静脉输液约束具在精神科住院患者重复穿刺风险防范中的应用研究  

Research on the application of intravenous infusion restraints in preventing the risk of the repeated puncture in psychiatric inpatients

作　　者：徐丽华 孟庆闻 XU Li-hua;MENG Qing-wen(Nursing Department,Shanghai Putuo District Mental Health Center,Shanghai 200065,China)

机构地区：[1]上海市普陀区精神卫生中心护理部,200065

出　　处：《中国实用医药》2025年第7期151-155,共5页China Practical Medicine

基　　金：上海市普陀区卫生健康系统科技创新项目(项目编号:ptkwws202214)。

摘　　要：目的探讨静脉输液约束具在精神科住院患者重复穿刺风险防范中的应用效果。方法选取232例静脉输液的精神科住院患者,按患者开具静脉输液医嘱的时间顺序编号,采用随机数字法将其分为实验组和对照组,各116例。两组患者均在常规静脉输液护理基础上医生开具医嘱,对照组使用宽绷带约束带,实验组使用静脉输液约束具。比较两组患者静脉输液过程中重复穿刺发生情况、使用后舒适度与接受度、护士额外用于静脉输液总时长。结果实验组重复穿刺率5.2%低于对照组的14.7%,差异具有统计学意义(P<0.05)。对照组中43.10%(50/116)患者认为宽绷带约束使用舒适,57.76%(67/116)患者认为可以接受;实验组中93.97%(109/116)患者认为静脉输液约束具使用舒适,94.83%(110/116)患者认为可以接受。实验组患者使用后舒适度与接受度高于对照组,差异具有统计学意义(P<0.05)。实验组用于静脉输液总时长7.38(6.75,8.59)min短于对照组的8.03(7.22,8.70)min,差异具有统计学意义(P<0.05)。结论静脉输液约束具操作简便、安全性强,尤其适合不配合的精神科静脉输液患者。采用此约束具能降低重复穿刺,减轻患者痛苦,且佩戴舒适度较高,还能缩短护士用于额外静脉输液时长,减少工作量,受到患者和护士的认可,值得在临床推广使用。Objective To explore the application effect of intravenous infusion restraints in preventing the risk of the repeated puncture in psychiatric inpatients.Methods 232 psychiatric inpatients who were treated with the intravenous infusion were selected and and numbered according to the time sequence of their intravenous infusion orders.They were divided into experimental group and control group according to random number method,with 116 patients in each group.On the basis of the routine intravenous infusion nursing,the wide bandage restraints was adopted in the control group,while the intravenous infusion restraints was adopted in the experimental group.The occurrence of repeated puncture during intravenous infusion,comfort and acceptance after use,and the time spent by nurses on extra intravenous infusion of the two groups were compared.Results The incidence of the repeated puncture in the experimental group was 5.2%,which was lower than 14.7%in the control group,and the difference was statistically significant(P<0.05).In the control group,43.10%(50/116)patients thought that wide bandage restraints were comfortable to use,and 57.76%(67/116)patients thought them acceptable;in the experimental group,93.97%(109/116)patients thought that the use of intravenous infusion restraints was comfortable,94.83%(110/116)patients thought them acceptable.The comfort and acceptance after use in the experimental group were higher than those in the control group,and the difference was statistically significant(P<0.05).The time spent by nurses on extra intravenous infusion was 7.38(6.75,8.59)min in the experimental group,which was shorter than 8.03(7.22,8.70)min in the control group,and the difference was statistically significant(P<0.05).Conclusion Intravenous infusion restraint is easy to operate and safe,especially suitable for patients with uncooperative intravenous infusion in psychiatric department.The intravenous infusion restraints can be used to reduce the probability of repeated puncture,reduce the pain of patients,shorten th

关 键 词：静脉输液 约束具 精神科 重复穿刺 风险防范 

分 类 号：R473.74[医药卫生—护理学]