- 期刊
使用真空採血器降低護理人員針扎及減少檢體溶血率之成效
Effects of Implementing the Vacutainer System on Reducing Needlestick Injuries in Nurses and Hemolysis during Blood Collection
摘要
Needlestick and sharp injuries (NSI) are among the most significant occupational injuries for nurses. In the proposed study, the NSI incidents and events that occurred among nurses during the period from 2006-2009 were described, and the differences in the NSI incident and hemolysis rates after implementing Vacutainer systems were compared. A before-and-after intervention trial was conducted comparing the 3-year pre-intervention (2006-2008) period with the 1-year post-intervention (2009) period. The results showed 977 nurses with 139 events due to general needle stick injuries during 2006-2009. The units were divided into 3 groups according to the frequency of vacuum blood collection device use, no Vacutainer system use, partial Vacutainer system use, and full Vacutainer system use. The incidence of nurse needlestick injury with full Vacutainer system use (0.00‰) was significantly lower than both no (0.08‰) and partial Vacutainer system use (0.15‰) (χ^2=15.23; p＜0.01). In addition, the hemolysis rate of blood samples with full Vacutainer system use (0.23%) was significantly lower than no use (0.94%), and partial Vacutainer system use (0.62%) (χ^2=26.17; p＜0.01). The study found that both the incidence of nurse needle-stick injuries and the hemolysis rate of blood samples were reduced with full Vacutainer system use.
並列摘要
Needlestick and sharp injuries (NSI) are among the most significant occupational injuries for nurses. In the proposed study, the NSI incidents and events that occurred among nurses during the period from 2006-2009 were described, and the differences in the NSI incident and hemolysis rates after implementing Vacutainer systems were compared. A before-and-after intervention trial was conducted comparing the 3-year pre-intervention (2006-2008) period with the 1-year post-intervention (2009) period. The results showed 977 nurses with 139 events due to general needle stick injuries during 2006-2009. The units were divided into 3 groups according to the frequency of vacuum blood collection device use, no Vacutainer system use, partial Vacutainer system use, and full Vacutainer system use. The incidence of nurse needlestick injury with full Vacutainer system use (0.00‰) was significantly lower than both no (0.08‰) and partial Vacutainer system use (0.15‰) (χ^2=15.23; p＜0.01). In addition, the hemolysis rate of blood samples with full Vacutainer system use (0.23%) was significantly lower than no use (0.94%), and partial Vacutainer system use (0.62%) (χ^2=26.17; p＜0.01). The study found that both the incidence of nurse needle-stick injuries and the hemolysis rate of blood samples were reduced with full Vacutainer system use.