Effect of limb elevation method on hemostasis after extraction of venous infusion needle in elderly patients
10.3760/j.issn.1674-2907.2014.19.047
- VernacularTitle:肢体抬高法对外周静脉输液老年患者拔针后止血效果的影响
- Author:
Haili SHAN
1
;
Yu MENG
;
Nina WANG
;
Nan ZHI
;
Ji LI
;
Na ZHAO
;
Nan WU
Author Information
1. 100039 北京，武警总医院干部病房二科
- Keywords:
Infusion,intravenous;
Hemostasis;
Elderly;
Limb elevation;
Withdrawing the needle
- From:
Chinese Journal of Modern Nursing
2014;20(19):2432-2435
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the effect of limb elevation method on hemostasis after extraction of venous infusion needle in elderly patients .Methods Totals of 180 patients with peripheral venous infusion needle were randomly divided into the control group and the observation group , with 90 patients in each group . The control group, using the conventional body press method , were observed the hemostasis effect at 30, 60, 90, 120, 150, 180, 210, 240, 270, 300 s after pressing and recorded the incidence of bleeding time .For the observation group , using the limb elevation method after withdrawal the needles , recorded the hemostatic time , the incidence of bruising and measured the blood pressure and pulse rate before and after removal the needles . Results The effective hemostatic time was 15-100 s for the observation group , with an average of (53.50 ± 22.84)s, and 60-240 s for the control group, with an average of (164.99 ±50.01)s, and the difference was significant (t=8.884, P<0.01).The differences of systolic blood pressure and pulse rate of the observation group before and after removal the needle had no significant difference ( t=1.278, 0.507, respectively;P>0.05), while the difference of diastolic blood pressure had significant difference (t=2.984,P<0.05).Two patients in the observation group had mild bruise , and eighteen patients in the control group had mild to moderate bruise, which was significantly different (Z=108.89,P<0.05).Conclusions The lime elevation method had a better hemostasis effect for elderly patients , which can significantly shorten bleeding time , reduce the occurrence of subcutaneous bruising and ensure the safety of elderly patients .
