中医情志护理联合正强化干预对静脉输液患儿依从性、疼痛及穿刺成功率的影响
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R248.4

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Effect of Emotional Nursing of Chinese Medicine Combined with Positive Reinforce⁃ ment on Compliance, Pain and Puncture Success Rate of Children with Intravenous Infusion
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    摘要:

    目的:探讨中医情志护理联合正强化干预对静脉输液患儿依从性、疼痛及穿刺成功率的影响。方法:将静脉输液的200 例患儿作为研究对象,以随机信封法将其分为对照组与观察组各100 例,对照组采用儿科常规护理进行输液,观察组基于对照组的护理实施中医情志护理联合正强化干预,对比2 组患儿输液依从性、疼痛及穿刺成功率。结果:观察组5 岁以下及5 岁以上患儿的一次穿刺成功率均高于对照组,且观察组输液风险事件低于对照组,差异有统计学意义(P<0.05)。观察组输液依从性高于对照组,差异有统计学意义(P<0.05)。观察组Wong-Baker 评分及中重度疼痛占比人数明显低于对照组,差异有统计学意义(P<0.05)。结论:中医情志护理联合正强化干预可有效提高静脉输液患儿依从性,稳定情绪,进一步提高穿刺成功率,且降低输液时疼痛程度。

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    Abstract: Objective: To discuss the effect of emotional nursing of Chinese medicine combined with positive reinforcement on compliance, pain and puncture success rate of children with intravenous infusion. Methods: A total of 200 cases of children who received intravenous infusion were selected as the study subjects and divided into the control group and the observation group according to the random envelope method, 100 cases in each group. The control group received infusion with routine pediatric nursing, and the observation group was additionally treated with emotional nursing of Chinese medicine combined with positive reinforcement based on the nursing of the control group. The compliance of infusion, pain and puncture success rate were compared between the two groups. Results:The success rate of the first puncture for children under five years old and that for over 5 years old in the observation group were both higher than those in the control group, and the comparison of the total rate showed significance in the difference(P<0.05). The comparison of the incidence of infusion risks between the two groups showed significance in the difference(P<0.05). The compliance of infusion in the observation group was higher than that in the control group, the difference being significant(P<0.05). The Wong- Baker score and the proportion of moderate and severe pain in the observation group were significantly lower than those in the control group, the difference being significant(P<0.05). Conclusion:Emotional nursing of Chinese medicine combined with positive reinforcement can effectively improve compliance of children who received intravenous infusion, stable their mood, further enhance puncture success rate, and reduce the pain degree during infusion.

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陈晓和,金颖颖,余思思.中医情志护理联合正强化干预对静脉输液患儿依从性、疼痛及穿刺成功率的影响[J].新中医,2021,53(5):178-181

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  • 在线发布日期: 2021-03-15
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