Application of quarter positioning combined with touch method in neonatal radial artery blood collection / 中国实用护理杂志

ABSTRACT

Objective:To investigate the effect of quarter positioning combined with touch method in the blood collection of radial artery in newborn.Methods:A total of 100 cases of neonates admitted to Hangzhou Children ′s Hospital from September 2018 to April 2019 were selected as subjects. For the 50 newborns admitted from September to December 2018, the first blood collection of the radial artery was performed by touch method (as the control group) . For the 50 neonates admitted from January to April 2019, the first blood collection was performed using the quarter positioning combined touch method (as the observation group) . The success rate of one-time blood sampling, blood collection time, subcutaneous bleeding range and neonatal pain assessment scale (NIPS) scores of the two groups were observed. Results:The success rate of blood collection was 90% (45/50), the time of blood collection was (1.99±0.32) min, the proportion of subcutaneous hemorrhage was 20% (10/50) in the observation group, and 70% (35/50). (4.99±0.22) min, and 56% (28/50) in the control group. The difference between the two groups was statistically significant ( χ2 value was 6.25,13.75, t value was 54.627, both P<0.05). 38 cases and 12 cases with NIPS scores of 0-3 and 4-7 were in observation group,and 25 cases and 25 cases in the control group respectively. The difference between the two groups was statistically significant ( χ2 value was 7.25, P<0.01). Conclusion:Quarter positioning combined touch method in neonatal radial artery blood collection is intuitive, simple and time-saving, which is suitable for promotion and application in neonatal wards.