Status Survey Of Different The Pressing Ways And Adverse Reactions After Venous Blood Sampling

Objective: To understand the status of the Shihezi city, a hospitals outpatient, inpatient department withvenous blood sampling manner and adverse reactions. And the influence factors of adverse reactions rate.So as to improve healthy education content of the venous blood sampling, and guiding patients right, andreduce the occurrence of adverse reactions.Methods: Adopt the methods of stratified sampling and cluster sampling to extracting400patients fromoutpatient and inpatient department and57nurses as the object of investigation. Statistical analysisadpption rate and constituent ratio to describing rate incidence of adverse reactions and patients and nursesget knowledge way of venous blood collection and demand. Chi-square test was used to compre ratebetween group and constituent ratio. Using the binary classification Logistic regression analysis theinfluence factors of adverse reactions rate.Results:1. Outpatient patients the incidence of adverse reactions after venous blood sampling was89.00%, theinpatient patients the incidence of adverse reactions was80.50%, both comparison show the difference wasstatistically significant（χ~2=5.590，P=0.018）.2.There were three different pessure ways after venous blood: cotton awabs and vertical stretch upperarm, cotton awabs and vertical bending upper arm, cotton awabs and parallel to the upper armstretching, and incidence of respectively were82.96%,89.47%,79.55%.3.Produce adverse reactions under different pressure ways have pain, tension, the eye of a needle bleeding,subcutaneous bleeding or hematoma, and incidence of respectively were82.00%,18.75%,10.50%,7.75%,and compara with the incidence of adverse reactions （χ~2=3.771，P=0.152），there was no statisticallysignificant difference.4.Whether to hand over to treat compara with the incidence of adverse reactions（χ~2=4.177，P=0.041）,different press time compara with the incidence of adverse reactions（χ~2=9.734，P=0.045）, whether oncepuncture success compara with the incidence of adverse reaction（sχ~2=9.234，P=0.002）, the difference wasstatistically significant. Between different age groups compara with the incidence of adverse reactions（χ~2=4.265，P=0.119）, Between different gender compara with the incidence of adverse reactions（χ~2=0.059，P=0.808）, there was no statistically significant difference.5.Venous blood in patients with major knowledge acquirement is paramedics told face to face90.00%,andfrom relatives and friends accounting for10.00％.6.There were97.25%of patients need venous blood sampling major knowledge,and only2.75%of thepatients said that does not matter.7.There were56.10%of nurses said need to learn the major knowledge of venous sampling,and43.90%ofnurses said that does not matter.Conclusion: There was no statistically significant difference that compara with the incidence of adversereactions under different pressure ways. Outpatient and the inpatient patients have higher incidence ofadverse reactions after venous blood sampling, and the incidence of adverse reactions after outpatientpatients with venous blood is higher than the inpatient patients.And the majority of patients and nurseswilling to accept and understand venous blood sampling knowledge, so strengthen the leaning of thevenous blood sampling knowledge to nurses and health enducation to patients.