小儿静脉穿刺时家属干预对穿刺成功率的影响研究
Effect of Family Intervention on the Success Rate of Puncture in Children

作者: 张 静 , 李芳芳 , 吴亚楠 :解放军总医院小儿内科,北京;

关键词: 静脉穿刺影响因素家属现场成功率Venous Puncture Influencing Factors Family Members Filed Success Rate

摘要:
目的:比较小儿静脉穿刺时,家属是否在现场与穿刺护士压力大小的关系,以及家属因素对静脉穿刺成功率的影响。方法:应用自行设计的调查问卷和评估量表,搜集2015年9月至2015年12月所有来我院就诊患儿静脉穿刺的情况,和每次穿刺时护士的心理压力大小情况。将2015年9月至2015年10月来我院就诊的450例患儿设为试验组,穿刺时不允许家属在身边;2015年11月至2015年12月的450例患儿设为对照组,穿刺时允许家属在身边。对比静脉穿刺时,家属是否在现场对护士压力大小、穿刺次数的影响程度。结果:在工作年限1年、2年的低年资护士的穿刺一次性成功率中,试验组与对照组存在显著性差异(p < 0.05),而工作年限满3年后,两组穿刺一次性成功率无显著性差异(p > 0.05);在压力评分中,工作年限在1年、2年的低年资护士试验组主要变现在轻中度压力,而对照组表现为中、偏重度压力,两组间有统计学差异(p < 0.05);工作年限满3年的护士试验组主要表现有轻度压力,而对照组表现有轻中度压力,两组间有统计学差异;在工作年限满4年的高年资护士,少数表现有轻度压力,两组间无统计学差异(p > 0.05)。结论:护士为患儿进行静脉穿刺时,家属不在现场可提高静脉穿刺成功率;随工作年限延长,抗压能力增强。

Abstract: Objective: To compare the relationship between the presence of family members and the pres-sure of the nurses in pediatric puncture, and the influence of family intervention on the success rate of puncture. Methods: A self-designed questionnaire and evaluation scale was used in the cases from September 2015 to December 2015. 450 patients from September to October were set as the experimental group which the families were not allowed in the children side when puncturing; 450 cases of November to December were set as the control group which the fami-lies were in the side. The influence of family members on the pressure of nurses and the number of times of puncture is compared. Results: There is a significant difference between the experi-mental group and the control group in the working life of 1 year, 2 years of junior nurses punc-ture one-time success rate (p < 0.05), while no significant difference in the senior nurses (p > 0.05); mild to moderate pressure was realized in junior nurses in experimental group, while severe degree pressure was showed in the control group (p < 0.05); nurses working over 3 years experienced slight pressure in the experimental group, while the control group showed mild to moderate pressure; no significant difference between the two groups in senior nurses of working over 4 years (p > 0.05). Conclusions: The success rate of venous puncture can be improved without the family members in the field, resistance of pressure can be strengthened with the working experience.

文章引用: 张 静 , 李芳芳 , 吴亚楠 (2016) 小儿静脉穿刺时家属干预对穿刺成功率的影响研究。 护理学, 5, 59-63. doi: 10.12677/NS.2016.54012

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