中医情志护理联合正强化干预模式对住院患儿静脉输液依从性和疼痛程度的影响
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R248.4

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Effect of Emotional Nursing of Chinese Medicine Combined with Positive Reinforcement Intervention Model on Compliance of Intravenous Infusion and Pain Degree of Hospi⁃ talized Children
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    摘要:

    目的:观察中医情志护理联合正强化干预模式对住院患儿静脉输液依从性及疼痛程度的影响。方法:将静脉输液住院患儿 160 例随机分为对照组和观察组各 80 例,对照组给予中医情志护理,观察组在对照组的基础上联合正强化干预模式护理,观察比较 2 组依从性、穿刺成功率、满意度、漏药率、停药率及针头脱落情况,观察比较 2 组疼痛程度[Wong-Baker 笑脸量表(Wong-Baker)评分、改良面部表情评分法(FLACC)评分]。结果:一次穿刺成功率、依从性较好率、家长满意率观察组分别为 93.75%、96.25%、91.25%,对照组分别为 76.25%、81.25%、78.75%,2 组比较,差异均有统计学意义 (P<0.05)。Wong-Baker 评分轻度疼痛率、FLACC 疼痛评分轻度疼痛率观察组分别为 65.00%、62.50%,对照分别为 42.50%、41.25%, 2 组比较,差异均有统计学意义 (P<0.05)。观察组患儿输液后漏药率为 2.50%、停药率为 5.00%、针头脱落率为 1.25%,对照组分别为 11.25%、16.25%、8.75%,2 组比较,差异均有统计学意义(P<0.05)。结论:对静脉输液患儿采用中医情志护理联合正强化干预模式护理效果显著,穿刺成功率、依从性及满意度均较高,患儿疼痛少,漏药停药及针头脱落率较低。

    Abstract:

    Abstract: Objective: To observe the effect of emotional nursing of Chinese medicine combined with positive reinforcement intervention model on compliance of intravenous infusion and pain degree of hospitalized children. Methods:A total of 160 hospitalized children with intravenous infusion were randomly divided into the control group and the observation group,80 cases in each group. The control group was given emotional nursing of Chinese medicine. The observation group was additionally given nursing with positive reinforcement intervention model on the basis of the control group. The compliance, the rate of successful puncture, satisfaction, medicine leakage rate, medicine withdrawal rate and needle dropout were observed and compared between the two groups. The Wong-Baker Faces Pain Rating Scale(Wong-Baker) and modified FLACC Pain Scale(FLACC) were applied to observing the degree of pain,and the scores were compared between the two groups. Results:The successful rate at the first attempt of puncture,good compliance rate and parent satisfaction rate were 93.75%,96.25% and 91.25% in the observation group,and 76.25%,81.25% and 78.75% in the control group, respectively,differences being significant(P<0.05). Wong- Baker scores and FLACC pain scores for evaluating the rate of mild pain were 65.00% and 62.50% in the observation group,and 42.50% and 41.25% in the control group,respectively, differences being significant(P<0.05). After infusion, the medicine leakage rate, the medicine withdrawal rate and the needle dropout rate were 2.50%,5.00% and 1.25% in the observation group,and 11.25%,16.25% and 8.75% in the control group, respectively, differences being significant(P<0.05). Conclusion: For children undergoing intravenous infusion,emotional nursing of Chinese medicine combined with nursing with positive reinforcement intervention model has significant nursing effect,which helps obtain a higher rate of successful puncture,compliance,and satisfaction,and lower rates of medicine leakage,medicine withdrawal,and needle dropout;children will not suffer a lot from pain.

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张娴.中医情志护理联合正强化干预模式对住院患儿静脉输液依从性和疼痛程度的影响[J].新中医,2021,53(1):183-186

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  • 在线发布日期: 2021-01-11
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