The application of cluster intervention in sedation of chloral hydrate enema in infants / 中国实用护理杂志

ABSTRACT

Objective:To investigate the effect of bundles of care on pediatric hypnosis by rectal chloral hydrate.Method:A total of 368 children aged 0 to 3 years old who were treated in Dalian Children′s Hospital from December 2018 to June 2019 and were treated with chloralhydrate enemas were randomly divided into the control group (routine nursing intervention) and observation groups (bundled Intervention) 184 cases each. The chloralhydrate enemas were inserted for sedation, and the observation group added sedation while chloralhydrate enemas for sedation. After admission, record the data of each patient, and do the Ramsay sedation score after sedation. According to the sedation score, the sedation failure rate of chloralhydrate enema was increased, and the proportion of each score in the group was compared.Results:Ramsay sedation scores of the observation group and the control group after enema were 5.42 ± 1.34 and 3.14 ± 1.21, respectively. There was significant difference between the two groups ( t value was 2.08, P<0.05). The failure rates in experimental group and control group were 13.59% (25/184) and 38.59% (71/184), respectively. There was a significant difference between two groups ( χ2 value was 29.82, P<0.05). Conclusion:Bundles of care could decrease the failure rate of rectal chloral hydrate hypnosis significantly, then reduce the suffering of children. It is worth being widely used in clinic.