以循证问题为导向的采血护理在老年静脉采血人群中的应用价值研究

Study on the Application Value of Evidence-based Question-oriented Blood Collection Nursing in Elderly Venous Blood Collection Population

目的 探讨以循证问题为导向的采血护理在老年静脉采血人群中的应用价值。方法 采用随机抽样法抽取2023年1月—12月于单县中心医院进行静脉采血的120例老年体检者为研究对象,采用随机数字表法分为研究组与参照组,每组60例。在静脉采血期间,参照组给予常规采血护理,研究组给予以循证问题为导向的采血护理。利用抑郁-焦虑-应激自评量表评估采血前后两组患者的心理状态,比较两组患者的一次性穿刺成功率、采血不良事件发生率。结果 护理后,研究组焦虑、抑郁、压力评分及总分均低于参照组,差异有统计学意义(P均<0.05)。研究组一次性穿刺成功率为93.33%,明显高于参照组的75.00%,差异有统计学意义(χ^(2)=7.566,P<0.05)。研究组采血不良事件发生率为1.67%,低于参照组的13.33%,差异有统计学意义(χ^(2)=4.324,P<0.05)。结论 为需要进行静脉采血的老年体检者开展以循证问题为导向的采血护理能改善其心理状态,并提高一次性穿刺成功率,有效控制采血不良事件发生风险。

Objective To explore the application value of evidence-based question-oriented blood collection nursing in elderly venous blood collection population.Methods A total of 120 elderly patients who underwent venous blood collection in Shan County Central Hospital from January to December 2023 were uring random sampling method to extracted as the study subjects and divided into study group and reference group by random number table method,with 60 cases in each group.During intravenous blood collection,the reference group was given routine blood collec-tion care,and the study group was given evidence-based question-oriented blood collection care.The Depression Anxiety and Stress Scale(DASS-21)was used to compare the psychological states of the patients of two groups before and after blood collection,and the one-time puncture success rate and the incidence of adverse events in blood collec-tion were compared between the patients of two groups.Results After nursing,the anxiety,depression,stress scores and total scores of the study group were lower than those of the reference group,the differences were statistically sig-nificant(all P<0.05).The success rate of one-time puncture in the study group was 93.33%,which was significantly higher than that in the reference group(75.00%),the difference was statistically significant(χ^(2)=7.566,P<0.05).The incidence of adverse events in blood collection in the study group was 1.67%,lower than that in the reference group(13.33%),and the difference was statistically significant(χ^(2)=4.324,P<0.05).Conclusion Evidence-based question-oriented blood collection nursing can improve the psychological state of elderly patients who need venous blood collec-tion,increase the success rate of one-time puncture,and effectively control the risk of adverse blood collection events.