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[摘要]
目的:研究婴幼儿使用静脉留置针时发生液体渗出的相关因素及护理对策。方法:2019年7月13日~2020年2月28日在内蒙古医科大学附属医院儿科病房住院的患者中随机抽取1000例患儿作为研究对象,详细记录年龄、性别、输入药物类型、穿刺部位、是否一次穿刺成功、护士工作年限、住院天数这些因素,在婴幼儿使用静脉留置针期间以上因素是否对发生液体渗出有影响,寻找能够引发婴幼儿静脉留置针液体渗出的独立危险因素。结果:在影响婴幼儿静脉留置针液体渗出的单因素分析中,年龄、性别、输入药物类型、穿刺部位、是否一次穿刺成功、护士工作年限、住院天数均可影响输液期间发生液体渗出;多因素分析结果显示,输入药物类型、穿刺部位、是否一次穿刺成功、住院天数为发生静脉留置针液体渗出的独立危险因素。结论:通过分析婴幼儿静脉留置针液体渗出的相关因素,加强对相关因素的科学评估,及时采取相应的措施,避免发生液体渗出,减轻患儿的痛苦,减少家属的焦虑,以减轻护士的工作量,保证输液安全、快捷、有效,促进患者尽快恢复。
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[Abstract]
【ABSTRACT】Objective: To study the related factors and nursing strategies of liquid exudation in infants with intravenous indwelling needle. Methods: from July 13, 2019 to February 28, 2020, 1000 children were randomly selected from the inpatients in the pediatric ward of a third-class hospital in Inner Mongolia Autonomous Region as the study object, The factors such as age, gender, type of drug input, location of puncture, success of one puncture, working years of nurses and length of stay in hospital were recorded in detail, Whether the above factors have an effect on the occurrence of liquid exudation during the use of intravenous indwelling needle in infants and children, and look for independent risk factors that can cause liquid exudation of intravenous indwelling needle in infants and children. Results: in the single factor analysis, age, gender, type of drug, location of puncture, success of one puncture, working years of nurses and length of stay in hospital all affected the occurrence of liquid exudation during transfusion; The results of multivariate analysis showed that the type of drug, the location of the puncture, whether the puncture was successful or not, and the number of days in hospital were independent risk factors for the occurrence of liquid exudation of intravenous indwelling needle. Conclusion: by analyzing the relevant factors of liquid exudation of intravenous indwelling needle in infants, we should strengthen the scientific evaluation of the relevant factors, take the corresponding measures in time, avoid liquid exudation, reduce the pain of children, reduce the anxiety of family members, so as to reduce the workload of nurses, ensure the safety, rapidity and effectiveness of infusion, and promote the recovery of patients as soon as possible. 【key word】Infants and young children; Needle; liquid exudation; independent risk factors
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