优质护理对患儿门诊输液进程及非计划性拔管的影响  

Effect of High-quality Nursing on the Infusion Process and Unplanned Extubation

作　　者：李慧 LI Hui(Department of Pediatric General Internal Medicine Clinic,Dalian Women and Children Medical Center(Group),Dalian 116037,China)

机构地区：[1]大连市妇女儿童医疗中心(集团)小儿综合内科门诊,辽宁大连116037

出　　处：《中国医药指南》2023年第2期146-148,共3页Guide of China Medicine

摘　　要：目的 分析患儿门诊输液期间的护理需求与非计划性拔管风险,评价优质护理干预对患儿穿刺成功率、非计划性拔管等方面的积极影响。方法 选择我院门诊2019年12月至2020年6月的输液儿童,总计200例。按照入院先后顺序进行输液分组护理,对照组与观察组各100例儿童,分别采取常规护理、优质护理干预。比较对照组与观察组输液儿童的护理效果,包括穿刺成功率、输液依从性、患儿家属护理满意度评分、非计划性拔管风险。结果 穿刺成功率、输液依从性以及患儿家属对输液环境、服务态度、健康教育、护理技术方面的满意度评分方面,观察组占比与评分均明显高于对照组,P<0.05;组间非计划性拔管发生率比较,观察组发生率低于对照组,P<0.05。结论 加强优质护理干预可以提高小儿的依从性、安全性、穿刺成功率,满足小儿与家属护理需求,护理效果理想。Objective To analyze the nursing needs and the risk of unplanned extubation during the outpatient infusion of children, and evaluate the positive effects of high-quality nursing interventions on the success rate of puncture and unplanned extubation in children. Methods Selected children who received infusions from December 2019 to June 2020 in our outpatient clinic, totaling 200 cases. Infusion group nursing was carried out according to the order of admission. The control group and observation group each took routine care and high-quality nursing interventions.The guardians had informed consent after review and approval by the ethics committee. Comparing the nursing effect of infusion children in the control group and the observation group, including the success rate of puncture, infusion compliance, nursing satisfaction scores of the children’s family members, and the risk of unplanned extubation. Results In terms of puncture success rate, infusion compliance, and satisfaction scores of the children’s family with infusion environment, service attitudes, health education, and nursing technology, the percentage of indicators in the observation group and the average score were significantly higher than those in the control group, P<0.05. Comparing the incidence of unplanned extubation between groups, the incidence of observation group was lower than that of control group, P<0.05. Conclusion Enhancing high-quality nursing intervention can improve children’s compliance, safety, and puncture success rate, meet the needs of children and their families, and have ideal nursing effects.

关 键 词：优质护理 门诊输液 非计划性拔管 穿刺成功率 输液依从性 护理满意度 

分 类 号：R47[医药卫生—护理学]