Current situation and influencing factors of complications in the collection of arterial blood specimens in children
10.3760/cma.j.cn115682-20210414-01640
- VernacularTitle:儿童动脉血标本采集并发症发生现状及影响因素分析
- Author:
Guangyu LI
1
;
Xiaohui WANG
;
Bin QU
;
Jie ZHANG
;
Yingjie DUAN
;
Lianye LI
Author Information
1. 国家儿童医学中心 首都医科大学附属北京儿童医院重症医学科 100045
- Keywords:
Child;
Arteries;
Blood gas analysis;
Complications
- From:
Chinese Journal of Modern Nursing
2021;27(29):3967-3971
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the occurrence of complications in domestic children's arterial blood specimen collection, analyze its influencing factors, so as to provide an improved basis for improving the quality of arterial blood specimen collection.Methods:This study adopted the cross-sectional research method. From July to September 2019, convenience sampling was used to select 2 235 children admitted to the Department of Pediatrics of 17 children's specialized hospitals and ClassⅢ Grade A hospitals across the country as the research object. The self-designed Childhood Arterial Blood Specimen Collection Complications Questionnaire was used to investigate the status of children's arterial blood specimen collection and the occurrence of complications, and its influencing factors were analyzed. Single factor analysis and binomial Logistic regression were used to analyze the influencing factors of complications in children's arterial blood specimen collection. A total of 2 235 questionnaires were issued, and 2 205 valid questionnaires were returned with the valid response rate of 98.7%.Results:The incidence of complications in the collection of arterial blood specimens in children was 73.2% (1 614/2 205) , mainly subcutaneous hemorrhage, accounting for 71.7% (1 581/2 205) . The incidence of single complications was 57.6% (1 269/2 205) . Binomial Logistic regression analysis showed that the angle of needle insertion, pressing time and the operator's working years were the influencing factors for the complications of arterial blood specimen collection in children, and the differences were statistically significant ( P<0.05) . Conclusions:The incidence of complications in the collection of arterial blood specimens in children is relatively high, which is related to the angle of needle insertion, pressing time, and the working years of the operator. It is necessary to establish standardized operating procedures and homogenized management to further improve the operating level and reduce the incidence of complications in the collection of arterial blood specimens in children.
