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Effect of rapid small angle direct needling method on alleviating pain in venous blood collection

Published on Aug. 01, 2023Total Views: 1528 times Total Downloads: 450 times Download Mobile

Author: Le ZHANG Ying XU Bing HAN

Affiliation: Department of Medical Laboratory, Nanyang Central Hospital, Nanyang 473000, Henan Province, China

Keywords: Venous blood collection Rapid small angle direct needling method Pain Adverse reaction Satisfaction

DOI: 10.12173/j.issn.1004-4337.202303037

Reference: Zhang L, Xu Y, Han B. Effect of rapid small angle direct needling method on alleviating pain in venous blood collection[J]. Journal of Mathematical Medicine, 2023, 36(7): 531-536. DOI: 10.12173/j.issn.1004-4337.202303037.[Article in Chinese]

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Abstract

Objective  To explore the effect of rapid small angle direct needling on alleviating pain in venous blood collection.

Methods  120 patients who underwent venous blood collection in Nanyang Central Hospital from October 2021 to October 2022 were selected as the research subjects and divided into two groups with 60 cases each. The control group received routine blood collection, while the observation group received rapid small angle direct puncture. The pain degree, success rate of blood collection, incidence of adverse reactions, compression hemostasis time, injection time, and satisfaction with nurses’ blood collection techniques were compared between two groups.

Results  The painless rate in the observation group was higher than that in the control group (83.33% vs. 31.67%, P<0.001). The incidences of mild, moderate, and severe pain degree were lower than those in the control group (P<0.05). The success rate of blood collection in the observation group was higher than that in the control group (100.00% vs. 76.67%, P<0.001). The incidence of adverse reactions in the observation group was significantly lower than that in the control group (6.67% vs. 20.00%, P=0.032), the observation group showed higher satisfaction with operational skills, service attitude, workflow, and total score than the control group (P<0.001). Compared with the control group, the pressing hemostasis time and injection time were shorter in the observation group (P<0.001).

Conclusion  Adopting rapid small angle direct needling method for venous blood collection patients can significantly reduce the patient's pain level improve the success rate of one-time blood collection, shorten the injection time, and lower the incidence of adverse reactions.

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References

1.鲁华鹏, 马梅, 何晴, 等. 中等长度导管及经外周静脉穿刺中心静脉置管导管相关血流感染发生率的Meta分析[J]. 中国感染控制杂志, 2021, 20(4): 309-319.[Lu HP, Ma M, He Q, et al. Incidence of catheter-related bloodstream infection in patients with mid-line catheters and peripherally inserted central catheters: a Meta-analysis[J]. Chinese Journal of Infection Control, 2021, 20(4): 309-319.] DOI: 10.12138/j.issn.1671-9638.20217545.

2.Nathan DM, Krause-Steinrauf H, Braffett BH, et al. Comparison of central laboratory HbA1c measurements obtained from a capillary collection versus a standard venous whole blood collection in the GRADE and EDIC studies[J]. PLoS One, 2021, 16(11): e0257154. DOI: 10.1371/journal.pone.0257154.

3.张晓乐, 余艮珍. 儿童医疗辅导在慢性肾脏病患儿静脉穿刺中的应用[J]. 护理管理杂志, 2021, 21(2): 132-135. [Zhang XL, Yu GZ. Application of child life intervention in venipuncture of children with chronic kidney disease[J]. Journal of Nursing Administration, 2021, 21(2): 132-135.] DOI: 10.3969/j.issn.1671-315x.2021.02.013.

4.刘楠, 宋桂霞, 徐家济, 等. 双隔离线辅助定位技术在老年人中心静脉穿刺中的应用[J]. 实用老年医学, 2021, 35(5): 507-508. [Liu N, Song GX, Xu JJ, et al. The application of double septal off-line assisted location technology in central venous puncture in the elderly[J]. Practical Geriatrics, 2021, 35(5): 507-508.] DOI: 10.3969/j.issn.1003-9198.2021.05.019.

5.von Meyer A, Lippi G, Simundic AM, et al. Exact time of venous blood sample collection - an unresolved issue, on behalf of the European Federation for Clinical Chemistry and Laboratory Medicine (EFLM) Working Group for Preanalytical Phase (WG-PRE)[J]. Clin Chem Lab Med, 2020, 58(10): 1655-1662. DOI: 10.1515/cclm-2020-0273.

