双棉签拇指重叠按压法在静脉采血后的应用(1)
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[摘要] 目的:探讨双棉签拇指重叠按压法在静脉采血拔针后按压止血的效果。方法:将360例体检者按采血日期先后分为观察组1(双棉签拇指重叠按压法)、观察组2(双棉签交换按压法)、常规组(单棉签交换按压法)3组,每组各120例。观察各组局部发生疼痛、皮肤出血及皮下出血等情况。结果:3组局部发生疼痛、皮肤出血及皮下出血等情况经χ2比较,差异有统计学意义(P<0.05或P<0.01)。结论:双棉签拇指重叠按压法、双棉签交换按压法按压止血效果优于单棉签交换按压法,并可显著降低采血后局部疼痛的发生率,其中双棉签拇指重叠按压法护理效果更佳。
[关键词] 静脉采血;棉签;按压法;止血
[中图分类号] R472[文献标识码]C [文章编号]1673-7210(2010)05(b)-087-02
Application of overlapping pressing a pair of cotton swab with thumb after venous blood sampling
LIN Huayao,WANG Qiuxing, CHEN Xiwen
(The Nursing Department of Chenghai People's Hospital, Shantou City, Guangdong Province, Shantou 515800, China)
[Abstract] Objective: Discuss the effect of pressing the thumb overlapping pairs of cotton swab after the venous blood sampling. Methods: A sample of 360 healthy subjects, based on the order of precedence for blood collection, were divided into 3 observation groups, including experimental group1 (overlapping pressing a pair of cotton swab with thumb), experimental group 2 (alternate pressing a pair of cotton swab with thumb) and the conventional control group (alternately pressing one cotton with thumb), with 120 subjects in each group. Observe the aches and pains, cutaneous hemorrhage and subcutaneous hemorrhage in each group. Results: By χ2, the difference among the 3 groups shows statistical significance (P<0.05 or P<0.01). Conclusion: Overlapping and alternate pressing a pair of cotton swab with thumb are more effective in hemostasis than alternately pressing one cotton with thumb, and they can significantly lower the possibility of triggering local pain after the venous blood sampling. Overlapping pressing a pair of cotton swab with thumb is the best remedy in particular.
[Key words] Venous blood sampling;Cotton swab;Pressure manipulation;Haemostasis
静脉穿刺抽血采集血标本是高考体检的一个重要项目。若采血拔针后按压不当,易出现局部疼痛、皮肤出血及皮下出血等不良情况,给学生造成痛苦及紧张情绪,影响学习和生活。在2009年高考体检采血时,为减少采血后不良情况发生,笔者在静脉采血拔针后应用双棉签拇指重叠按压法按压止血,效果满意,现介绍如下:
1 对象与方法
1.1 对象
选择2009年4月参加高考体检采血的学生360例,其中,男176例,女184例;年龄18~21岁;排除血液系统疾病及血小板计数、出凝血时间异常者。按采血日期先后分为观察组1、观察组2和常规组3组,每组各120例。两组在性别、年龄、静脉情况等作比较,差异无统计学意义(P>0.05),具有可比性。
1.2 材料
棉签为河南飘安集团有限公司生产的一次性无菌医用棉签(直径0.5～0.6 cm),采血针头、真空采血管等材料均为同一厂家生产,型号相同。
1.3 操作方法 ......
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