| Objective Observing the moist heat of traditional Chinese medicine(rhubarb,Glauber's salt)to prevent local pain caused by 10% potassium chloride drug in peripheral intravenous infusion,and provide a safe and effective TCM nursing technique for improving the comfort of peripheral intravenous infusion.Methods The literature review method and expert group meeting were used to first verify the effectiveness of the traditional Chinese medicine damp heat application experience.And using the brainstorming method to optimize and standardize the operation process of traditional Chinese medicine damp heat.Further randomized control,according to the inclusion and exclusion criteria,from September 2018 to 2019,February,Shanghai University of Traditional Chinese Medicine,Shuguang Hospital,Department of Hepatobiliary Surgery,Gastrointestinal Surgery,Patients with peripheral indwelling vein indwelling needle and intravenous infusion containing 10% potassium chloride drugs for the first time pain.Divided into three groups:(Dahuang Glauber's salt)Chinese medicine damp heat pack(test group),simple(hot gauze)damp heat pack(control group)and blank control group.The patients included in the criteria were investigated and observed,and the general information of the patients was recorded to understand the general condition of the patients and the vascular conditions.The rhubarb mirabilite Chinese medicine damp heat pack was given routine care +Traditional Chinese Medicine damp heat application.In the infusion containing potassiumions,the rhubarb mirabilite Chinese medicine was applied for 30 minutes,and the intervention was performed twice a day,once a day.The control group received routine care + simple wet heat application.The potassium infusion was infused with hot gauze for 30 minutes,and the intervention was performed twice a day.The blank control group received routine care.The pain scores of the first group of pain,the first intervention,the first intervention,the infusion,the second intervention,and the infusion were recorded,and the patient was asked for needle removal,infusion compliance,and patient vital signs(blood pressure and Heart rate),satisfaction.Results1 Traditional Chinese Mdicine damp heat application experience was determined as rhubarb 5g,Glauber's salt 20 g,honey water 100 ml.2 Optimized and established the process of moisturizing and applying Chinese medicine.3 Main indicators3.1 Pain comparison using digital assessment combined with facial assessment showed that the pain caused by 10 % potassium chloride solution in peripheral intravenous infusion showed mild to moderate pain.Significantly lower than the first time without prevention,the Chinese medicine damp heat pack and the simple damp heat pack group have successively appeared no pain occurred.After the intervention on the first day(or30'),no pain occurred in the blank control group,0%,and the control group 4.8.%,test group 7.1%;no pain occurred on the first day after the end of infusion was 0% in the blank control group,7.1% in the control group,16.7% in the test group;no pain occurred after the intervention on the second day(or 30')The control group was 0%,the control group was 0.8%,and the test group was 9.5%.The second day after the end of the infusion,the pain was 0% in the blank control group,7.1% in the control group,and 31.0 % in the test group.After the intervention on the first day and after the infusion,the intervention after the second day and the pain score after the infusion,the difference between the three groups was statistically significant,and P = 0.000(P <0.01)was significantly different,and the Chinese herbal medicine damp heat is better than The other two groups.3.2 Comparison of patients 'requests for needle replacement.Patients have different needs for needles,but after the first day of intervention(or 30')(P=0.002<0.01)and the end of the infusion(P=0.046 <0.05)There was a statistically significant difference in the demand for needle extraction between the three groups during this period.The comparison between traditional Chinese medicine damp heat and simple wet heat was better than that of the blank control group(P<0.05),but there was no difference between the traditional Chinese medicine damp heat pack and the simple damp heat pack(P>0.05).3.3 Comparison of patient infusion compliance by three sets of Nemenyi method two~ two comparison results show: no matter after the intervention on the first day,after the end of the infusion;after the intervention on the second day,after the end of the infusion,the compliance test,Chinese medicine There was significant difference between the damp heat and the blank group,the simple damp heat and the blank group(P=0.000<0.05).However,there was no statistical difference between the damp heat pack and the damp heat pack.3.4 Comparison of heart rate and blood pressure changes in patients.(1)Pain affects heart rate fluctuations more obviously,there is no difference in heart rate and blood pressure between mild pain(1~3 points)group,and severe pain(4~6 points)between groups there was no difference in heart rate and blood pressure changes.(2)After intervention,there was no statistically significant difference in heart rate,systolic blood pressure and diastolic blood pressure between the two groups before intervention.The results showed that the three groups had equal effects on heart rate and blood pressure regardless of intervention.3.5 Comparison of patient satisfaction.(1)The positive and negative total scores were compared between the three groups of Nemenyi methods.The blank control group was significantly different from the wet heat pack and the traditional Chinese medicine damp heat pack,and the wet heat pack was used alone.There was also a significant difference between the group(P=0.000<0.01)and the traditional Chinese medicine damp heat pack.Moreover,the positive scores of traditional Chinese medicine damp heat were higher than the other two groups,and the negative scores were lower than the other two groups.The positive score of the simple wet heat pack was higher than that of the blank control group,and the negative score was lower than the blank control group.(2)The non-parametric test was performed on a single item.The results showed that the patients had significant statistical differences in the items 4~9 and 11~20(P<0.01),and there was a statistical difference in the item 10(P<0.05).There was no difference in3(P>0.05).Conclusion1 Chinese herbal damp heat is different for individuals,can not achieve the purpose of100 % prevention of pain,but can reduce the local infusion pain caused by 10 %potassium chloride solution in peripheral intravenous infusion.2 Peripheral intravenous infusion containing 10% potassium chloride solution caused by infusion local pain is mainly mild to moderate pain,and moderate pain can cause significant fluctuations in heart rate.3 Chinese medicine damp heat application is safe and effective,satisfaction and acceptance are relatively good and worth promoting. |
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