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目的:分析小儿静脉推注激素类药物的常见不良反应与护理防范管理对策及护理效果。方法:从2013年8月~2016年8月于绍兴第二医院儿科采用激素类药物静脉推注治疗的患儿中选取280例作为研究对象,根据护理管理方案采用常规护理的对照组(140例),与在常规护理基础上加入激素类药物不良反应防护性护理管理的观察组(140例)。对两组患儿的不良反应情况、护理满意率等进行分析并比较。结果:采用静脉推注激素类药物治疗的患儿可能出现恶心/呕吐、面色苍白、腹痛、寒颤、四肢无力等不良反应,其中对照组总不良反应率为27.86%,观察组总不良反应率为11.43%显著差异(P<0.05)。此外观察组的护理满意率也显著高于对照组(P<0.05)。结论:采用静脉推注激素类药物的患儿,可开展如强化与患儿沟通,治疗时严密观察患儿、根据患儿反应适当控制推注速度,患儿及家属心理疏导等护理管理措施,通过上述护理管理方案可有效降低患儿不良反应率,提高用药安全性,优化医患关系。
OBJECTIVE: To analyze the common adverse reactions of pediatric intravenous injection of hormonal drugs and nursing management strategies and nursing effects. Methods: From August 2013 to August 2016, 280 children were enrolled in the pediatric department of Shaoxing Second Hospital who were treated with intravenous hormone therapy. The control group (140 cases ), And the observation group (140 cases) who added the protective effect of steroid adverse drug reactions to conventional nursing care. The two groups of children with adverse reactions, nursing satisfaction rates were analyzed and compared. Results: The children treated with intravenous hormone therapy may have nausea / vomiting, pale, abdominal pain, shivering, limb weakness and other adverse reactions, of which the control group, the total adverse reaction rate was 27.86%, the observation group the total adverse reaction rate was 11.43% significant difference (P <0.05). In addition, the nursing satisfaction rate of the observation group was also significantly higher than that of the control group (P <0.05). Conclusion: The intravenous injection of hormonal drugs in children can be carried out, such as strengthening the communication with children, treatment closely observed children, according to the appropriate response to children with bolus injection rate, psychological counseling in children and their families and other nursing management measures, Through the above nursing management program can effectively reduce the rate of adverse reactions in children, improve drug safety, optimize the doctor-patient relationship.