中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
23期
85-87
,共3页
体检%静脉抽血%晕厥%护理对策
體檢%靜脈抽血%暈厥%護理對策
체검%정맥추혈%훈궐%호리대책
Physical examination%Venous blood%Syncope%Nursing countermeasures
目的：探讨体检时静脉抽血晕厥的相关因素及其护理对策。方法：选取2012年1月-2014年1月期间在本院体检科抽血的1300例体检者作为研究对象，根据查体时间将所有患者分为对照组700例和观察组600例，对照组给予常规护理，观察组在常规护理基础上给予预见性综合护理干预，对两组静脉抽血时发生晕厥的病例进行回顾性分析。结果：观察组体检者晕厥发生率1.33%（8/600）明显低于对照组的4.86%（34/700），观察组第1次发病几率87.50%（7/8）明显高于对照组的35.29%（12/34），差异有统计学差异（P<0.05），因此观察组的晕厥患者主要为首次发病。晕厥发病原因中精神紧张等心理因素占45.24%（19/42），明显高于体质因素的26.19%（11/42）、疼痛刺激敏感的19.05%（8/42）、体位因素的9.52%（4/42），差异均有统计学意义（P<0.05）。针对42例患者晕厥的原因采取相应的护理对策后完全康复，无后遗症状。结论：通过了解体检时晕厥的相关危险因素，采取相应的积极护理对策，可减少晕厥的发生。
目的：探討體檢時靜脈抽血暈厥的相關因素及其護理對策。方法：選取2012年1月-2014年1月期間在本院體檢科抽血的1300例體檢者作為研究對象，根據查體時間將所有患者分為對照組700例和觀察組600例，對照組給予常規護理，觀察組在常規護理基礎上給予預見性綜閤護理榦預，對兩組靜脈抽血時髮生暈厥的病例進行迴顧性分析。結果：觀察組體檢者暈厥髮生率1.33%（8/600）明顯低于對照組的4.86%（34/700），觀察組第1次髮病幾率87.50%（7/8）明顯高于對照組的35.29%（12/34），差異有統計學差異（P<0.05），因此觀察組的暈厥患者主要為首次髮病。暈厥髮病原因中精神緊張等心理因素佔45.24%（19/42），明顯高于體質因素的26.19%（11/42）、疼痛刺激敏感的19.05%（8/42）、體位因素的9.52%（4/42），差異均有統計學意義（P<0.05）。針對42例患者暈厥的原因採取相應的護理對策後完全康複，無後遺癥狀。結論：通過瞭解體檢時暈厥的相關危險因素，採取相應的積極護理對策，可減少暈厥的髮生。
목적：탐토체검시정맥추혈훈궐적상관인소급기호리대책。방법：선취2012년1월-2014년1월기간재본원체검과추혈적1300례체검자작위연구대상，근거사체시간장소유환자분위대조조700례화관찰조600례，대조조급여상규호리，관찰조재상규호리기출상급여예견성종합호리간예，대량조정맥추혈시발생훈궐적병례진행회고성분석。결과：관찰조체검자훈궐발생솔1.33%（8/600）명현저우대조조적4.86%（34/700），관찰조제1차발병궤솔87.50%（7/8）명현고우대조조적35.29%（12/34），차이유통계학차이（P<0.05），인차관찰조적훈궐환자주요위수차발병。훈궐발병원인중정신긴장등심리인소점45.24%（19/42），명현고우체질인소적26.19%（11/42）、동통자격민감적19.05%（8/42）、체위인소적9.52%（4/42），차이균유통계학의의（P<0.05）。침대42례환자훈궐적원인채취상응적호리대책후완전강복，무후유증상。결론：통과료해체검시훈궐적상관위험인소，채취상응적적겁호리대책，가감소훈궐적발생。
To investigate the examination related factors and nursing countermeasures of venous blood syncope when physical examination.Method:1300 cases with physical examination received blood examination in physical examination department from January 2012 to January 2014 were selected as research objects,according to the examination time were divided into 700 cases for the control group and 600 cases for the observation group,the control group was given conventional nursing,the observation group was given predictive nursing intervention on the basis of the conventional nursing,the cases occurred syncope in venous blood of the two groups were retrospectively analyzed.Result:The incidence of syncope the observation group was 1.33%(8/600),it was significantly lower than 4.86%(34/700)of the control group,the probability of first attack of the observation group was 87.50%(7/8),it was significantly higher than 35.29%(12/34)of the control group,the differences were statistically significant(P<0.05).So the observation group of patients with syncope was mainly for the first onset.The mental tension and psychological factors of syncope pathogenesis accounted for 45.24%(19/42),it significantly higher than 26.19%(11/42)of physical factors,19.05%(8/42) of painful stimuli sensitive,9.52%(4/42)of position factor,the differences were statistically significant(P<0.05).42 cases of syncope in patients with nursing countermeasures completely recovered,they had no residual symptoms. Conclusion:By understanding the related risk factors on examination of syncope,taking corresponding measures can reduce the occurrence of syncope.
