静脉留置针联合采血器用于儿童采血的可行性研究
|
摘要
目的探讨静脉留置针联合采血器用于儿童患者采血的可行性。方法 2017年5月至2018年4月,便利抽样法选取就诊于兰州某三级甲等医院的儿童患者为研究对象,采用随机数字法将入组儿童患者分成观察组(352例)和对照组(350例)。观察组采用静脉留置针联合真空采血器采血,对照组直接使用采血器采血,比较两组所采集标本的溶血率、抗凝标本凝固率和标本采集量是否合格等标本质量情况,以及操作耗时,留置针留置时间及相关并发症、患者满意度等。结果观察组标本溶血率及采集量不合格率低于对照组,操作时间短于对照组,患者满意度高于对照组(均P<0.05)。结论既需穿刺留置针又需采血的儿童患者采用静脉留置针联合采血器采血,可提高血液标本的质量,减少操作时间,提高患者的满意度。
Objective To evaluate the feasibility of using intravenous detaining needle combined with Hemostix for a blood sample in children.Methods From May 2017 to April 2018, the child patients from a hospital in Lanzhou were selected as the research objects by convenience sampling method. The children were divided into observation group(352 cases) and control group(350 cases) by random number method. In the control group, the blood samples were collected through vacuum blood collection device. In the observation group, the blood samples were collected through intravenous detaining needle combined with vacuum blood collection device. The hemolysis rate, coagulation rate of anticoagulant specimens and the eligibility of sample collection were compared between the two groups. The operation time, indwelling time of needle,the related complications and patients' satisfaction were also compared.Results The hemolysis rate and the unqualified rate of sample collection in the observation group were lower than those in the control group, the operation time was shorter than that in the control group, and the patients' satisfaction was higher than that in the control group(all P< 0.05). Conclusions The children who need both intravenous detaining needle and blood collection can use the combination of intravenous detaining needle combined with Hemostix, which improves the quality of blood samples, reduces operation time and improves patient satisfaction.
Objective To evaluate the feasibility of using intravenous detaining needle combined with Hemostix for a blood sample in children.Methods From May 2017 to April 2018, the child patients from a hospital in Lanzhou were selected as the research objects by convenience sampling method. The children were divided into observation group(352 cases) and control group(350 cases) by random number method. In the control group, the blood samples were collected through vacuum blood collection device. In the observation group, the blood samples were collected through intravenous detaining needle combined with vacuum blood collection device. The hemolysis rate, coagulation rate of anticoagulant specimens and the eligibility of sample collection were compared between the two groups. The operation time, indwelling time of needle,the related complications and patients' satisfaction were also compared.Results The hemolysis rate and the unqualified rate of sample collection in the observation group were lower than those in the control group, the operation time was shorter than that in the control group, and the patients' satisfaction was higher than that in the control group(all P< 0.05). Conclusions The children who need both intravenous detaining needle and blood collection can use the combination of intravenous detaining needle combined with Hemostix, which improves the quality of blood samples, reduces operation time and improves patient satisfaction.
引文
[1] DANIELIS M.Risk of hemolysis in blood sampling from peripheral intravenous catheter:a literature review[J].Prof Inferm,2014,67(3):166-172.
[2] 邓忠越,周平,余晓云.静脉留置针采血对血液标本影响的Meta分析[J].中华护理杂志,2017,52(11):1388-1395.
[3] BENSO S.Can a blood sample for diagnostic exams be drawn from a peripheral venous catheter?[J].Assist Inferm Ric,2015,34(2):86-92.
[4] BERGER-ACHITUV S,BUDDE-SCHWARTZMAN B,ELLIS M H,et al.Blood sampling through peripheral venous catheters is reliable for selected basic analytes in children[J].Pediatrics,2010,126(1):e179-e186.
[5] HEYER N J,DERZON J H,WINGES L,et al.Effectiveness of practices to reduce blood sample hemolysis in EDs:a laboratory medicine best practices systematic review and meta-analysis[J].Clin Biochem,2012,45(13-14):1012-1032.
[6] SUNG Y H,HWANG M S, LEE J H,et al.A comparison of the rates of hemolysis and repeated blood sampling using syringe needles versus vacuum tube needles in the emergency department[J].J Korean Acad Nurs,2012,42(3):443-451.
[7] LOWE G,STIKE R,POLLACK M,et al.Nursing blood specimen collection techniques and hemolysis rates in an emergency department:analysis of venipuncture versus intravenous catheter collection techniques[J].J Emerg Nurs,2008,34(1):26-32.
[8] WOLLOWITZ A,BIJUR P E,ESSES D,et al.Use of butterfly needles to draw blood is independently associated with marked reduction in hemolysis compared to intravenous catheter[J].Acad Emerg Med,2013,20(11):1151-1155.
[9] 罗晨玲.静脉留置针更换策略及采血有效性的系统评价[D].广州:南方医科大学,2009.
[10]PIPE T B,WELLIK K E,BUCHDA V L,et al.Implementing evidence-based nursing practice[J].Urol Nurs,2005,25(5):365-370.
[11]国家卫生和计划生育委员会.静脉治疗护理技术操作规范[J].中国护理管理,2014,14(1):1-4.
