대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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응급실에서의 주사기 채혈과 진공관 채혈의 용혈과 재채혈 비교

A Comparison of the Rates of Hemolysis and Repeated Blood Sampling using Syringe needles versus Vacuum tube needles in the Emergency Department

  • 성영희 (성균관대학교 임상간호대학원.삼성서울병원 임상간호학연구소) ;
  • 황문숙 (우석대학교 간호학과) ;
  • 이지향 (삼성서울병원 간호파트) ;
  • 박형두 (삼성서울병원 진단검사의학과) ;
  • 유광현 (삼성서울병원 진단검사의학과 검사실) ;
  • 조명숙 (성균관대학교 임상간호대학원.삼성서울병원 간호본부) ;
  • 이영희 (성균관대학교 임상간호대학원.삼성서울병원 임상간호학연구소) ;
  • 송순옥 (메릴랜드 간호대학)
  • Sung, Young-Hee (Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Hwang, Moon-Sook (Department of Nursing Science, School of Oriental Medicine in WooSuk University) ;
  • Lee, Jee-Hyang (Department of Nurisng, Samsung Medical Center) ;
  • Park, Hyung-Doo (Department of Laboratory & Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Ryu, Kwang-Hyun (Department of Laboratory & Genetics, Samsung Medical Center) ;
  • Cho, Myung-Sook (Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Yi, Young-Hee (Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Song, S. (School of Nursing, University of Maryland)
  • 투고 : 2011.09.28
  • 심사 : 2012.05.30
  • 발행 : 2012.06.30
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초록

Purpose: This study was done to compare the rates of hemolysis and repeated sampling in blood samples obtained by a syringe needle versus a vacuum tube needle. Methods: A randomized, prospective study was used to evaluate the differences between the two blood sampling methods. The study group consisted of patients seen in the emergency department (ED) for blood sampling to determine electrolyte level. ED patients were randomly assigned to either the syringe group or the vacuum tube group. All blood samples were collected by experienced ED nurses and hemolysis was determined by experienced laboratory technologists. Data were analyzed using Fisher's exact test and binary logistic regression. Results: One hundred forty-five valid samples were collected (74 in the syringe group versus 71 in the vacuum tube group). 5 of 74 (6.8%) blood samples in the syringe group and 8 of 71 (11.3%) in the vacuum tube group hemolyzed. Repeated blood sampling occurred for 2 of 74 (2.7%) and 3 of 71 (4.2%) in each group respectively. There were no significant differences in rates of hemolysis and repeated sampling between two groups (B=1.97, p=.204; B=2.36, p=.345). Conclusion: Venipuncture with syringe needles can be recommended for ED nurses to obtain blood samples.

키워드

참고문헌

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피인용 문헌

  1. 화학검사 결과의 검증을 위한 용혈 지수 일치화 도구 개발 vol.49, pp.4, 2017, https://doi.org/10.15324/kjcls.2017.49.4.350