童趣化心理干预结合集束化护理在门诊儿童静脉输液中的应用价值  

The application value of childlike psychological intervention combined with cluster nursing in outpatient intravenous infusion for children

作　　者：卢琼 杨琪 敖燕 韩玲芝 LU Qiong;YANG Qi;AO yan;HAN Lingzhi(Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan,Hubei,430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院,湖北武汉430030

出　　处：《中西医结合护理(中英文)》2025年第1期215-218,共4页Journal of Clinical Nursing in Practice

摘　　要：目的讨论童趣化心理干预结合集束化护理在门诊儿童静脉输液中的应用效果。方法选取2021年9~10月于华中科技大学同济医学院附属同济医院儿科门诊接受常规静脉输液护理模式下静脉输液的120例患儿为对照组;另选2021年11~12月于同一家医院儿科门诊接受童趣化心理干预结合集束化护理模式下静脉输液的120例患儿为研究组。对比2组的干预效果,如穿刺成功率等指标。结果研究组的合计一次性穿刺成功率、总依从率均高于对照组,合计输液外渗率低于对照组(P均<0.05)。与对照组相比,研究组在穿刺成功10 min后的平均动脉压、呼吸频率均降低(P均<0.05),心率减慢(P<0.05),且2组的上述指标均较实施前更优(P均<0.05)。结论童趣化心理干预结合集束化护理有助于提高门诊儿童静脉输液的穿刺成功率,提高患儿的治疗依从性,并在降低输液外渗率和改善患儿应激反应方面具有积极意义。Objective To discuss the application effect of childlike psychological intervention combined with cluster nursing in outpatient intravenous infusion for children.Methods A total of 120 pediatric patients who received intravenous infusion under the routine intravenous infusion nursing mode at the Pediatric Outpatient Department of Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology from September to October 2021 were selected as the control group.Another 120 pediatric patients who received intravenous infusion under the childlike psychological intervention and cluster nursing mode at the pediatric outpatient department of the same hospital from November to December 2021 were selected as the study group.The intervention effects of the two groups were compared,including indicators such as the success rate of puncture.Results The total success rate of one puncture and overall compliance rate of the study group were higher than those of the control group,and the total extravasation rate of infusion of the study group was lower than that of the control group(all P<0.05).Compared with the control group,the study group showed a decrease in mean arterial pressure and respiratory rate(both P<0.05)and a decrease in heart rate(P<0.05)at 10 minutes after successful puncture,and the above indicators in both groups were better than before implementation(all P<0.05).Conclusion The combination of childlike psychological intervention and cluster nursing can help improve the success rate of intravenous infusion puncture in outpatient children,enhance their treatment compliance,and have positive significance in reducing infusion extravasation rate and improving their stress response.

关 键 词：儿童静脉输液 童趣化心理干预 集束化护理 穿刺成功率 应激反应 

分 类 号：R473.72[医药卫生—护理学]