针对性心理干预结合即时激励护理在小儿行留置针静脉输液中的应用OA
Application of targeted psychological intervention combined with immediate motivational nursing in pediatric intravenous infusion with indwelling needles
目的 探讨针对性心理干预结合即时激励护理应用于行留置针静脉输液患儿的效果.方法 采用便利抽样方法,选择2021 年1 月至2022 年12 月期间在广东省开平市中心医院接受留置针静脉输液治疗的 240 例患儿为研究对象,按照就诊时间分组,将2021 年1～12 月就诊的 120 例患儿设为对照组(实施常规护理),另将 2022 年 1～12 月就诊的120 例患儿设为观察组(实施针对性心理干预结合即时激励护理).观察并对比 2 组患儿的穿刺效果、疼痛程度、心理状态、不良事件发生率以及家属护理满意度等指标.结果 观察组的一次性穿刺率较对照组更高,留置针保留时间较对照组更长,穿刺次数较对照组更少(P均<0.05).观察组的儿童疼痛行为量表(FLACC)评分较对照组更低(P<0.05);观察组的少儿心理健康量表(MHS-CA)中的认知评分、思维评分、情绪评分和意志行为评分以及总分均较对照组更高(P均<0.05),但2 组的个性评分相比,差异无统计学意义(P>0.05).观察组的护理满意率较对照组更高,护理投诉率、护理纠纷率以及不良事件总发生率均较对照组更低(P均<0.05).结论 将针对性心理干预结合即时激励护理应用于行留置针静脉输液的患儿,不仅能够提高穿刺效果、减轻生理疼痛、改善不良情绪以及减少不良事件的发生,还能够提升护理满意率、降低护理投诉率和护理纠纷率.
Objective To explore the effect of targeted psychological intervention combined with immediate motivational nursing on children receiving intravenous infusion with indwelling needles.Methods A convenience sampling method was used to select 240 children who received intravenous infusion with indwelling needles at Kaiping Central Hospital of Guangdong Province from January 2021 to December 2022.According to the time of presentation,120 children who received the treatment from January to December 2021 were set as the control group(receiving routine nursing),and 120 children who received the treatment from January to December 2022 were set as the observation group(receiving targeted psychological intervention combined with immediate motivational nursing).The puncture effect,intensity of pain,psychological state,incidence of adverse events,and nursing satisfaction of family members of the two groups were observed and compared.Results Compared with the control group,the primary venipuncture rate of the observation group was higher.The retention time of indwelling needles was longer.The frequency of punctures was less(all P<0.05).The score of the Faces,Legs,Activity,Cry,and Consolability(FLACC)scale in the observation group was lower than that in the control group(P<0.05).The cognitive score,thinking score,emotional score,volitional behavior score,and the total score of the Mental Health Scale for Child and Adolescent(MHS-CA)in the observation group were higher than those in the control group(all P<0.05),but there was no statistically significant difference in the personality score between the two groups(P>0.05).The nursing satisfaction rate of the observation group was higher than that of the control group,and the nursing complaint rate,nursing dispute rate,and total incidence of adverse events were all lower than those of the control group(all P<0.05).Conclusion The application of targeted psychological intervention combined with immediate motivational nursing in children receiving intravenous infusion with indwelling needles can not only improve the puncture effect,alleviate the physical pain,relieve the negative emotions,and reduce the adverse events,but also improve the nursing satisfaction rate and reduce the nursing complaint rate and nursing dispute rate.
劳瑞莲;关诗柔;周君敏;梁雪美;余瑞缠;陈雪冰
广东省开平市中心医院,广东 江门,529399
临床医学
留置针静脉输液针对性心理干预即时激励护理穿刺效果
indwelling needleintravenous infusiontargeted psychological interventionimmediate motivational nursingpuncture effect
《中西医结合护理（中英文）》 2024 (004)
37-40 / 4
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