当前护士静脉采血存在的问题和分析.docVIP

当前护士静脉采血存在的问题和分析 刘小玲 白燕芳 周淑明 陆燕弟 佛山市第一人医院手术室 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 通过调查我院护士静脉采血现状, 分析原因并采取相应对策, 以提高我院护士静脉采血合格率。方法 通过自制静脉采血调查表对全院护士进行调查分析, 从护士的工作时间、层级、学历、职称、部门、是否已经参加静脉采血培训等几个方面分类进行统计分析, 针对结果进行原因分析并提出相应的护理对策。结果 护士对静脉采血知识的掌握率普遍偏低, 部分不知道我院有标准化静脉采血流程, 不知道发生针刺伤后如何处理;在告知患者需要空腹的抽血项目上得分最高;在进针角度、松止血带时机、多少公分进针、患者采血困难及佩戴手套、采血指导患者按压方法及时间的共识上整体得分偏低;护士静脉采血得分与学历、职称、部门之间关系不大, 差异无统计学意义 (P0.05) ;工作610年、N2层级、本科学历, 参加静脉采血知识培训的护士得分相对较高, 与其他护士相比, 差异具有统计学意义 (P0.05) , 但仍需要加强培训及学习。结论 护士缺乏完整的静脉采血相关知识, 护理管理者及检验科在静脉采血基础知识的继续教育培训上有待加强, 护士自身亦应主动。 关键词： 静脉采血; 现状调查; 原因分析; 作者简介：刘小玲, Email:liuxiaolingfs@ 收稿日期：2017-08-12 基金：广东省科技发展专项基金 (2016A020215061) Investigation of the present condition of venous blood collection LIU Xiaoling BAI Yanfang ZHOU Shuming LU Yandi Department of Operation, The First Peoples Hospital of Foshan; Abstract： Objective To investigate the status quo of venous blood collection of nurses in our hospital. Methods The investigation was carried out through a self-made questionnaire of venous blood collection, which associating with working time, knowledge level, degree, title, department, training or not. Results The knowledge of venous blood sampling was generally low, and some were insensible of the standardized venous blood flow, and unaware of how to deal with needle stick injuries. The highest score was obtained in informing patients of fasting blood project. The overall score was low on the angle of needle insertion, the loosing time of tourniquet, the length of pins entering, the difficulty of blood collection, and the consensus of wearing gloves, the method and time of blood collection to instruct the patient to press. There was not relationship between the scores of blood collection and the nurse education, professional title, department (all P values 0.05) . However, the nurses with longer job time (6 to 10 years) , N2 level, bachelor degree and the trained nurses had higher scores than the other nu