正强化护理联合共情护理对急诊静脉输液患儿的影响  

Effect of positive reinforcement nursing combined with empathy nursing on children with emergency intravenous infusion

作　　者：娄金金[1] 赵春红[1] 张会军[1] 王爽[1] 王方方[1] LOU Jinjin;ZHAO Chunhong;ZHANG Huijun;WANG Shuang;WANG Fangfang(The Second Affiliated Hospital of Luohe Medical College,Luohe 462000,China)

机构地区：[1]漯河医学高等专科学校第二附属医院,河南省漯河市462000

出　　处：《护理实践与研究》2024年第6期867-872,共6页Nursing Practice and Research

基　　金：漯河医学高等专科学校科技创新项目(编号:2022KJYB46)。

摘　　要：目的 综合探讨急诊静脉输液患儿采用正强化护理干预联合共情护理对焦虑情绪、疼痛程度及依从性的影响。方法 选取2020年5月—2022年5月在医院治疗的急诊静脉输液患儿共计122例作为研究对象,按照组间基本特征具有可比性的原则分为观察组与对照组,每组61例,对照组给予常规护理干预,观察组在对照组的基础上给予正强化护理干预联合共情护理干预,比较两组患儿干预前后的焦虑情绪、疼痛程度、输液依从性、家长满意程度及不良反应发生情况。结果 干预前,两组患儿焦虑情绪障碍筛查表(SCARED)评分比较差异无统计学意义(P>0.05);干预后,观察组患儿SCARED评分低于对照组,组间比较差异有统计学意义(P<0.05)。干预前,两组患儿Wong-Baker面部表情量表(WongBaker)、患儿疼痛评估量表(FLACC)评分比较差异无统计学意义(P>0.05);干预后,观察组患儿Wong-Baker、FLACC评分低于对照组,组间比较差异有统计学意义(P<0.05)。观察组患儿输液依从性高于对照组,组间比较差异有统计学意义(P<0.05)。观察组患儿家长对输液技术、输液沟通、输液服务、输液环境评分高于对照组,组间比较差异有统计学意义(P<0.05)。观察组患儿不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论 正强化护理干预联合共情护理应用于急诊静脉输液患儿干预中,可改善焦虑情绪,降低疼痛程度,提高输液依从性及家长满意程度,减少不良反应。Objective To comprehensively explore the effects of positive reinforcement nursing intervention combined with empathy nursing on anxiety,pain severity and compliance in children with emergency intravenous infusion.Methods A total of 122 children with emergency intravenous infusion treated in the hospital from May 2020 to May 2022 were selected as the study subjects.They were divided into an observation group and a control group,with 61 cases in each group,based on the principle of comparability of basic characteristics between groups.The control group implemented routine nursing care,while the observation group implemented positive reinforcement nursing intervention combined with empathy nursing intervention on the basis of the control group.The differences in the anxiety levels,pain severity,infusion compliance,parental satisfaction,and occurrence of adverse reactions before and after intervention were compared between the two groups of children.Results Before intervention,there was no significant difference in the Screen for Child Anxiety Related Emotional Disorders(SCARED)scores between the two groups of children(P>0.05).After intervention,the SCARED score of the observation group was lower than that of the control group,and the difference between groups was statistically significant(P<0.05).Before intervention,there was no significant difference in the Wong-Baker Faces Pain Rating Scale(Wong-Baker)and the Children's Pain Assessment Scale(FLACC)scores between the two groups of children(P>0.05).After intervention,the Wong Baker and FLACC scores in the observation group were lower than those in the control group,and the differences between groups were statistically significant(P<0.05).The infusion compliance of the observation group was higher than that of the control group,and the difference between groups was statistically significant(P<0.05).The parents of the children in the observation group rated the infusion technique,infusion communication,infusion service,and infusion environment higher than those in th

关 键 词：正强化护理干预 共情护理 急诊静脉输液 焦虑情绪 疼痛程度 依从性 

分 类 号：R47[医药卫生—护理学]