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題名:降低學齡前期病童靜脈注射過程之壓力行為反應
書刊名:榮總護理
作者:郭惠貞許湘鈴鄭曲棠吳婷婷白玉珠
作者(外文):Kuo, Hui-chenHsu, Hsiang-lingZheng, Chu-tangWu, Ting-tingPai, Yu-chu
出版日期:2017
卷期:34:4
頁次:頁356-364
主題關鍵詞:學齡前期靜脈注射壓力行為PreschoolIntravenousStress behavior
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:13
  • 點閱點閱:30
靜脈注射是學齡前期病童最害怕的侵入性治療,本病房學齡前期病童佔45%,其中73.3%的病童在靜脈注射過程中出現高度壓力行為反應,經觀察及訪談分析導因有:病童曾有不良注射經驗、護理人員在靜脈注射前未予說明及護理指導、未讓病童選擇注射姿勢及部位、注射室環境單調、缺乏輔助物。專案目的為改善病童靜脈注射過程之壓力行為反應,專案執行2015年10月1日-2016年4月30日,改善策略包括:靜脈注射前使用故事繪本說明、制定靜脈注射標準流程、讓病童自主選擇注射部位及姿勢、注射時影音播放轉移注意力、注射後給予獎勵及安慰等。經策略執行後,靜脈注射高度壓力行為反應由73.3%降至11.6%,建議病童靜脈注射前運用故事繪本或遊戲方式,讓病童及家屬有正確認知避免害怕,減輕面臨注射時的壓力,提升照護品質。
Intravenous injection (IV) is the most frightening procedure of invasive interventions for preschool children. In a children's ward, 45% of patients were preschool children, and among them, 73.3% had a high stress response to intravenous needle-related injection procedures. The purpose of this study was to reduce the stress response behavior of children during IV. The study was conducted from October 2015 to April 2016. Several stress factors in the IV procedure were identified, namely (1) negative experiences with needle-related procedures; (2) insufficient explanation and education from nursing staff before the IV procedure; (3) no optimal injection posture and site for children; and (4) a lack of auxiliary tools and a monotonous environment during the IV procedure. Thus, the IV procedure was improved by (1) establishing a standard procedure for IV; (2) providing a description guide through a picture storybook before the IV procedure; (3) providing an optimal injection posture and site for children; (4) transferring aural and visual attention to audio and video media; and (5) encouraging and consoling the patient after the IV procedure. After the implementation of the improvement program, the response rate of a high stress response to IV was decreased from 73.3% to 11.6%. We suggest that a providing a description through a picture storybook or playing a game yields positive responses and reduces the pressure in IV procedures, consequently improving the quality of nursing care during IV procedures.
期刊論文
1.池惠民(20060900)。治療性遊戲於Guillian-Barre症候群病童護理之運用。榮總護理,23(3),242-250。new window  延伸查詢new window
2.謝宜娟、劉惠姿、卓燕華(20120600)。降低學齡前期兒童接受靜脈注射恐懼程度之專案。護理雜誌,59(3),79-86。new window  延伸查詢new window
3.陳宜君、賴寶純、許振偉、陳淑暖(20110900)。一位11歲女童燙傷之護理經驗。北市醫學雜誌,8(3),239-248。  延伸查詢new window
4.李君懿(20100300)。優良兒童繪本出版研究。中華印刷科技年報,2010(3),364-377。  延伸查詢new window
5.洪毓鈴、陳季員(20100900)。一位學齡前期白血病童住院反應與自主性行為。高雄護理雜誌,27(2),77-87。  延伸查詢new window
6.Lacey, C. M.、Finkelstein, M.、Thygeson, M. V.(2008)。The impact of positioning on fear during immunizations: Supine versus sitting up。Journal of Pediatric Nursing,23(3),195-200。  new window
7.王靜慧、廖秋惠、李長菁(2013)。改善學齡前期病童靜脈注射過程疼痛行為反應之專案。源遠護理,7(2),29-38。  延伸查詢new window
8.賴莉卉、徐少慧(2010)。降低幼兒受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
9.Ebrahimpour, F.、Sadeghi, N.、Najafl, M.、Iraj, B.、Shahrokhi, A.(2015)。Effect of playing interactive computer game on distress of insulin injection among type I Diabetic Children。Iranian Journal of Pediatrics,25(3),1-6。  new window
10.Elliott, C. H.、Jay, S. M.、Woody, P.(1987)。An observation scale for measuring children's distress during medical procedures。Journal of Pediatric Psychology,12(4),543-551。  new window
11.Inal, S.、Kelleci, M.(2012)。Distracting children during blood draw: Looking through distraction cards is effective in pain relief of children during blood draw。International Journal of Nursing Practice,18(2),210-219。  new window
12.Mazur, A.、Winnicki, I. R.、Szczepa ski, T.(2013)。Pain management in children。The Annals of Agricultural and Environmental Medicine,1,28-34。  new window
13.Siegel, J.、Iida, H.、Rachlin, K.、Yount, G.(2016)。Expressive arts therapy with hospitalized children: A Pilot study of Co-Creating healing sock creatures。Journal of Pediatric Nursing,31(1),92-98。  new window
14.Taddio, A.、Ipp, M.、Thivakaran, S.、Jamal, A.、Parikh, C.、Smart, S.、Katz, J.(2012)。Survey of the prevalence of immunization non-compliance due to needle fears in children and adults。Vaccine,30(32),4807-4812。  new window
15.Yamamoto-Hanada, K.、Futamura, M.、Kitazawa, H.、Ohya, Y.、Kobayashi, F.、Kusuda T.、Saito, H.(2015)。Relieving pain and distress during venipuncture: Pilot study of the Japan Environment and Children's Study。Pediatrics International,57(5),1044-1047。  new window
圖書論文
1.張綠怡、蔡綠蓉(2014)。住院兒童之反應及其護理。實用兒科護理。台北市:華杏。  延伸查詢new window
 
 
 
 
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