动脉采血人群心理反应和护理体会.docVIP

动脉采血人群心理反应和护理体会 　　【摘要】 目的：探讨分析采集动脉血液时针对患者存在的不良心理的护理。方法：随机选取500例需要进行动脉血液采集的住院患者，给予心理问卷调查，分析其采集动脉血时的心理反应特点，探讨有针对性的心理护理干预措施。结果：各组患者均有不同的心理反应，不同组别人群经护理干预后行动脉血液采集的患者不良心理反应显著性改善，配合护理人员操作程度显著提高，穿刺成功率显著增加，与护理前比较，差异均具有统计学意义（P0.05）。结论：根据患者不同的心理反应类型采取相应的心理护理，可使患者处于良好的心理状态，达到理想的动脉血液采集效果，提高动脉血液采集的护理质量。 　　【关键词】 动脉采血； 心理反应； 心理护理 　　中图分类号 R47 文献标识码 B 文章编号 1674-6805（2014）24-0057-02 　　Psychological Reactions and Nursing Experience of Arterial Blood Groups/LI Dan-dan，TENG Yan，WANG Qiong，et al.//Chinese and Foreign Medical Research，2014，12（24）：57-58 　　【Abstract】 Objective：To explore the nursing of adverse reaction in patients with arterial blood collection exists.Method：500 cases of need for arterial blood collection in hospitalized patients were randomly selected，they were provided psychological questionnaires to analyze the characteristics of their psychological reactions when collecting blood，and to explore the psychological care interventions targeted.Result：There were different adverse psychological reactions in each groups.Different groups of the population by the nursing intervention in patients with arterial blood collection underwent adverse psychological reactions were significantly improved，with significantly improved operating nursing degree，a significant increase in the success rate，compared with before treatment，the differences were statistically significant（P0.05）.Conclusion：According to the patient ’s psychological reaction types corresponding taking different psychological care，patients can be in a good state of mind，to achieve the desired effect of arterial blood collection and improve the quality of care arterial blood collection. 　　【Key words】 Arterial blood； Psychological reactions； Psychological care 　　First-author’s address：Hubei University for Nationalities Subsidiary Minda Hospital，Enshi 445000，China 　　动脉血液采集解剖位置一般比较深，不宜扪及，周围往往有静脉及神经，操作不慎可伤及，不宜有效压迫止血，侧支循环欠佳。进针时比较疼痛，患者往往怀有恐惧心理，不愿配合护士采血。动脉采血虽是常规的护理操作技术[1]，但要达到：“针针见血、次次达标、患者少痛”的目标，不但要求护士具备精湛娴熟的穿刺技术，而且要求护士要