[1]黄琼.某医院门诊静脉抽血后不良反应的相关因素调查[J].西部中医药,2017,30(08):60-63.
　HUANG Qiong.An Investigation on the Influencing Factors of Adverse Reaction after Blood Drawing in Outpatient Department of a Hospital[J].Western Journal of Traditional Chinese Medicine,2017,30(08):60-63.
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某医院门诊静脉抽血后不良反应的相关因素调查
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
30
期数:
2017年08期
页码:
60-63
栏目:
出版日期:
2017-08-15

文章信息/Info

Title:
An Investigation on the Influencing Factors of Adverse Reaction after Blood Drawing in Outpatient Department of a Hospital
文章编号:
1004-6852(2017)08-0060-04
作者:
黄琼
攀钢集团总医院，四川 攀枝花 617023
Author(s):
HUANG Qiong
General Hospital of Panzhihua Steel Group, Panzhihua 617023, China
关键词:
静脉抽血; 穿刺; 按压方式; 按压时间; 不良反应
Keywords:
blood draw;  puncture;  pressing ways;  pressing time;  adverse reaction
分类号:
R543.6
文献标志码:
A
摘要:
目的：调查攀枝花某医院门诊患者静脉抽血后出现不良反应的现状和影响因素，从而有针对性的对静脉抽血患者进行健康教育，减少不良反应的发生。方法：便利抽样2015年1月至2015年8月在该医院门诊部进行上臂肘部静脉抽血的患者300例，利用自行设计的静脉抽血患者问卷调查表对入选患者进行匿名问卷调查。结果：不同性别、不同按压方式下患者静脉抽血后的不良反应例数对比差异无统计学意义(P＞0.05)。是否对患者交代注意事项、是否1次穿刺成功下患者静脉抽血后的不良反应例数对比差异，具有统计学意义(P＜0.05)。患者静脉抽血后按压时间越长，不良反应例数越少，且对比差异具有统计学意义(P＜0.05)。结论：门诊患者在静脉抽血后出现不良反应的发生率较高，护士是否对患者交代注意事项、是否一次穿刺成功、患者的按压时间是患者静脉抽血后出现不良反应的影响因素。在对患者进行静脉抽血中，门诊护士应该尽量一次穿刺成功，且应详细向患者交代注意事项，并在抽血结束嘱咐患者尽量按压3分钟以上。
Abstract:
Objective: To give the patients of blood drawing health education and reduce the incidence of adverse reaction by investigating the current state of adverse reaction and the influencing factors of blood drawing of the patients in the outpatients of Panzhihua hospital. Methods: All 300 patients who accepted blood drawing at upper limb in the outpatient department of the hospital were chosen from January, 2015 to August, 2015, and the patients were surveyed by using selfmade questionnaires. Results: The difference had no statistical meaning in the comparisons of the numbers of the patients with adverse reaction after blood drawing between different genders and different pressing ways (P＞0.05). The difference had statistical meaning in the comparisons of whether the nurse tells the patient the notices, the numbers of the patients suffering adverse reaction after successful puncture once of blood drawing (P＜0.05). The longer the patients pressing after blood drawing, the less adverse reaction happened, and the difference had statistical meaning (P＜0.05). Conclusion: The incidence of adverse reaction of outpatient patients is higher after blood drawing, whether the nurse tells the patients the notice, whether the puncture was successful once, the pressing time of the patients are the influencing factors of adverse reactions of the patients after blood drawing. During the course of blood drawing, outpatient nurses should try to puncture successfully once, and tell the patients the notice in details, and order them to press more than three minutes after blood drawing.

备注/Memo

备注/Memo:
收稿日期：2017-02-27 作者简介：黄琼(1976—)，女，主管护师。研究方向：门诊护理。
更新日期/Last Update: 2017-08-15