Application of comfort nursing in patients receiving intravenous infusion in fever clinics and its impact on treatment compliance
舒适护理在发热门诊静脉输液患者中的应用及其对治疗配合度的影响

摘要

目的 探讨舒适护理在发热门诊静脉输液患者中的应用效果，并评估其对患者治疗配合度及临床结局的影响。方法 本研究采用前瞻性随机对照研究设计，选取2022年8月至2024年12月我院发热门诊182例静脉输液患者作为研究对象，随机分为实验组（91例）和对照组（91例），实验组应用综合舒适护理（环境优化+疼痛管理+心理干预），对照组接受常规护理。通过治疗依从性分级、护理满意度评分及不良事件发生率等指标进行效果评价。结果 实验组患者完全配合率达85.7%，显著高于对照组的26.4%（P<0.001）；护理满意度为96.7%，较对照组的82.4%显著提升；实验组总不良反应发生率较对照组降低60%（17.6%vs44.0%，P<0.001），从输液疼痛发生率来看，实验组为11.0%，低于对照组的23.1%；从静脉炎发生率来看，实验组为4.4%，低于对照组的13.2%；从非计划拔针事件发生率来看，实验组为2.2%，低于对照组的7.7%。结论 舒适护理模式可优化发热门诊输液患者的治疗体验，通过身心协同干预提高依从性，减少治疗风险。

Abstract

Objective To explore the application effect of comfort nursing in patients receiving intravenous infusion in fever clinics and evaluate its impact on patients' treatment compliance and clinical outcomes.
Methods This study adopted a prospective randomized controlled research design. A total of 182 patients undergoing intravenous infusion in the fever clinic of our hospital from August 2022 to December 2024 were selected as the research subjects. They were randomly divided into an experimental group (91 cases) and a control group (91 cases). The experimental group received comprehensive comfort nursing (environmental optimization + pain management + psychological intervention), while the control group received routine nursing. The effects were evaluated through indicators such as treatment adherence classification, nursing satisfaction scores, and the incidence of adverse events.
Results The complete compliance rate of patients in the experimental group reached 85.7%, which was significantly higher than that of the control group (26.4%, P < 0.001). The nursing satisfaction rate in the experimental group was 96.7%, significantly higher than that of the control group (82.4%). The total incidence of adverse events in the experimental group was 60% lower than that of the control group (17.6% vs 44.0%, P < 0.001). In terms of the incidence of infusion pain, the experimental group was 11.0%, lower than the control group's 23.1%. Regarding the incidence of phlebitis, the experimental group was 4.4%, lower than the control group's 13.2%. As for the incidence of unplanned needle removal events, the experimental group was 2.2%, lower than the control group's 7.7%.
Conclusion   The comfort nursing model can optimize the treatment experience of patients receiving intravenous infusion in fever clinics. Through coordinated physical and psychological interventions, it improves patient compliance and reduces treatment risks.