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降低學齡前期兒童接受靜脈注射恐懼程度之專案
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Journal Article
降低學齡前期兒童接受靜脈注射恐懼程度之專案
2012
Overview
背景 本單位為兒童內科病房，每月平均約80人次的學齡前兒童需執行靜脈注射，發現有91.1%學齡前期兒童接受靜脈注射時有恐懼行為，其中77.8%為重度恐懼，因恐懼掙扎難以注射，造成人力、物力更多的負荷，使得家屬產生不好觀感及信任度降低，同時增加護病關係緊張。作者經由觀察及訪談學齡前期兒童和家屬發現恐懼原因包括過去不良經驗、兒童接受注射事前準備溝通不足、缺乏控制感、護理人員缺乏運用認知行為策略及輔助物缺乏。目的 學齡前期兒童靜脈注射重度恐懼比例由77.8%降至為38.9%， 依成員改善能力設定目標50%為設定值。方法 自2009年8月1日至2010年4月30日，小組成員參考文獻制定解決策略，以打針繪本、治療性遊戲方式、自行選擇注射姿勢、運用認知行為策略及轉移注意力的輔助工具等措施設計成一套「兒童靜脈注射標準執行程序」。結果 專案執行後針對45位學齡前期兒童，發現靜脈注射重度恐懼比例為37.8%。結論 本專案使兒童接受注射恐懼降低、更合作，也增進兒童正向治療經驗，進而提升護理照護品質。
Publisher
台灣護理學會,社團法人臺灣護理學會
Subject
