采血前后护理对新生儿疾病筛查规范化足底采血的影响  

Effect of blood collection before and after nursing on standardization of foot blood sampling for neonatal disease screening

作　　者：汤巧敏 李付广[1] TANG Qiao-min;LI Fu-guang(Department of Gynecology and Obstetrics,the Sixth Affiliated Hospital of Guangzhou Medical University(Qingyuan People′s Hospital),Guangdong Province,Qingyuan 511518,China)

机构地区：[1]广州医科大学附属第六医院(清远市人民医院)妇产科

出　　处：《中国当代医药》2019年第35期248-250,共3页China Modern Medicine

摘　　要：目的探讨采血前后护理对新生儿疾病筛查规范化足底采血的影响。方法选取2018年1月1日~4月30日我院进行疾病筛查的655例新生儿作为研究对象,按照随机数字表法将其分为对照组(327例)和观察组(328例)。两组新生儿均接受规范化足底采血,对照组采用一般护理方法,观察组采用采血前、后护理方法。比较两组的成功率、合格率、满意度、瘀斑和水肿等指标。结果观察组新生儿采血一次性成功率、新生儿血液样本合格率和新生儿家长总满意度均高于对照组,差异有统计学意义(P<0.05);观察组新生儿不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论新生儿疾病筛查中使用规范化足底采血,给予临床护理后效果明显,有一定的积极意义,有效改善一次性采血成功率和血液样本合格率,对瘀斑和水肿也能有效抑制,新生儿家长的满意度也明显提高,值得临床使用。Objective To explore the effect of pre-and post-blood nursing on the standardized blood collection of newborns. Methods A total of 655 neonates who were screened for disease screening from January 1, 2018 to April 30,were selected as subjects. They were divided into control group(327 cases) and observation group(328 cases) according to random number table method, both groups of newborns received standardized foot blood collection, the control group used general nursing methods, and the observation group used pre-and post-blood nursing methods. The success rate, pass rate, satisfaction, ecchymosis and edema of the two groups were compared. Results The one-time success rate of neonatal blood collection, the qualified rate of neonatal blood sample collection and the total satisfaction of newborn parents in the observation group were all higher than those in the control group, with statistical differences(P<0.05). The total incidence of neonatal adverse reactions in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). Conclusion In the process of screening for neonatal diseases, the use of standardized foot-floating blood collection, combined with clinical nursing, has obvious positive effects, and has a certain positive significance, effectively improving the success rate of one-time blood collection and can also effectively inhibit ecchymosis and edema, and the satisfaction of newborn parents is also significantly improved, which is Worthy of clinical application.

关 键 词：新生儿筛查 足底 血样采集 新生 血液 护理方法学研究 

分 类 号：R473.72[医药卫生—护理学]