体检中心采血风险因素调查及健康管理策略研究

Investigation on Risk Factors and Health Management Strategies of Blood Collection in Physical Examination Center

目的:调查体检中心采血风险因素并研究有效的健康管理策略。方法:收集2021年6月~2022年6月所有来我院体检中心进行定期健康体检的体检者的临床资料。我院在2022年1月开始实施健康管理策略,在上述所有体检者的资料中随机抽取实施健康管理策略前、后各200例分别纳入对照组和观察组进行研究。对照组按照常规流程进行采血。观察组对体检中心采血风险因素进行调查后针对性实施健康管理策略。比较两组体检者入院时及采血时情绪状态评分、采血不良反应发生情况、护理差错事件发生情况以及护理满意度的差异。结果:两组入院时焦虑自评量表(SAS)评分及抑郁自评量表(SDS)评分对比差异不显著;观察组采血时SAS评分及SDS评分均低于对照组,差异具有统计学意义;观察组采血不良反应总发生率为2.00%,低于对照组的9.50%,差异具有统计学意义;观察组护理差错事件总发生率为0.50%,低于对照组的3.50%,差异具有统计学意义;观察组的护理总满意度为98.00%,高于对照组的90.50%,差异具有统计学意义。结论:体检中心采血风险因素主要表现在个体因素、操作因素、暴露危害3个方面,针对性的实施健康管理策略有利于改善体检者的情绪状态,防范采血不良反应和护理差错事件,提高护理服务质量。

Objective:To investigate the risk factors of blood collection in physical examination center and study the effective health management strategies.Methods:From June 2021 to June 2022,the clinical data of all physical examiners who came to the physical examination center of our hospital for regular physical examination were collected.The health management strategy was beginning to implement in January 2022.A total of 200 cases were randomly selected from the data of all the above-mentioned physical examiners before and after the implementation of the health management strategy,and were included in the control group and the observation group for research.The control group took blood according to the routine procedure.The observation group carried out targeted health management strategy after investigating the risk factors of blood collection in the physical examination center.The difference of emotional state scores,adverse reactions,nursing errors and nursing satisfaction between the two groups was compared.Results:There was no significant difference in the scores of SAS and SDS between the two groups.However,the SAS scores and SDS scores of the observation group were lower than those of the control group.Moreover,the total incidence of adverse reactions in the observation group was 2.00%,which was lower than 9.50%in the control group.Furthermore,the total incidence of nursing errors in the observation group was 0.50%,lower than that in the control group(3.50%).The total nursing satisfaction of the observation group was 98.00%,which was higher than 90.50%of the control group.Conclusion:The risk factors of blood collection in physical examination centers are mainly manifested in three aspects,including individual factors,operational factors and exposure hazards.The targeted implementation of health management strategies is conducive to improving the emotional state of physical examination personnel,preventing adverse reactions of blood collection and nursing errors,and improving the quality of nursing services.