人文关怀联合综合护理改善门诊输液患儿疼痛评分及心理状态的效果观察  

Humanistic Care Combined with Comprehensive Nursing to Improve the Pain Score and Mental State of Children with Infusion in Outpatient Department

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4期134-136,共3页Guide of China Medicine

摘　　要：目的 分析门诊输液患儿的输液表现、护理需求,评价人文关怀、综合护理干预辅助实施对患儿疼痛、心理状况等方面的积极影响。方法 选择我院(2019年8月至2020年5月)门诊输液患儿(n=200),按照患儿入院先后顺序进行对照组、观察组分组,每组各100例患儿。监护人对研究内容知情同意,而且研究获得本院伦理委员会批准。予以对照组输液患儿常规护理,予以观察组输液患儿人文关怀联合综合护理干预。以焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)、中文版儿童疼痛行为量表(The Face, Legs, Activity, Cry, Consolability Behavioral Tool,FLACC)评估患儿的心理状态与疼痛状况。结果 护理后,观察组患儿的SAS、SDS、FLACC评分均明显低于对照组患儿,P <0.05;护理后,观察组患儿留置针脱出、留置针堵塞、静脉炎、护理纠纷等风险发生率均低于对照组,P <0.05;护理后,患儿家属满意度问卷调查结果显示,观察组患儿的满意度(96.00%)高于对照组(80.00%),P <0.05。结论 基于门诊输液患儿的个体情况,加强人文关怀与综合护理干预有助于改善患儿的疼痛感、稳定患儿的情绪、提高患儿的安全性,家属满意度高。Objective To analyze the infusion performance and nursing needs of children with outpatient infusion, and to evaluate the positive impact of humanistic care and comprehensive nursing intervention on children’s pain and psychological status. Methods Choose our hospital(from August 2019to May 2020) outpatient infusion children(n=200), according to the order of admission, the control group and the observation group, 100 children in each group. The guardian informed consent to the research content, and the research was approved by the ethics committee. The control group was given routine nursing care of children with infusion, and the observation group was given humanistic care+comprehensive nursing intervention. Use Self-rating Anxiety Scale(SAS), Self-rating Depression Scale(SDS), the Face, Legs, Activity, Cry, Consolability Behavioral Tool,(FLACC) evaluate the mental state and pain status of children. Results After nursing, the average values of SAS, SDS, and FLACC scores of the observation group were significantly lower than those of the control group, P<0.05. After nursing, the incidence of risks such as the release of indwelling needle, blockage of indwelling needle,phlebitis and nursing disputes in the observation group were lower than those in the control group, P<0.05. After nursing, the satisfaction questionnaire of children’s family members showed that the satisfaction of the observation group(96.00%) was higher than that in the control group(80.00%),P<0.05. Conclusion Based on the individual situation of children with outpatient infusion, strengthening humanistic care and comprehensive nursing intervention can help improve children’s pain, stabilize children’s mood, improve children’s safety, and have high family satisfaction.

关 键 词：人文关怀 综合护理 门诊输液患儿 疼痛 心理状态 护理效果 输液风险 

分 类 号：R473.72[医药卫生—护理学]