预见性护理在预防门诊小儿输液外渗中的应用及对护理满意度的影响  

Application of Predictive Nursing in Prevention of Infusion Extravasation of Children in Outpatient Clinic and Its Influence on Nursing Satisfaction

作　　者：李慧 LI Hui(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6期174-176,共3页Guide of China Medicine

摘　　要：目的 分析门诊小儿输液外渗风险、护理需求,评价预见性护理干预预防输液外渗等方面的效果。方法 选择我院2019年8月至2020年4月期间的门诊输液小儿,总计300例。经伦理委员会批准,监护人知情同意,按照1∶1法进行对照组、观察组分组护理。对照组(n=150)患儿采取门诊常规护理,观察组(n=150)患儿采取预见性护理干预。比较两组门诊小儿输液依从性、家长满意度、输液外渗等静脉输液风险。结果 小儿输液依从性方面,观察组患儿的总依从率94.67%明显高于对照组的70.00%,P <0.05;家长满意度方面,观察组患儿家属的总满意度90.00%明显高于对照组的70.00%,P <0.05;静脉输液风险方面,观察组患儿的输液外渗、针头脱落、重复穿刺等发生率5.33%明显低于对照组的20.00%,P <0.05。结论 门诊小儿输液外渗、针头脱落等风险较高,具有可预防性。预见性护理干预措施的落实,可以有效预防小儿输液外渗,提高小儿的输液依从性、家属的护理满意度,满足患儿与家属的护理需求,护理效果理想、安全性高。Objective To analyze the risk of infusion extravasation in outpatients, nursing needs, and evaluate the effects of predictive nursing interventions in preventing infusion extravasation. Methods Choose the outpatient infusion children in our hospital from August 2019 to April 2020,a total of 300 cases. With the approval of the ethics committee and the guardian’s informed consent, the control group and the observation group were treated according to the 1∶1 ratio method. Children in the control group(n=150) received routine outpatient care, and children in the observation group(n=150) received predictive nursing intervention. The risks of intravenous infusion, such as compliance with infusion, satisfaction of parents and extravasation of infusion, were compared between the two groups of outpatients. Results In terms of pediatric infusion compliance, the total compliance rate of children in the observation group was 94.67%, which was significantly higher than that of the control group’s 70.00%, P<0.05;in terms of parent satisfaction, the total satisfaction rate of the children’s family members in the observation group(90.00%) was significantly higher in the control group(70.00%), P<0.05;in terms of intravenous infusion risk, the 5.33% incidence of infusion extravasation, needle shedding,and repeated puncture in the observation group was significantly lower than 20.00% in the control group, P<0.05. Conclusion The risk of extravasation of infusion and needle loss in outpatients is high, and it is preventable. The implementation of predictive nursing intervention measures can effectively prevent children’s infusion extravasation, improve children’s infusion compliance and family care satisfaction, and meet the nursing needs of children and family members. The nursing effect is ideal and the safety is high.

关 键 词：预见性护理 门诊输液治疗 护理满意度 输液外渗 输液依从性 

分 类 号：R473[医药卫生—护理学]