Analysis for failure of the infantile scalp vein puncture and nursing countermeasures

Abstract

Objective To investigate the causes and nursing countermeasures for failure of the infantile scalp vein puncture.Methods One hundred children with scalp vein puncture from January 2011 to December 2011 were selected as the control group,100 children with scalp vein puncture from January 2012 to December 2012 were selected as the observation group.Since January 2012,the nursing countermeasures were taken,and then compared the success rate and satisfaction rate of the two groups of pediatric scalp vein puncture.Results The scalp vein puncture successful rate of the observation group was 97％,which was significantly higher than 74％ of the control group; The liquid leakage rate of observation group was 3％,which was significantly lower than 14％ of the control group ; The needle out of vessel rate of the observation group was 2％,which was significantly lower than 16％ of the control group ; The vascular redness around of the observation group was 1％,which was significantly lower than 7％ of the control group.The satisfaction rate of children and parents of observation group was 99％,which was significantly higher than 67％ in the control group.The average use frequency of each vascular was (5.6 ± 1.3) times in the observation group,which was significantly greater than (3.8 ± 0.9) times in the control group.The above data were significantly different between the two groups (P ＜ 0.05).Conclusions The cause of failure of the infantile scalp vein puncture including nurses factors,children and environmental factors.Through the implementation of training nurses good psychological quality,strengthen the nurses puncture skills training,strengthen the puncture care,and improve the injection environment,the puncture assembly power significantly improved. Key words: Scalp vein puncture; Reason for the failure; Nursing countermeasures; Infusion