情景游戏护理干预对儿童静脉留置针穿刺疼痛及依从性的影响  

Effects of scenario game nursing interventions on pain and compliance with venous indwelling needle puncture in children

作　　者：阳文芳 谭李军 莫丹凤 李慧 覃祚凤 秦燕羽 YANG Wenfang;TAN Lijun;MO Danfeng;LI Hui;QIN Zuofeng;QIN Yanyu(Second Affiliated Hospital of Guilin Medical University,Guilin 541199,China)

机构地区：[1]桂林医学院第二附属医院,广西壮族自治区桂林市541199

出　　处：《护理实践与研究》2024年第7期1077-1081,共5页Nursing Practice and Research

基　　金：广西壮族自治区卫生健康委员会科研项目(编号:Z20200733)。

摘　　要：目的探讨采用情景游戏护理干预对小儿静脉留置针穿刺疼痛感及其护理依从性的影响。方法选取2021年6月—2022年6月小儿静脉留置针穿刺患儿96例,按照组间基线资料均衡可比的原则分为观察组和对照组,每组48例。对照组给予常规护理,观察组在对照组护理基础上实施情景游戏护理干预。比较两组患儿干预前后不良情绪(儿童抑郁情绪障碍量表和儿童焦虑情绪障碍量表评分)、患儿穿刺时疼痛感(改良版面部表情疼痛量表评分)、患儿穿刺依从率、一次性穿刺成功率、不良事件发生率、护患纠纷及患儿家属满意率。结果护理干预后,观察组患儿的不良情绪及患儿穿刺时疼痛感评分要低于对照组,组间差异均有统计学意义(P<0.05)。观察组患儿的穿刺依从性、一次性穿刺成功率及家属满意率要高于对照组,而观察组不良事件发生率、护患纠纷发生率低于对照组,组间差异均具有统计学意义(P<0.05)。结论情景游戏护理干预能有效减轻小儿静脉留置针患儿穿刺时不良情绪及穿刺时疼痛感,从而提高患儿穿刺依从性,降低穿刺不良事件发生,提高患儿一次性穿刺成功率及家属满意率。Objective To explore the application effect of scenario game nursing intervention on pediatric venous indwelling needle puncture pain and the nursing compliance.Methods 96 children with pediatric venous indwelling needle aspiration from June 2021 to June 2022 were selected and divided into an observation group and a control group according to the principle of comparable baseline data between groups,with 48 cases in each group.The control group was given routine care,and the observation group was given situational play nursing intervention on the base of control group.Adverse emotions scores.The screen for child Anxiety Related Emotional Disorder score pain at the time of puncture(modified facial expression pain scale score),pediatric puncturecompliance rate,one-time puncture success rate,incidence of adverse events,nurse-patient disputes,and family satisfaction rate were compared between the two groups before and after intervention.Results After the nursing intervention,the adverse emotions and pain scores of the children in the observation group were lower than the control group,the differences between the groups were statistically significant(P<0.05).The puncture compliance,one-time puncture success rate and family satisfaction rate of children in the observation group were higher than the control group,while the incidence of adverse events and nurse-patient disputes in the observation group were lower than the control group,the differences between groups were statistically significant(P<0.05).Conclusion Scenario game nursing intervention could effectively reduce the bad emotions and pain during puncture of children with venous indwelling needles,thereby improving the puncture compliance of children,reducing the occurrence of puncture adverse events,and improving the success rate of disposable puncture and family satisfaction of children.

关 键 词：情景游戏护理干预 小儿静脉留置针 穿刺疼痛感 不良情绪 依从性 满意率 满意程度 

分 类 号：R47[医药卫生—护理学]