6.张周文, 石毅军, 邓静, 等. 腹腔镜疝修补术(TAPP)对腹股沟斜疝患者性功能及VAS评分的影响[J]. 黑龙江医药, 2021, 34(1): 194-196. [Zhang ZW, Shi YJ, Deng J, et al. Effect of laparoscopic hernioplasty (TAPP) on sexual function and VAS score of patients with indirect inguinal hernia[J]. Heilongjiang Medicine Journal, 2021, 34(1): 194-196.] DOI: 10.14035/j.cnki.hljyy.2021.01.086.

7.Ozdemir S, Parlakyıldız Gokce A, Unver T. Simulation of three intraoral radiographic techniques in pediatric dental patients: subjective comfort assessment using the VAS and Wong-Baker FACES Pain Raiting Scale[J]. BMC Oral Heal, 2020, 20(1): 33. DOI: 10.1186/s12903-020-1011-2.

8.Abeje G, Gelaye W, Alemu G. Comparison of capillary, venous and buffy coat blood samples in detecting Plasmodium species among malaria suspected patients attending at Hamusite health center. A cross-sectional study[J]. BMC Infect Dis, 2021, 21(1): 576. DOI: 10.1186/s12879-021-06290-6.

9.Zarbl J, Eimer E, Gigg C, et al. Remote self-collection of capillary blood using upper arm devices for autoantibody analysis in patients with immune-mediated inflammatory rheumatic diseases[J]. RMD Open, 2022, 8(2): e002641.DOI: 10.1136/rmdopen-2022-002641.

10.邓星, 吴李莉, 熊维建, 等. 血管穿刺规划图在血液透析患者自体动静脉内瘘穿刺中的应用[J]. 当代护士, 2021, 28(11): 7-9. [Deng X, Wu LL, Xiong WJ, et al. Application of vascular puncture planning in autologous arteriovenous fistula puncture in hemodialysis patients[J]. Modern Nurse, 2021, 28 (11): 7-9.] DOI: 10.19793/j.cnki.1006-6411.2021.32.003.

11.Hall JM, Fowler CF, Barrett F, et al. Reply to Verougstraete et al. Comment on HbA1c determination from HemaSpot blood collection devices: comparison of home-prepared dried blood spots with standard venous blood analysis[J]. Diabet Med, 2020, 37(9): 1614-1615. DOI: 10.1111/dme.14296.

12.Lofgren SM, Nicol MR, Kandole TK, et al. A descriptive analysis of dried blood spot adherence testing among Ugandans with HIV presenting with cryptococcal meningitis[J]. AIDS Research and Human Retroviruses, 2021, 37(7): 529-533. DOI: 10.1089/AID.2020.0202.

13.胡素琴, 王桂玲, 祁静, 等. 改良式集束化护理策略在160例肿瘤患儿经外周静脉穿刺中心静脉置管术中的实践[J]. 国际病理科学与临床杂志, 2021, 41(3): 640-644. [Hu SQ, Wang GL, Qi J, et al. Management practice of modified cluster nursing strategy in peripherally inserted central catheter in 160 children with tumor[J]. Journal of Clinical and Pathological Research, 2021, 41(3): 640-644.] DOI: 10.3978/j.issn.2095-6959.2021.03.023.

14.Verougstraete N, Stove V, Stove C. Comment on HbA1c determination from HemaSpot blood collection devices: comparison of home-prepared dried blood spots with standard venous blood analysis[J]. Diabet Med, 2020, 37(9): 1613-1614. DOI: 10.1111/dme.14200.

15.姜春英, 张华秀, 王小凤.  SBAR沟通模式联合快速小角度直刺法在静脉采血中应用的效果分析[J]. 中国医学创新, 2021, 18(19): 109-113. [Jiang CY, Zhang HX, Wang XF. Analysis of effect of SBAR communication mode combined with rapid and small angle direct puncture method in intravenous blood collection[J]. Medical Innovation of China, 2021, 18(19): 109-113.] DOI: 10.3969/j.issn.1674-4985.2021.19.026.

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