Exploration of the main factors affecting the retention time of pediatric intravenous catheters and nursing strategies
影响小儿静脉留置针留置时间的主要因素及护理对策探讨

摘要

目的 分析小儿静脉留置针留置时间的主要因素，针对相关因素实施针对性护理的效果。方法 选取我院2024年1月~2025年1月内进行静脉留置针护理的患儿110例，针对患儿留置针留置时间短问题分析后实施针对性护理，对比实施前后护理效果。结果 影响小儿静脉留置针留置时间主要因素含反复穿刺、皮下血肿、液体外渗和针头滑脱等，针对相关因素实施护理干预后，患儿的不良事件总发生率显著降低，留置针留置时间增长，家属满意度增加，与干预前对比差异均有统计学意义（P＜0.05）。结论 通过对小儿静脉留置针留置时间的主要影响因素进行针对性的护理干预，能够显著降低患儿不良事件的发生，延长留针时间，同时提升护理满意度。

Abstract

Objective To analyze the main factors affecting the retention time of pediatric intravenous catheters and to evaluate the effectiveness of targeted nursing for these factors.
Methods 110 pediatric patients who received intravenous indwelling needle care in our hospital from January 2024 to January 2025 were selected. After analyzing the problem of short indwelling needle time in pediatric patients, targeted nursing was implemented, and the nursing effects before and after implementation were compared.
Results The main factors affecting the retention time of pediatric intravenous catheters include repeated punctures, subcutaneous hematomas, fluid extravasation, and needle slippage. After implementing nursing interventions targeting these factors, the overall incidence of adverse events in children was significantly reduced. The retention time of the catheter increased, and the satisfaction of family members increased, with statistically significant differences compared to before the intervention (P<0.05).
Conclusion   Targeted nursing interventions on the main influencing factors of the retention time of pediatric intravenous catheters can significantly reduce the occurrence of adverse events in children, prolong the retention time, and improve nursing satisfaction.