规范护理人员血培养采集方法对预防血液标本污染的影响分析与对策  

Analysis and Countermeasures of the Impact of Standardizing Blood Culture Collection Methods for Nursing Staff on Preventing Blood Sample Contamination

作　　者：周华 章亿香 蒋庭玲 姚东海 ZHOU Hua;ZHANG Yixiang;JIANG Tingling;YAO Donghai(Hospital Infection Management Department,Guangxi Zhuang Autonomous Region Occupational Prevention and Control Research Institute(Guangxi Zhuang Autonomous Region Workers Hospital),Nanning 530021,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]广西壮族自治区职业防治研究院(广西壮族自治区工人医院)医院感染管理科,广西南宁530021

出　　处：《中国卫生产业》2024年第7期12-14,共3页China Health Industry

摘　　要：目的探讨规范护理人员采集血培养操作方法提高血培养检验结果的准确性效果。方法选取2022年1—6月广西壮族自治区工人医院的10名护理人员与其采集的患者血培养标本1900例作为对照组,采用常规操作流程。选取2023年1—6月本院10名护理人员及其采集的患者血培养标本2992例作为观察组,采用规范化标本采集管理。两组护理人员为同一批。比较两组血培养标本污染发生情况、护理人员的工作情况评分。结果观察组总污染率(2.51%)低于对照组(4.63%),差异有统计学意义(χ^(2)=5.131,P<0.05)。观察组分离阳性率低于对照组,差异有统计学意义(P<0.05)。观察组护理人员工作情况评分高于对照组,差异有统计学意义(P均<0.05)。结论采用规范化标本采集方法管理护理人员,对于预防血液标本污染具有关键作用。Objective To explore the effect of standardizing the operation method of blood culture collection by nursing staff to improve the accuracy of blood culture test results.Methods Ten nursing staff of the Guangxi Zhuang Autonomous Region Workers'Hospital and 1900 cases of their collected patients'blood culture specimens from January to June 2022 were selected as the control group,and the standardized operation process was adopted.Ten nursing staff and their collected patient blood culture specimens of 2992 cases in the hospital from January to June 2023 were selected as the observation group,and the standardized specimen collection management was adopted.The nursing staff of the two groups were the same group.The occurrence of blood culture specimen contamination and the nursing staff's work situation scores were compared between the two groups.Results The total contamination rate of the observation group(2.51%)was lower than that of the control group(4.63%),and the difference was statistically significant(χ^(2)=5.131,P<0.05).The positive rate of separation in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The nursing staff work situation scores in the observation group were higher than those in the control group,and the difference was statistically significant(all P<0.05).Conclusion The use of standardized specimen collection methods to manage nursing staff plays a key role in preventing blood specimen contamination.

关 键 词：血培养标本 采集方法 对策 

分 类 号：R47[医药卫生—护理学]