儿童动脉血标本采集并发症发生现状及影响因素分析  

Current situation and influencing factors of complications in the collection of arterial blood specimens in children

作　　者：李广玉[1] 王晓晖[2] 曲斌[3] 张洁[1] 段颖杰[1] 李莲叶[1] Li Guangyu;Wang Xiaohui;Qu Bin;Zhang Jie;Duan Yingjie;Li Lianye(Pediatric Intensive Care Unit,National Center for Children's Health,Beijing Children's Hospital,Capital Medical University,Beijing 100045,China;Office of Nosocomial Infection Control and Management,National Center for Children's Health,Beijing Children's Hospital,Capital Medical University,Beijing 100045,China;Nursing Department,National Center for Children's Health,Beijing Children's Hospital,Capital Medical University,Beijing 100045,China)

机构地区：[1]国家儿童医学中心,首都医科大学附属北京儿童医院重症医学科,100045 [2]国家儿童医学中心,首都医科大学附属北京儿童医院感染管理办公室,100045 [3]国家儿童医学中心,首都医科大学附属北京儿童医院护理部,100045

出　　处：《中华现代护理杂志》2021年第29期3967-3971,共5页Chinese Journal of Modern Nursing

基　　金：北京市医院管理局重点培育专业项目(ZYLX201813);北京市医院管理中心青年人才培养青苗计划项目(QML20191207);首都医科大学附属北京儿童医院护理专项项目(YHL202001)。

摘　　要：目的调查国内儿童动脉血标本采集并发症的发生情况,分析其影响因素,为提升动脉血标本采集质量提供改进依据。方法本研究为横断面研究,采用便利抽样法,选取2019年7—9月全国17家儿童专科医院及三级甲等医院儿科收治的2235例患儿作为研究对象。采用自行设计的儿童动脉血标本采集并发症现状调查问卷,调查儿童动脉血标本采集情况及并发症发生情况,分析其影响因素。采用单因素分析、二项Logistic回归分析对儿童动脉血标本采集并发症发生的影响因素进行分析。共发放问卷2235份,回收有效问卷2205份,有效回收率为98.7%。结果儿童动脉血标本采集并发症的发生率为73.2%(1614/2205),以皮下出血为主,占71.7%(1581/2205);单发并发症发生率为57.6%(1269/2205)。二项Logistic回归分析结果显示,进针角度、按压时间及操作者工作年限是儿童动脉血标本采集并发症发生的影响因素(P<0.05)。结论儿童动脉血标本采集并发症的发生率较高,与进针角度、按压时间及操作者工作年限有关,需建立标准化操作流程和同质化管理以进一步提升操作水平,减少儿童动脉血标本采集并发症的发生。Objective To investigate the occurrence of complications in domestic children's arterial blood specimen collection,analyze its influencing factors,so as to provide an improved basis for improving the quality of arterial blood specimen collection.Methods This study adopted the cross-sectional research method.From July to September 2019,convenience sampling was used to select 2235 children admitted to the Department of Pediatrics of 17 children's specialized hospitals and ClassⅢGrade A hospitals across the country as the research object.The self-designed Childhood Arterial Blood Specimen Collection Complications Questionnaire was used to investigate the status of children's arterial blood specimen collection and the occurrence of complications,and its influencing factors were analyzed.Single factor analysis and binomial Logistic regression were used to analyze the influencing factors of complications in children's arterial blood specimen collection.A total of 2235 questionnaires were issued,and 2205 valid questionnaires were returned with the valid response rate of 98.7%.Results The incidence of complications in the collection of arterial blood specimens in children was 73.2%(1614/2205),mainly subcutaneous hemorrhage,accounting for 71.7%(1581/2205).The incidence of single complications was 57.6%(1269/2205).Binomial Logistic regression analysis showed that the angle of needle insertion,pressing time and the operator's working years were the influencing factors for the complications of arterial blood specimen collection in children,and the differences were statistically significant(P<0.05).Conclusions The incidence of complications in the collection of arterial blood specimens in children is relatively high,which is related to the angle of needle insertion,pressing time,and the working years of the operator.It is necessary to establish standardized operating procedures and homogenized management to further improve the operating level and reduce the incidence of complications in the collection of arterial blood spec

关 键 词：儿童 动脉 血气分析 并发症 

分 类 号：R473.72[医药卫生—护理学]