急诊输液患儿采用临床健康教育路径的效果评价

　　[摘要] 目的 急诊输液患儿采用临床健康教育路径的效果评价。方法 该院急诊输液中心于2017年2月开展健康教育护理路径干预，方便选择2017年2—12月间急诊输液患儿共509例，纳入观察组;纳入实施前（2016年3月—2017年1月间）急诊输液患儿共511例，纳入常规组，评价两组患儿输液问题发生情况、护患纠纷发生率、家属满意度及健康知识掌握度评分。 结果 观察组患儿输液问题发生率35例（6.88%），低于常规组92例（18.00%）（χ2=5.676，P<0.05）;观察组护患纠纷发生率27例（5.30%），低于常规组71例（13.89%）（χ2=4.253，P<0.05）。观察组家属对护理服务主诉满意度489例（96.07%），高于常规组413例（80.82%）（χ2=11.378，P<0.05）。观察组家属对健康知识掌握评分均高于常规组（t=97.135、120.009、147.493、134.445，P<0.05）。结论 采用健康教育路径干预可有效降低护患纠纷发生率、输液问题发生率，提高患儿家属对护理服务满意度及健康教育知识掌握度。
　　[关键词] 输液;健康教育;临床路径;急诊
　　[中图分类号] R473          [文献标识码] A          [文章编号] 1674-0742（2019）04（a）-0151-03
　　[Abstract] Objective To evaluate the effect of clinical health education pathways in children with emergency infusion. Methods The emergency infusion center of our hospital carried out the health education nursing intervention in February 2017. A total of 509 children with emergency infusion from February to December 2017 were selected and included in the observation group. Before the implementation from March 2016 to January 2017， children with emergency infusion were included. 511 cases were included in the routine group to evaluate the incidence of infusion problems， the incidence of nurses and patients， family satisfaction and health knowledge mastery scores. Results The incidence of infusion problems in the observation group was 35 cases （6.88%）， which was lower than that in the conventional group 92（18.00%）（χ2=5.676， P<0.05）. The incidence of nurses and patients in the observation group was 27 cases （5.30%） lower than that of the routine group of 71 cases （13.89%）（χ2=4.253， P<0.05）. The family members of the observation group were satisfied with 489 cases （96.07%） of the nursing service complaints， which was higher than the routine group 413 cases （80.82%）（χ2=11.378， P<0.05）. The family members of the observation group had higher scores on health knowledge than the conventional group （t=97.135， 120.009， 147.493， 134.445， P<0.05）. Conclusion Health education pathway intervention can effectively reduce the incidence of nurses and patients， the incidence of infusion problems， and improve the satisfaction of nursing care providers and health education.
　　[Key words] Infusion; Health education; Clinical pathway; Emergency department
　　靜脉输液是临床基础护理操作，作为直接给药途径，具有见效快的应用优势，在临床得到广泛应用[1]。急诊作为医院重要窗口科室，每日收治疾病种类繁多、科室人流量大，输液是急诊最常见的治疗措施[2]。文章选择2017年2—12月间急诊输液患儿共509例，分析开展健康教育护理路径干预效果，健康教育是护士针对服务对象及其家属提供身心、文化、社会适应能力等方面的教育，通过健康教育可提高患者遵医意识，促使患者自发的进行有利于健康的相关行为，积极降低治疗过程中的风险因素[3]，现将研究结果报道如下。