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題名:降低學齡前期病童靜脈注射過程行為反應之專案
書刊名:健康與建築雜誌
作者:李佳玲何岱爭張志明
作者(外文):Li, Chia-lingHo, Tai-chengChang, Chih-ming
出版日期:2016
卷期:3:3
頁次:頁68-77
主題關鍵詞:學齡前期靜脈注射行為反應PreschoolIntravenous injectionBehavioral response
原始連結:連回原系統網址new window
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  • 共同引用共同引用:9
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背景:學齡前期兒童於住院期間面對不熟悉的人與環境易產生分離焦慮等護理問題。執行侵入性治療,如靜脈注射的痛苦將被放大。護理人員於靜脈注射過程中,往往將家屬隔離在治療室外,並使用更多的人力將病童固定於治療床上。目的:本專案旨在降低學齡前期病童靜脈注射過程行為反應。方法:利用結構式問卷及訪談收集73名病童於靜脈注射過程行為反應:有不好的注射經驗;缺乏注射技術訓練;單調的天花板及牆壁等。擬定解決方案: 可選擇注射姿勢、重新制訂兒科靜脈注射流程、製作適當的輔具、於天花板架設電視及牆面重新佈置。結果:方案實施後,重度行為反應下降至33.9%,達目標值,期此專案能提供醫護單位病童執行靜脈注射之參考。結論與應用:許多病童住院接受靜脈注射時常有反抗等行為出現。當護理人員發現病童無法配合時,家屬常有許多干預醫療行為出現,專案實施後,使用輔助固定裝置及轉移注意力可有效降低病童行為反應。
Background: When faced with unfamiliar people and environment during hospitalization, preschool children tend to experience nursing issue, such as separation anxiety. As a result, the pain caused by invasive treatments, such as intravenous injection, will be enlarged. During intravenous injection, nursing personnel usually have to isolate family members from treatment room and use more manpower to fix sick children on treatment beds. Purposes: The main purpose of this project is to reduce preschool children's behavioral responses to intravenous injection process. Methods: This study used structured questionnaire and interview to collect the behavioral responses to intravenous injection process of 73 sick children: a prior bad experience about injection; lack of injection skill training; dull ceiling and walls. Proposed solutions: alternative injection position, re-development of pediatric intravenous injection procedures, development of adequate aids, installation of TV on ceiling, and renovation of walls. Results: After the implementation of this project, severe behavioral responses were reduced by 33.9%, reaching the target value. It is hoped that this project can be provided as reference for medical and nursing units to administer intravenous injection to sick children. Conclusions and Application: Many children tend to display behaviors of resistance when receiving intravenous injection during hospitalization. Nursing personnel found that children were unable to cooperate with them and family members usually displayed many behaviors of medical interventions. After the implementation of the project, the use of aids fixtures and distraction could effective reduce children's behavioral responses.
期刊論文
1.Ben-Ari, A.(1996)。Israeli professionals' knowledge and attitudes toward AIDS。Social Work in Health Care,22(4),35-52。  new window
2.蕭靚雯、吳雅惠、楊璧瑗(20060600)。降低學齡前期兒童接受靜脈注射時害怕行為之專案。長庚護理,17(2),195-205。new window  延伸查詢new window
3.賴莉卉、徐少慧(20101200)。降低幼兒靜脈注射過程害怕行為反應之專案。志為護理,9(6),78-88。  延伸查詢new window
4.彭玉琪、李奕儒(20100600)。照顧一位Guillian-Barre症候群學齡期兒童之護理經驗。長庚護理,21(2)=70,238-246。new window  延伸查詢new window
5.李銘櫻、余佳紋、楊雅鈞、張鈞竹(20140400)。降低學齡前期兒童靜脈注射疼痛之方案。護理雜誌,61(2)(附冊),68-75。new window  延伸查詢new window
6.劉孟琪、柯識鴻、葉淑梅、陳紀雯(20101200)。急性住院幼兒壓力反應及護理人員之因應行為。輔仁醫學期刊,8(4),235-242。  延伸查詢new window
7.Hester, N.、Foster, R.(1992)。Children in pain: research combats undertreatment。Denver Medical Journal,1,20-21。  new window
8.Lunoe, M. M.、Drendel, A. L.、Levas, M. N.、Weisman, S. J.、Dasgupta, M.、Hoffmann, R. G.、Brousseau, D. C.(2015)。A randomized clinical trial of jet-injected lidocaine to reduce venipuncture pain for young children。Annals of emergency medicine,66(5),466-474。  new window
9.Ozyazicioglu, N.、Arikan , D.(2008)。The effect of nurse training on the improvement of intravenous applications。Nurse Education Today,28(2),179-185。  new window
學位論文
1.林錫卿(2011)。住院兒童靜脈注射疼痛、害怕相關因素之探討(碩士論文)。國立臺北護理健康大學。  延伸查詢new window
圖書
1.Piaget, J.(1972)。The psychology of the child。New York, NY:Basic Books。  new window
 
 
 
 
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