Evaluation of the effect of modified method of fixation and withdrawal of needles in intravenous infusion

Abstract

Objective To evaluate the effects of modified method of fixation and withdrawal of needles in intravenous infusion. Methods The modified method of two-step fixation and withdrawal of needles was adopted in emergency transfusion room of our hospital from September 2013. In January 2015, during every day's low peak period 12:00-14:00, 246 emergency transfusion patients were chosen and divided into the traditional group (122 cases, using three-step fixation and withdrawal of needles) and the modified group (124 cases, using two-step fixation and withdrawal of needles) according to transfusion order. The pain degree caused by withdrawal of needles using Numeric Rating Scale (NRS), time consumption of fixation and withdrawal of needles and rate of adhesive pastes abscission was assessed by nurses and compared between two groups. Results The incidence of pain in the modified group was lower than that of the traditional group [48.39% (60/124) vs. 81.97% (100/122)],χ2=30.49,P<0.05. The time consumption of fixation and withdrawal of needles in the modified group was shorter than that of the control group [(7.55±2.01) seconds vs. (10.88±2.72) seconds; (2.44±0.84) seconds vs. (11.55±4.62) seconds],Z=8.70, 13.55,P<0.05. The rate of adhesive pastes abscission in the modified group was lower than that of the control group [4.0% (5/124) vs. 18.9% (23/122)], χ2 = 13.39,P<0.05. All the difference between two groups was statistically significant. Conclusions The modified method of fixation and withdrawal of needles can relieve the pain caused by withdrawal of needles. Nurses can operate easily, adhesive pastes is fixed sturdily, which is popular among nurses and patients. Key words: Venous transfusion; Modified; Effect evaluation