鄒丹麗
[摘要] 目的 探討血站獻(xiàn)血服務(wù)中通過整體護(hù)理對報(bào)廢率及不良反應(yīng)的干預(yù)效果。方法 于2018年1月—2019年1月,便利選擇400名無償獻(xiàn)血者作為研究對象,按照隨機(jī)數(shù)字表法,隨機(jī)分為每組200名,對照組施行常規(guī)護(hù)理,觀察組施行整體護(hù)理,比較兩組的血液標(biāo)本報(bào)廢率、不良反應(yīng)發(fā)生率、舒適度評分、心理狀況評分、護(hù)理滿意度。結(jié)果 觀察組血液標(biāo)本報(bào)廢率0.00%低于對照組3.00%(χ2=4.230,P<0.05)。觀察組的不良反應(yīng)發(fā)生率1.00%低于對照組4.50%(χ2=4.581,P<0.05)。護(hù)理后,觀察組的舒適度評分與對照組相比更高(t=11.947,P<0.05),觀察組的SAS、SDS評分與對照組相比均更低(t=9.376、10.779,P<0.05)。護(hù)理總滿意率觀察組99.00%與對照組95.50%相比更高(χ2=4.581,P<0.05)。結(jié)論 整體護(hù)理用于血站無償獻(xiàn)血者獻(xiàn)血過程中,可切實(shí)減少采血過程中的不良反應(yīng)情況,減少血液標(biāo)本報(bào)廢情況,有利于提高無償獻(xiàn)血者的舒適度,改善其心理狀況,提升其護(hù)理滿意度。
[關(guān)鍵詞] 血站;無償獻(xiàn)血;整體護(hù)理;不良反應(yīng)
[中圖分類號] R473.5 ? ? ? ? ?[文獻(xiàn)標(biāo)識碼] A ? ? ? ? ?[文章編號] 1674-0742(2020)11(a)-0126-03
Research on the Value of Obsolescence Rate and Adverse Reaction Through Holistic Nursing in Blood Donation Service of Blood Station
ZOU Dan-li
Nanping Central Blood Station, Nanping, Fujian Province, 353000 China
[Abstract] Objective To explore the effect of holistic nursing intervention on the rejection rate and adverse reactions in the blood donation service of blood stations. Methods From January 2018 to January 2019, 400 unpaid blood donors were conveniently selected as the research objects, and according to the random number table method, they were randomly divided into 200 cases in each group. The control group received routine care and the observation group received holistic care. Comparison of the blood sample rejection rate, adverse reaction rate, comfort score, psychological status score, and nursing satisfaction of the two groups. Results The 0.00% rejection rate of blood samples in the observation group was lower than 3.00% in the control group (χ2=4.230, P<0.05). The incidence of adverse reactions in the observation group was 1.00% lower than that in the control group 4.50% (χ2=4.581, P<0.05). After nursing, the comfort score of the observation group was higher than that of the control group (t=11.947, P<0.05), and the SAS and SDS scores of the observation group were lower than those of the control group (t=9.376, 10.779, P<0.05). The overall nursing satisfaction rate of 99.00% in the observation group was higher than that in the control group 95.50%(χ2=4.581, P<0.05). Conclusion The use of holistic nursing care in the blood donation process of unpaid blood donors at blood stations can effectively reduce the adverse reactions in the blood collection process and reduce the waste of blood samples, which is beneficial to improve the comfort of unpaid blood donors, improve their psychological conditions, and enhance the care satisfaction.
綜上所述,整體護(hù)理用于血站無償獻(xiàn)血者獻(xiàn)血過程中,可切實(shí)減少不良反應(yīng)情況和血液標(biāo)本報(bào)廢情況,有利于提高無償獻(xiàn)血者的舒適度,改善其心理狀況,提升其護(hù)理滿意度。
[參考文獻(xiàn)]
[1] ?陳素珍.人文關(guān)懷對獻(xiàn)血護(hù)理質(zhì)量的影響[J].臨床輸血與檢驗(yàn),2017,19(5):521-524.
[2] ?Diekamp U,Gneissl J,Rabe A, et al.Donor Hemovigilance with Blood Donation[J].Transfusion medicine and hemother apy,2015,42(3):183-194.
[3] ?劉苗苗,周忠英,江玉君,等.無償獻(xiàn)血中開展精細(xì)化護(hù)理的效果分析[J].浙江臨床醫(yī)學(xué),2018,20(5):959-960.
[4] ?盧玉香.無償獻(xiàn)血者焦慮情緒影響因素分析及護(hù)理干預(yù)效果[J].國際護(hù)理學(xué)雜志,2019,38(2):197-199.
[5] ?方穎,許愛琴.以人為本的護(hù)理模式在無償獻(xiàn)血過程中的應(yīng)用效果分析[J].中國基層醫(yī)藥,2019,26(17):2158-2161.
[6] ?Agarwal RK, Periyavan S, Dhanya R, et al.Complications related to blood donation: A multicenter study of the prevalence and influencing factors in voluntary blood donation camps in Karnataka, India[J]. Asian J Transfus Sci,2016,10(1):53-58.
[7] ?何丹丹.影響無償獻(xiàn)血者再次獻(xiàn)血相關(guān)因素及護(hù)理預(yù)防措施[J].中國衛(wèi)生產(chǎn)業(yè),2017,14(25):84-85,88.
[8] ?劉苗苗,江玉君,李建華,等.基于人文關(guān)懷的無償獻(xiàn)血者護(hù)理[J].中國輸血雜志,2017,30(7):787-788.
[9] ?郝彩紅,馬仕財(cái).基于人文關(guān)懷的護(hù)理干預(yù)對無償獻(xiàn)血者的影響[J].檢驗(yàn)醫(yī)學(xué)與臨床,2019,16(19):2860-2862.
[10] ?于波媛.整體護(hù)理對機(jī)采血小板捐獻(xiàn)者的應(yīng)用效果[J].中國繼續(xù)醫(yī)學(xué)教育,2016,8(9):235-236.
[11] ?熊惠連.整體護(hù)理干預(yù)對獻(xiàn)血反應(yīng)的影響[J].中國當(dāng)代醫(yī)藥,2017,24(27):185-187.
[12] ?劉丹.整體護(hù)理在無償獻(xiàn)血者招募及血液采集過程中的應(yīng)用價值[J].中國現(xiàn)代藥物應(yīng)用,2016,10(19):272-273.
(收稿日期:2020-08-10)