疗愈环境理念下儿科门诊静脉采血研究  

Application of nursing intervention based on the concept of healing environment in outpatient children undergoing venous blood collection

作　　者：石彩晓 孙羽燕 齐倩倩 吴红燕 赵月月 董凤梅[2] 葛燕军 王建丽[1] 张耀东 毛子雯 李梦尧 SHI Caixiao;SUN Yuyan;QI Qianqian;WU Hongyan;ZHAO Yueyue;DONG Fengmei;GE Yanjun;WANG Jianli;ZHANG Yaodong;MAO Ziwen;LI Mengyao(Nursing Department,Henan Children's Hospital,Zhengzhou,450000,China)

机构地区：[1]河南省儿童医院/郑州大学附属儿童医院/郑州儿童医院护理部,郑州市450000 [2]河南省儿童医院/郑州大学附属儿童医院/郑州儿童医院检验科,郑州市450000 [3]河南省儿童医院/郑州大学附属儿童医院/郑州儿童医院院办公室,郑州市450000 [4]郑州市儿科医学研究所 [5]郑州大学医学科学院 [6]郑州大学护理与健康学院

出　　处：《中国护理管理》2023年第3期331-335,共5页Chinese Nursing Management

基　　金：河南省卫生健康委联合共建项目(LHGJ20190894)。

摘　　要：目的:评价基于疗愈环境理念的护理干预对门诊静脉采血患儿焦虑、恐惧状况及穿刺依从性的影响。方法:采用历史对照研究法,将2022年5月1日至6月1日及2022年7月1日至8月1日在河南省郑州市某三级甲等儿童医院进行门诊静脉采血的患儿分别设为对照组(n=63)和实验组(n=65)。对照组接受常规采血护理服务;实验组接受基于疗愈环境理念的护理干预措施。比较两组患儿采血前的焦虑、恐惧状况及采血中穿刺依从性等的差异。结果:实验组患儿的焦虑得分(t=5.212,P<0.05)、恐惧发生率(χ^(2)=7.459,P<0.05)明显低于对照组,穿刺依从性(Z=7.441,P<0.05)及一次穿刺成功率(χ^(2)=4.863,P<0.05)明显高于对照组,差异均具有统计学意义。结论:基于疗愈环境理念的护理干预能够改善门诊静脉采血患儿的焦虑、恐惧情绪,提高患儿的穿刺依从性及穿刺成功率。Objective:To evaluate the effects of nursing intervention based on the concept of healing environment on anxiety,fear,and puncture compliance of outpatient children undergoing venous blood collection.Methods:This was a historical control study with children who underwent outpatient venous blood collection in a tertiary grade A children's hospital in Zhengzhou,Henan Province being divided into the control group(admitted from May 1 to June 1,2022)(n=63)and the intervention group(admitted from July 1 to August 1,2022)(n=65).Routine blood collection was applied in the control group,while nursing intervention based on the concept of healing environment was adopted in the intervention group.Anxiety,fear,puncture compliance and other indicators were compared between the two groups before and after blood collection.Results:The score of anxiety(t=5.212,P<0.05)and incidence of fear in the intervention group(χ^(2)=7.459,P<0.05)were significantly lower than those in the control group,while the puncture compliance(Z=7.441,P<0.05)and success rate(χ^(2)=4.863,P<0.05)were found higher in the intervention group.Conclusion:Nursing intervention based on the concept of healing environment can alleviate the anxiety and fear of outpatient children undergoing venous blood collection and improve their puncture compliance to ensure more successful puncture.

关 键 词：疗愈环境理念 门诊静脉采血 儿科 护理干预 不良情绪 穿刺依从性 护理安全 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]