情境互动联合音乐干预在静脉输液患儿中的应用效果  

Application effect of situational interaction combined with music intervention in children patients with intravenous infusion

作　　者：江玲[1] 刘娟[1] 侯小芬 李茜 JIANG Ling;LIU Juan;HOU Xiaofen;LI Qian(Hunan Provincial Children’s Hospital,Changsha,410007,China)

机构地区：[1]湖南省儿童医院留观输液科,湖南省长沙市410007

出　　处：《护理实践与研究》2022年第8期1206-1210,共5页Nursing Practice and Research

摘　　要：目的 分析情境互动联合音乐干预对静脉输液的患儿穿刺成功率及家长满意度的影响。方法 收集2020年1月—2021年4月医院儿科门诊留观输液室收治的366例静脉输液患儿作为研究对象,按照组间基本特征均衡可比的原则分为对照组和观察组,各183例。对照组实施常规护理,观察组在对照组的基础上予以情境互动结合音乐干预的注意力转移法,对比两组患儿的穿刺效果、疼痛指标、遵医行为及家长的满意度。结果 观察组患儿中有77.05%的穿刺所用时间<5 min,一次性穿刺成功率为91.80%,均高于对照组的45.36%及74.32%(P<0.05);观察组患儿的啼哭时间、疼痛表情维持时间短于对照组,Wong-Baker面部表情量表(FPS-R)评分低于对照组(P<0.05);观察组患儿的遵医配合度为98.36%,高于对照组的87.98%(P<0.05);观察组患儿家长的满意度优于对照组(P<0.05)。结论 情境互动结合音乐干预的注意力转移法在静脉输液患儿中的应用,有助于提升其穿刺效果,改善疼痛指标,规范遵医行为,提升家长满意度。Objective To analyze the effect of situational interaction combined with music intervention on the success rate of puncture and parental satisfaction in children patients undergoing intravenous infusion.Methods We selected 366 children with intravenous infusion who were admitted to the observation and infusion room of the pediatric outpatient department of the hospital were collected from January 2020 to April 2021 as the study objects,and they were divided into a control group and an observation group according to the principle of balance and comparability of the basic characteristics between the groups,with 183 cases in each group.The control group was given routine nursing care,and the observation group was given the attention diversion method of situational interaction combined with music intervention on the basis of the control group to compare the puncture effect,pain index,medical compliance behavior and parents’ satisfaction of the two groups of children patients.Results About 77.05% of the children in the observation group had a puncture time of less than 5 minutes,and the onetime puncture success rate was 91.80%,which were both 45.36% and 74.32% higher than those in the control group(P<0.05).The crying time and pain expression maintenance time of the children in the observation group were shorter than those in the control group,and the Wong-Baker facial expression scale(FPS-R) score was lower than that of the control group(P <0.05).The compliance rate of children in the observation group was 98.36%,which was higher than that of the control group,87.98%(P <0.05).The parental satisfaction in the observation group was better than that in the control group(P<0.05).Conclusion The application of the attention diversion method of contextual interaction combined with music intervention in children with intravenous infusion was helpful to improve the puncture effect,improve pain indicators,standardize medical compliance behavior,and improve parental satisfaction.

关 键 词：情境互动 音乐干预 转移注意力 静脉输液 遵医行为 儿童 

分 类 号：R473.72[医药卫生—护理学]