[12]KANTARTJIS M,MELANSON S E F,PETRIDES A K,et al.Increased patient satisfaction and a reduction in pre-analytical errors following implementation of an electronic specimen collection module in outpatient phlebotomy[J].Lab Med,2017,48(3):282-289.
[13]马跃飞,林寿榕,欧启水,等.5700份不合格标本原因分析和处理对策探讨[J].检验医学与临床,2014,11(3):357-360.
[14]蒋颜,张超,陈剑兰,等.住院患者血标本分析前质量控制与不合格标本原因分析[J].中华临床实验室管理电子杂志,2014,2(1):26-31.
[15]LIPPI G,CERVELLIN G,MATTIUZZI C.Critical review and meta-analysis of spurious hemolysis in blood samples collected from intravenous catheters[J].Biochem Med (Zagreb),2013,23(2):193-200.
[16]王进,金静芬.外周静脉不同采血方法对急诊血标本溶血的影响[J].中华护理杂志,2011,46(9):848-851.
[17]ZENGIN N,ENC N.Comparison of two blood sampling methods in anticoagulation therapy:venipuncture and peripheral venous catheter[J].J Clin Nurs,2008,17(3):386-393.
[18]HALM M A, GLEAVES M.Obtaining blood samples from peripheral intravenous catheters:best practice?[J].Am J Crit Care,2009,18(5):474-478.
[19]ORTELLS-ABUYE N,BUSQUETS-PUIGDEVALL T,DIAZ-BERGARA M,et al.A cross-sectional study to compare two blood collection methods:direct venous puncture and peripheral venous catheter[J].BMJ Open,2014,4(2):e004250.
[2] 邓忠越,周平,余晓云.静脉留置针采血对血液标本影响的Meta分析[J].中华护理杂志,2017,52(11):1388-1395.
[3] BENSO S.Can a blood sample for diagnostic exams be drawn from a peripheral venous catheter?[J].Assist Inferm Ric,2015,34(2):86-92.
[4] BERGER-ACHITUV S,BUDDE-SCHWARTZMAN B,ELLIS M H,et al.Blood sampling through peripheral venous catheters is reliable for selected basic analytes in children[J].Pediatrics,2010,126(1):e179-e186.
[5] HEYER N J,DERZON J H,WINGES L,et al.Effectiveness of practices to reduce blood sample hemolysis in EDs:a laboratory medicine best practices systematic review and meta-analysis[J].Clin Biochem,2012,45(13-14):1012-1032.
[6] SUNG Y H,HWANG M S, LEE J H,et al.A comparison of the rates of hemolysis and repeated blood sampling using syringe needles versus vacuum tube needles in the emergency department[J].J Korean Acad Nurs,2012,42(3):443-451.
[7] LOWE G,STIKE R,POLLACK M,et al.Nursing blood specimen collection techniques and hemolysis rates in an emergency department:analysis of venipuncture versus intravenous catheter collection techniques[J].J Emerg Nurs,2008,34(1):26-32.
[8] WOLLOWITZ A,BIJUR P E,ESSES D,et al.Use of butterfly needles to draw blood is independently associated with marked reduction in hemolysis compared to intravenous catheter[J].Acad Emerg Med,2013,20(11):1151-1155.
[9] 罗晨玲.静脉留置针更换策略及采血有效性的系统评价[D].广州:南方医科大学,2009.
[10]PIPE T B,WELLIK K E,BUCHDA V L,et al.Implementing evidence-based nursing practice[J].Urol Nurs,2005,25(5):365-370.
[11]国家卫生和计划生育委员会.静脉治疗护理技术操作规范[J].中国护理管理,2014,14(1):1-4.
[12]KANTARTJIS M,MELANSON S E F,PETRIDES A K,et al.Increased patient satisfaction and a reduction in pre-analytical errors following implementation of an electronic specimen collection module in outpatient phlebotomy[J].Lab Med,2017,48(3):282-289.
[13]马跃飞,林寿榕,欧启水,等.5700份不合格标本原因分析和处理对策探讨[J].检验医学与临床,2014,11(3):357-360.
[14]蒋颜,张超,陈剑兰,等.住院患者血标本分析前质量控制与不合格标本原因分析[J].中华临床实验室管理电子杂志,2014,2(1):26-31.
[15]LIPPI G,CERVELLIN G,MATTIUZZI C.Critical review and meta-analysis of spurious hemolysis in blood samples collected from intravenous catheters[J].Biochem Med (Zagreb),2013,23(2):193-200.
[16]王进,金静芬.外周静脉不同采血方法对急诊血标本溶血的影响[J].中华护理杂志,2011,46(9):848-851.
[17]ZENGIN N,ENC N.Comparison of two blood sampling methods in anticoagulation therapy:venipuncture and peripheral venous catheter[J].J Clin Nurs,2008,17(3):386-393.
[18]HALM M A, GLEAVES M.Obtaining blood samples from peripheral intravenous catheters:best practice?[J].Am J Crit Care,2009,18(5):474-478.
[19]ORTELLS-ABUYE N,BUSQUETS-PUIGDEVALL T,DIAZ-BERGARA M,et al.A cross-sectional study to compare two blood collection methods:direct venous puncture and peripheral venous catheter[J].BMJ Open,2014,4(2):e004250.