abstract
Objective: To explore the application effect of intravenous indwelling needle in pediatric nursing.
Methods: 50 pediatric patients in our hospital were randomly divided into control group and observation group, in which the observation group was given intravenous indwelling needle, while the control group was given routine nursing care by intravenous puncture. The nursing effects and nursing phenomena of the two groups were observed and compared.
Results: There were obvious differences in surgical skills and complications between the observation group and the control group. The application effect of the observation group is obviously better than that of the control group, which has a strong nursing function, can better promote the treatment of pediatric children and has good clinical significance.
Key words: pediatric nursing; Intravenous indwelling needle; Application effect
Intravenous indwelling needle is widely used in clinical nursing, especially in pediatric nursing. Intravenous indwelling needle has a good therapeutic effect. Intravenous indwelling needle enables patients to realize intravenous infusion. Most patients who use intravenous indwelling needles need long-term treatment, and intravenous infusion and venipuncture are difficult.
It can effectively improve the condition of such patients and promote their better recovery. Compared with venipuncture, venous indwelling needle has the advantages of simple operation process, difficult puncture of blood vessels, flexible intubation and long venous indwelling time.
1, data and methods
1. 1 general data selection
Fifty pediatric patients in our hospital were divided into two groups, the observation group and the control group. There were 25 children in each group, including 26 boys and 24 girls, aged between 5- 1 1 year, and the hospitalization time was between 10-20 days.
There is no obvious difference in sex, hospitalization time and age between the two groups, which can be used as comparison objects and fully meet the requirements. Patients in both groups should be disinfected before puncture treatment to fully ensure the health of children.
1.2 method
Children in the observation group were treated with intravenous indwelling needle, while children in the control group were treated with traditional venipuncture. In routine venipuncture nursing, skin test and sign detection are first performed on the patient, and finally the needle is pulled out after infusion.
Patients in the observation group should fully observe drug skin test, venipuncture and sign detection. Moreover, both groups of patients need to receive treatment in a good environment, so as to fully ensure the aseptic operation of children, reduce the frequency of infection and prevent complications.
Nursing staff should also strengthen patrol work. If children are found to have any adverse reactions, they should be treated in time and do a good job of prevention. In the process of work, the staff should also do a good job in hand-over and nursing records, implement the work according to the method of three checks and seven pairs, and do a good job in nursing children to the maximum extent.
After the two groups of children finished nursing work, it is necessary to analyze the therapeutic effects of the two nursing methods by using medical records and questionnaires, so as to evaluate the satisfaction of the families of the two groups of children with nursing work.
2. The specific application of indwelling needle in pediatric nursing.
In the process of retaining the needle, the skin of the puncture point should be disinfected first, and the range is 6-8 cm in diameter around the puncture point. Then, puncture is performed according to the standard, and the needle handle of the indwelling needle is gripped with the index finger and thumb, so that the included angle between the needle handle and the patient's vein is set at 15 to 30 degrees.
Then the needle is inserted, and the needle core is withdrawn 1-2mm under the condition of good blood return, then the outer sleeve is sent into the blood vessel, the outer sleeve of the indwelling needle is fixed with the left hand, the needle core is pulled out with the right hand, and finally the indwelling needle time is specified with a transparent application. Correct tube sealing operation can prevent complications.
In the tube sealing work, first of all, we should pay attention to the positive pressure tube sealing, slowly inject 2-3-5ml of tube sealing liquid from the infusion needle in heparin cap, and then pull out the infusion needle while pushing the residual liquid to ensure that the lumen is full to the maximum extent. Finally, the indwelling time of indwelling needle is about 4 days.
After the indwelling needle is finished, the nursing work is also very important, which is related to whether the child will cause complications and infections. Therefore, aseptic operation should be adopted in nursing work, and the patient's condition should be observed at any time. If redness, dryness and exudation occur, corresponding measures should be taken immediately.
3. Results
After comparison, it was found that the nursing effect of intravenous indwelling needle was better. Finally, the family members of the children scored the two nursing methods. The nursing score of venous indwelling needle was significantly higher than that of control group, and the incidence of complications in observation group was significantly lower than that in control group.
The application of venous indwelling needle can effectively save the cost and relieve the pain of children, and the puncture success rate is high, and the nursing effect of venous indwelling needle is ideal.
Step 4 discuss
The nursing effect of venous indwelling needle in pediatric nursing is obviously better than that of routine puncture, but prevention and disinfection should be strengthened in the nursing of venous indwelling needle to reduce the probability of complications and prevent infection and tube blockage, which is mostly caused by blood blocking indwelling needle.
In the end, drugs can't enter the body, and phlebitis can easily lead to the fragility of patients' blood vessels. Therefore, close observation and nursing play a very important role in children's health. In the nursing work of intravenous indwelling needle, the puncture site and model that are consistent with children should be selected, and the staff should be as skilled as possible.
This can fully reduce the pain of children, ensure the sterility of needles and disinfection of skin to the greatest extent during the puncture, observe the patient's situation after the indwelling work, and fully prevent complications. Only the method of venous indwelling needle is well done.
In order to maximize the clinical value of intravenous indwelling needle. With the rapid development of economy, people's living standards are gradually improving, which leads to higher requirements of parents for hospitals. In the puncture treatment, most of them require successful puncture at one time, so the nursing method of venous indwelling needle is adopted.
It can achieve high success rate of puncture and easy fixation, reduce the pain of children to the greatest extent, and improve the work efficiency and quality to the greatest extent. In addition to doing patrol work, staff should also increase communication with children to relieve their psychological pressure.
5. Summary
In a word, the application effect of intravenous indwelling needle is very ideal, which can effectively alleviate the pain of patients and reduce the cost. However, disinfection should be done well in the nursing work of intravenous indwelling needle, and aseptic operation process should be adopted to minimize the occurrence of complications.