急诊室中儿童外周静脉穿刺的相关困难
Difficulties Related to Peripheral Intravenous Access in Children in an Emergency Room.
作者信息
de Freitas Floriano Claudia Maria, Machado Avelar Ariane Ferreira, Sorgini Peterlini Maria Angélica
机构信息
Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, Brazil (Drs Machado Avelar and Sorgini Peterlini and Ms de Freitas Floriano). Claudia Maria de Freitas Floriano, MSc, is a pediatric emergency nurse at the Escola Paulista de Enfermagem of the Universidade Federal de São Paulo, in São Paulo, Brazil. Ariane Ferreira Machado Avelar, PhD, MSc, RN, is an adjunct professor at the Escola Paulista de Enfermagem of the Universidade Federal de São Paulo in São Paulo, Brazil. Maria Angélica Sorgini Peterlini, PhD, MSc, RN, is an associate professor at the Escola Paulista de Enfermagem of the Universidade Federal de São Paulo in São Paulo, Brazil.
出版信息
J Infus Nurs. 2018 Jan/Feb;41(1):66-72. doi: 10.1097/NAN.0000000000000262.
This prospective study examined the characteristics of children admitted to a pediatric emergency department and the factors that influenced the successful establishment of peripheral intravenous (IV) access. Descriptive and correlational analysis was completed using a convenience sample of 89 patients. Peripheral IV access was successful in 95.7% of the children, and the first attempt at insertion was successful in 53% of the procedures. Factors influencing the success of peripheral IV access were the patient's gender, skin color, presence of difficult-to-see veins, small veins, presence of fever, and a lack of palpable veins.
这项前瞻性研究调查了入住儿科急诊科的儿童的特征以及影响外周静脉通路成功建立的因素。使用89名患者的便利样本完成了描述性和相关性分析。95.7%的儿童外周静脉通路成功，53%的操作首次穿刺成功。影响外周静脉通路成功的因素包括患者的性别、肤色、难以看清的静脉、小静脉、发热以及无法触及的静脉。
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