余金花++郭莉媛

[摘要]目的 探讨针对性护理管理干预在小儿静脉穿刺中的应用效果。方法 将我院2013年6月～2016年12月收治的小儿静脉输液患儿300例分两组，各150例。常规组实施常规护理管理干预，针对性组实施针对性护理管理干预。就两组患儿家长对护理管理的满意度评分、患儿穿刺依从性评分、舒适评分、疼痛评分和静脉一次穿刺成功率、穿刺后不良反应总发生率进行比较。结果 针对性组静脉一次穿刺成功率明显高于常规组（P<0.05）。针对性组穿刺后不良反应总发生率明显低于常规组（P<0.01）。其中，常规组5例穿刺部位水肿，6例静脉炎，4例穿刺部位渗血。针对性组1例穿刺部位水肿。针对性组患儿家长对护理管理的满意度评分、患儿穿刺依从性评分、舒适评分、疼痛评分均明显优于常规组（P<0.01）。结论 实施针对性护理管理干预对小儿静脉穿刺成功率的影响大，可有效提升患儿穿刺依从性，提高静脉一次穿刺成功率，提高患儿舒适度，减轻其疼痛感，减少穿刺不良反应的发生，患儿家长对护理服务满意度高，值得推广应用。

[关键词]针对性护理管理干预；小儿静脉穿刺；应用效果

[中图分类号] R472 [文献标识码] A [文章编号] 1674-4721（2017）07（c）-0119-03

Application of targeted nursing management intervention in pediatric venipuncture

YU Jin-hua GUO Li-yuan

the Third Hospital of Nanchang，Jiangxi Province，Nanchang 330009，China

[Abstract]Objective To explore the effect of targeted nursing management intervention in pediatric venipuncture.Methods 300 cases of children with intravenous infusion from June 2013 to December 2016 treated in our hospital were divided into two groups，150 cases in each group.Routine nursing management intervention was carried out in the conventional group，and the targeted group was treated with targeted nursing management.The scores of adherence to nursing management，scores of pediatric puncture compliance，comfort score，pain score and venipuncture success rate were compared between two groups.Results The success rate of puncture in the group was significantly higher than that in the conventional group （P<0.05）.The incidence of adverse reactions after targeted puncture was significantly lower than that of the conventional group （P<0.01）.Among them，the conventional group of 5 cases of puncture site edema，6 cases of phlebitis，4 cases of puncture site bleeding.1 case of puncture site edema in the target group.The score of satisfaction，nursing score and pain score of the children of the target group were significantly better than those of the conventional group （P<0.01）.Conclusion The implementation of targeted nursing management intervention has a significant impact，it on the success rate of pediatric venipuncture can greatly improve the compliance of puncture in children，improve the success rate of vein puncture，improve children′s comfort，reduce the pain and the adverse reaction，parents of children with high satisfaction with nursing services，it is worth promoting the application.

[Key words]Targeted care management intervention；Pediatric venipuncture；Application effect

小兒静脉穿刺是临床基本护理操作，其成功率直接影响治疗效果和家长满意度[1]。小儿静脉穿刺是儿科常规护理操作和治疗的必要途径，是确保患儿得到有效治疗和改善预后的重要基础，因此，做好小儿静脉穿刺工作非常重要。针对性护理管理干预在小儿静脉穿刺中的实施是根据小儿静脉穿刺不良事件的影响因素评估，针对不良因素进行针对性护理管理，以提升护理人员沟通技巧、操作技术和综合素质等，减少不良事件的发生。本文探讨了针对性护理管理干预对小儿静脉穿刺成功率的影响，报道如下。

1资料与方法

1.1一般资料

将我院2013年6月～2016年12月收治的小儿静脉输液患儿300例分两组，各为150例。本研究经我院医学伦理委员会批准，所有患儿家长知情同意本次研究。常规组男78例，女72例；年龄0.2～12岁，年龄（4.72±0.21）岁；头皮穿刺60例，手背53例，手腕27例，足背10例。……