的应用价值  

The application effects of the improved fixation method of intravenous indwelling needle in department of pediatrics

作　　者：李秀琳[1] 闫晓丽 王会肖[1] 张晓娟[1] 刘翠霞[1] 王玲芹[1] 李兰凤[1] LI Xiulin;YAN Xiaoli;WANG Huixiao(Department of Child Care,Hebei Provincial Children’s Hospital,Hebei,Shijiazhuang 050031,China)

机构地区：[1]河北省儿童医院儿童保健科(心理行为科),石家庄市050031

出　　处：《河北医药》2021年第23期3665-3668,共4页Hebei Medical Journal

基　　金：河北省医学科学研究重点课题(编号:20190835)。

摘　　要：目的针对当前改良静脉留置针固定方法对减轻护理人员工作量与患儿反复留置针穿刺痛苦程度的效果开展深入分析,判断改良静脉留置针固定方法在临床中的诊断价值。方法选取2019年1月至2020年5月年龄0~6岁且需要进行住院输液治疗或者需要监测动脉血压患儿400例,在其家属同意参与研究的前提下设为研究对象,根据其入院时间排序,单数200例设为研究组,给予改良静脉留置针固定方法;双数200例设为参照组,给予常规静脉留置针固定方法。通过采集留置针穿刺后的留置时间,透明敷贴松脱、卷边,针头滑出,静脉炎等资料,探讨固定留置针的新方法的适用情况。结果参照组留置不良反应发生率高于研究组,差异有统计学意义(P<0.05)。参照组护理工作量高于研究组,组间差异有统计学意义(P<0.05)。参照组静脉留置时间短于研究组,组间差异有统计学意义(P<0.05)。参照组Wong-Baker面部表情疼痛量表评分高于研究组,差异有统计学意义(P<0.05)。结论患儿行改良静脉留置针固定方法取得了更为理想的留置结局,大面积使用可以提高改良静脉留置针固定方法的临床价值。Objective To investigate the clinical application effects of the improved fixation method of intravenous indwelling needle in department of pediatrics.Methods A total of 400 children aged 0~6 years who were treated by transfusion or monitoring arterial blood pressure in our hospital from January 2019 to May 2020 were enrolled in the study.Accoring to the admission time order,the 200 patients with odd number were enrolled as research group,who were treated by modified venous catheter fixation method,however,the other 200 patients with even number were enrolled as control group,who were treated by conventional venous catheter fixation method.The indwelling time after puncture of the indwelling needle,loosening and curling status of the transparent applicator,the needle slipping out,and the incidence of phlebitis were observed and compared between the two groups.Results The incidence rate of indwelling adverse reactions in control group was significantly higher than that in research group(P<0.05).The nursing workload in control group was significantly higher than that in research group(P<0.05).Moreover the venous indwelling time in control group was significantly shorter than that in research group(P<0.05),but,the Wong-Baker facial expression pain scale scores in control group were significantly higher than those in research group(P<0.05).Conclusion The improved method of venous indwelling needle fixation for children patients has more ideal indwelling outcome,which can improve the clinical effects of the improved method of venous indwelling needle fixation.

关 键 词：改良静脉留置针固定方法 留置时间 不良反应率 患儿 护理工作量 穿刺痛苦 

分 类 号：R473.72[医药卫生—护理学]