单手送管在儿科留置针穿刺置管中的应用效果.pdf

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1、·74·解放军护理杂志2014年9月，31(17)技术与方法单手送管在儿科留置针穿刺置管中的应用效果高明春，张倩，李平，杨苹，李玲(解放军第97医院儿科，江苏徐州221004)【摘要】目的探讨单手送管在儿科留置针穿刺置管中的应用效果。方法将2O12年9月至2013年9月862例行外周浅静脉留置针穿刺的患儿采用随机数字表分为两组，观察组采用单手送管，对照组采用双手送管。比较两组患儿的一次穿刺成功率、留置针留置时间、穿刺时需助手配合率、家属及穿刺者满意度。结果观察组患儿一次穿刺成功率(93．49)、患儿亲属满意度(97．21)、穿刺者满意度(98．37)均高于对照组，穿刺时需助手配合率(

2、17．21)低于对照组，差异均有统计学意义(PO．05)。结论采用单手送管技术进行留置针穿刺，提高了穿刺成功率和患儿亲属满意度，提高了工作效率，适宜在儿科推广应用。【关键词】单手送管；浅静脉穿刺；置管；儿科doi：10．3969／j．issn．1008—9993．2014．17．023I中图分类号】R472．9【文献标志码lA【文章编号】1008—9993(2014)17-0074-03ApplicationEffectsofPushingCannulawithSingleHandforPuncturingtheOu

3、terPeripherySu—perficialVeinstoIndwelltheCannulainPediatrics．GaoMingchun，ZhangQian，LiPing，YangPing，LiLing(DepartmentofPediatrics，the97thHospitalofPLA。Xuzhou221004，JiangsuProvince，China)Correspondingauthor：LiLing，E—mail：421252741@qq．com【Abstract】0bjectiveToinvestigatetheapplicationeffectofpushin

4、gcannulawithsinglehandforpunctu—ringtheouterperipherysuperficialveinstoindwellthecannulainpediatrics．Methods862sickchildrenwhowerepuncturedtheouterperipherysuperficialveinstoindwellthecannulawererandomlydividedintotwogroups．Observationgroupwasdusethetechniqueofpushingcannulawithsinglehand．Contr

5、olgroupwasusedthetechniqueofpushingcannulawithbothhands．Onetimesuccessrate，indwellingtime，assis—tantrequiredrateandfamilysatisfactionratewerecomparedbetweentwogroups．ResultsTheonetimepuncturesuccessrate(93．49)，thesatisfactoryrateofsickchildrenrelatives(97．219／6)andpuncturingnurses(98．37)inobser

6、vationgroupwereallsignificantlyhigherthanthoseincontrolgroup．Thenumberofassistantneeded(17．21)whenpuncturingsignificantlyreducedinobservationgroup(P0．05)．ConclusionPushingcannulawithsi

7、nglehandforpuncturingtheouterperipherysuperficialveinstoindwellthecannulacanimprovethesatisfactionofsickchildrenrelativesandpunctu—ringnurses，andworkefficiency，SOitissuitableforpopularizationandapplicationinpediatrics．【Keywords】pu