输液贴加棉球按压法在门诊输液患者拔针后的应用效果  

Application effect of infusion patch plus cotton ball pressing method in outpatient transfusion patients after needle withdrawal

作　　者：吴金凤 赵玉梅 WU Jin-feng;ZHAO Yu-mei(Shaw Hospital Affiliated to Nanjing Medical University,Nanjing 210000,Jiangsu)

机构地区：[1]南京医科大学附属逸夫医院,江苏南京210000

出　　处：《安徽医专学报》2023年第1期142-144,共3页Journal of Anhui Medical College

摘　　要：目的:探讨门诊输液患者拔针后使用输液敷贴加棉球按压和单独输液敷贴按压的效果。方法:选取门诊输液室符合纳入排除标准的输液患者共306例,采用随机数字表法分为观察组和对照组,各153例。拔针后观察组患者采用创新的输液敷贴加棉球进行按压,而对照组患者则采用传统的输液敷贴按压。采用卡方检验比较两种按压法在皮肤出血、二次穿刺一次成功率及患者满意度方面的差异。结果:观察组(输液贴加棉球按压)患者针眼出血和皮下瘀斑的发生率均低于对照组(输液贴按压)(P<0.05);观察组二次穿刺时一次成功率高于对照组(P=0.033)。此外,观察组患者的满意度也高于对照组,差异有统计学意义(P=0.011)。结论:与传统的输液贴按压法相比,输液贴加棉球按压法能够有效降低出血、皮下瘀斑等并发症的发生率,提高工作效率和患者满意度,值得临床推广应用。Objective:To explore the effect of infusion paste plus cotton ball pressing and infusion paste pressing alone in outpatient transfusion patients after needle withdrawal.Methods:A total of 306 patients who met the inclusion and exclusion criteria were selected and divided into observation group(n=153)and control group(n=153)by random number table method.After needle withdrawal,the observation group was pressed with innovative infusion application and cotton ball,while the control group was pressed with traditional infusion application.Chi-square test was used to compare the differences between the two pressing methods in skin bleeding,the success rate of second puncture and one time,and patient satisfaction.Results:The incidence of needle eye hemorrhage and subcutaneous ecchymosis in infusion patch plus cotton ball pressing group were lower than those in infusion patch pressing group(P<0.05).The success rate of the second puncture in the observation group which was higher than in the control group(P=0.033).In addition,the satisfaction of patients in the observation group which was also higher than that in the control group,and the difference was statistically significant(P=0.011).Conclusion:Compared with the traditional infusion patch pressing method,infusion patch plus cotton ball pressing method can effectively reduce the occurrence of bleeding,subcutaneous ecchymosis and other complications,improve work efficiency and patient satisfaction,which is worthy of clinical application.

关 键 词：输液贴 棉球 按压 输液 拔针 

分 类 号：R472[医药卫生—护理学]