李弟

【摘 要】目的：探讨静脉输液患儿通过护理干预对依从性、穿刺成功率的影响。方法：收集我院自2018年1月至2021年1月期间收治的对静脉输液患儿73例病例作为研究样本。经双盲法分为观察组与对照组，前者（n=36）给予全程护理干预，后者（n=37）给予常规护理，对比两组患儿依从性、穿刺成功率。结果：观察组一次穿针成功率（91.67%）高于对照组（64.86%），哭闹率（33.33%）低于对照组（56.76%）（P<0.05）；观察组不依从人数低于对照组，依从人数高于对照组，依存率（97.22%）高于对照组（62.16%）（P<0.05），组间差异明显。结论：静脉输液患儿通过应用护理干预能够降低患儿哭闹程度，提高一次性穿刺成功率，增加患儿依從性。

【关键词】静脉输液；护理干预；提高一次性穿刺成功率；依从性

Effect of nursing intervention on compliance and puncture success rate in children with intravenous infusion

Li di

Jingyang Maternal and Child Health and Family Planning Service Center， Xianyang， Shaanxi 713700

【Abstract】Objective： To explore the effect of nursing intervention on compliance and puncture success rate of children with intravenous infusion. Methods： 73 cases of children with intravenous infusion treated in our hospital from January 2018 to January 2021 were collected as research samples.The patients were divided into observation group and control group by double-blind method. The former（n=36） was given whole course nursing intervention， and the latter（n=37） was given routine nursing. The compliance and puncture success rate of the two groups were compared.Results：The success rate of one-time puncture in the observation group （91.67%） was higher than that in the control group （64.86%）， and the crying rate （33.33%） was lower than that in the control group （56.76%） （P<0.05）. The number of non-compliance in the observation group was lower than that in the control group， the number of compliance was higher than that in the control group， and the dependency rate （97.22%） was higher than that in the control group （62.16%） （P<0.05）.Conclusion：Nursing intervention can reduce the crying degree of children with intravenous infusion， improve the success rate of one-time puncture and increase their compliance.

【Key？Words】Intravenous infusion； Nursing intervention； Improve the success rate of one-time puncture； Compliance

静脉输液是临床常见的治疗途径，且治疗效果确切，但由于小儿患者静脉比较细小，管壁薄弱，而且容易哭闹，这在无形之中也增加了穿刺难度，加上穿刺带来的疼痛感，患儿又容易躁动，因此在住院进行输液过程中难以配合治疗，在输液过程中也比较容易出现针头脱落和药液外渗的情况，因而影响静脉输液效果[1]。采取有效的护理干预措施以提高患儿的依从性，提高穿刺成功率，增强家属满意度十分重要。本次研究选取我院自2018年1月至2021年1月期间收治的73例对静脉输液患儿病例开展研究，总结如下。

1.1 一般资料

收集我院自2018年1月至2021年1月期间收治的对静脉输液患儿73例病例作为研究样本。按照护理方法的不同，分为观察组（n=36）和对照组（n=37）。观察组，男17例，女19例，年龄28天～6岁，平均年龄（5.21±0.12）岁，静脉输液原因：腹泻10例，上呼吸道感染21例，肺炎5例；……