Analysis on the causes of hemolysis in pediatric samples and the Countermeasures of nursing qualitymanagement
儿科标本溶血原因的分析与相关护理质量管理对策分析

摘要

目的 探析儿科标本溶血原因的分析与相关护理质量管理对策。方法 统计200份我院儿科血液生化检验标本作为2021.04——2022.02研究内容，以随机分组法分出常规组、实验组，每组100例。常规组予以常规护理质量管理，实验组予以规范化护理质量管理。整理对比两组儿科标本经检验下标本溶血发生率、一次性穿刺成功率、检验准确率。结果 相较于常规组，实验组标本溶血发生率更低，P＜0.05。相较于常规组，实验组一次性穿刺成功率、检验准确率更高，P＜0.05。标本溶血原因可见穿刺困难、操作不当、送检不当，其中操作不当发生率最高。结论 造成儿科标本溶血危险因素中操作不当是最常见原因，对此加强护理质量管理后确保操作规范性可提高减少溶血发生，对策可靠有效。

Abstract

Objective to analyze the causes of hemolysis in pediatric samples and the related nursing quality management countermeasures.
Methods 200 pediatric blood biochemical test samples in our hospital were counted as the research content from April 2021 to February 2022. The routine group and experimental group were randomly divided into 100 cases in each group. The routine group received routine nursing quality management, while the experimental group received standardized nursing quality management. The incidence of hemolysis, the success rate of one-time puncture and the test accuracy were compared between the two groups.
Results compared with the routine group, the incidence of hemolysis in the experimental group was lower (P < 0.05). Compared with the routine group, the one-time puncture success rate and test accuracy rate of the experimental group were higher (P < 0.05). The causes of hemolysis of samples include difficult puncture, improper operation and improper submission for examination, and the incidence of improper operation is the highest.
Conclusion   among the risk factors of hemolysis in pediatric samples, improper operation is the most common cause. Therefore, strengthening the management of nursing quality and ensuring the standardization of operation can improve and reduce the occurrence of hemolysis. The countermeasures are reliable and effective.