孟宇 蔡仪术 李亚琴

【摘要】 目的：观察一题多维创优护理在腹泻患儿静脉输液中的应用效果。方法：选择2018年9-11月于笔者所在医院接受静脉输液治疗的腹泻患儿44例为对照组，2018年12月-2019年2月收治的同类患儿44例为试验组，对照组接受腹泻静脉输液常规护理，试验组接受一题多维创优护理干预，对两组干预后各观察指标进行比较。结果：试验组干预后护理依从度评分和一次性静脉穿刺成功率均显著高于对照组，静脉穿刺操作耗时与静脉输液相关性护患纠纷事件发生率均显著低于对照组（P<0.05）。结论：在腹泻患儿静脉输液中引入一题多维创优护理活动，可显著提高输液患儿的护理依从度与一次性静脉穿刺成功率，減少静脉穿刺操作耗时，降低静脉输液相关性护患纠纷事件发生率。

【关键词】 小儿腹泻; 静脉输液; 创优护理

doi：10.14033/j.cnki.cfmr.2019.27.049 文献标识码 B 文章编号 1674-6805（2019）27-0-03

The Application of One Question and Multi-dimensional Excellent Nursing in Intravenous Infusion for Children with Diarrhea/MENG Yu，CAI Yishu，LI Yaqin.//Chinese and Foreign Medical Research，2019，17（27）：113-115

【Abstract】 Objective：To observe the effect of one question and multi-dimensional excellence nursing in intravenous infusion of children with diarrhea.Method：A total of 44 children with diarrhea who received intravenous infusion in our hospital from September to November 2018 were selected as the control group，and 44 children with diarrhea who received intravenous infusion from December 2018 to February 2019 were selected as the experimental group，while the control group received routine nursing of diarrhea intravenous infusion，and the experimental group received one question and multi-dimensional excellent nursing intervention.The observation indexes of the two groups were compared after intervention.Result：The scores of nursing compliance and the success rate of one-time venipuncture in the experimental group were significantly higher than those of the control group，and the time for venipuncture operation and the incidence of nurse and patient disputes related to intravenous infusion were significantly lower than those of the control group（P<0.05）.Conclusion：Introducing one question and multi-dimensional excellent nursing activity into intravenous infusion for children with diarrhea can significantly improve the nursing compliance and the success rate of one-time venipuncture，reduce time for venipuncture operation，and reduce the incidence of nurse and patient disputes related to intravenous infusion.

【Key words】 Infantile diarrhea; Intravenous infusion; Excellent nursing

First-authors address：Zhongshan Torch Development Zone Hospital，Zhongshan 528437，China

小儿腹泻表现为排便次数增加且粪质呈稀薄状，内含未消化食物或有黏液脓血等，对儿童身体健康之危害性不可小视[1-2]。小儿腹泻可引发儿童机体内水电解质平衡紊乱问题，静脉输液在纠正水电解质紊乱及腹泻原因方面起效快速可靠，但受输液小儿年龄较小，依从性不佳、耐受度有限、自制力与自护力低下等的影响，使得小儿腹泻静脉输液护理成为高危、高风险、高难度护理项目[3]。积极有效的优质护理服务对于儿童这一特殊护理对象治疗效果的改善及康复的促进至关重要[4-5]。为了提高小儿腹泻静脉输液护理服务的有效性与安全性，笔者尝试在腹泻患儿静脉输液中引入一题多维创优护理活动，效果较好，报道如下。

1 资料与方法

1.1 一般资料

纳入标准：满足《小儿腹泻病学》[6]中小儿腹泻诊断标准。……