Research on puncture skills and nursing of children's venous indwelling needle
小儿静脉留置针的穿刺技巧和护理研究

摘要

目的 研究总结小儿静脉留置针的穿刺技巧后操作，对穿刺成功率，护理质量的影响。方法 选取2020年1月至12月在我院（厦大大学附属第一医院急诊儿科）进行输液治疗的62例患儿，采用随机数字表法分为对照组与试验组，每组各31例。对照组实施常规小儿静脉留置针穿刺，同时配合常规护理；试验组在总结穿刺技巧后再对患儿实施静脉留置针穿刺，并采用针对性护理。比较两种方法的护理满意度、并发症发生率、一次穿刺成功率。结果（1）试验组护理满意度与对照组护理满意度有一定差异，试验组护理满意度分值高于试验组（P<0.05）。（2）对照组一次性穿刺成功率为70.96%，低于试验组的93.55%，两组对照差异明显，（P<0.05）。（3）对照组并发症发生率为29.03%高于试验组的6.45%，经对照有一定差异，（P<0.05）。结论 小儿静脉留置针过程中，总结穿刺技巧后对患儿实施穿刺可提高一次性穿刺成功率。再配合针对性护理，可提高护理质量，提高患儿家属满意度，此方案值得临床应用与普及。

Abstract

Objective To study and summarize the effects of puncture skills and post-operation of pediatric venous indwelling needles on the success rate of puncture and the quality of nursing.
Methods A total of 62 children who received infusion therapy in our hospital (Emergency Pediatrics Department of the First Affiliated Hospital of Xiamen University) from January to December 2020 were selected and divided into a control group and an experimental group by random number table method, with 31 cases in each group. In the control group, routine puncture of children's venous indwelling needle was performed, and at the same time, routine nursing was performed; The nursing satisfaction, complication rate, and one-time puncture success rate were compared between the two methods.
Results (1) There was a certain difference between the nursing satisfaction of the experimental group and the control group, and the nursing satisfaction score of the experimental group was higher than that of the experimental group (P<0.05). (2) The success rate of one-time puncture in the control group was 70.96%, which was lower than 93.55% in the experimental group, and the difference between the two groups was significant (P<0.05). (3) The incidence of complications in the control group was 29.03% higher than that in the experimental group (6.45%), and there was a certain difference in the control group (P<0.05).
Conclusion   In the process of venous indwelling needle in children, puncturing the children after summarizing the puncture skills can improve the success rate of one-time puncture. Combined with targeted nursing, the quality of nursing can be improved and the satisfaction of the families of children can be improved. This program is worthy of clinical application and popularization.