董秀明

【摘要】 目的：探讨精细化护理在献血护理工作中的应用效果。方法：选择2017年2-6月于笔者所在献血站献血的8 369例献血者为对照组，采用常规护理;2018年2-6月献血的8 497例献血者设为观察组，采用精细化护理。比较两组平均献血量、一次捐献300、400 ml率、静脉穿刺一针率、非标量采集率、献血服务满意度。结果：观察组平均献血量、一次捐献300、400 ml率、静脉穿刺一针率、总满意度均高于对照组（P<0.05）。观察组非标量采集率低于对照组，差异无统计学意义（P>0.05）。结论：精细化护理在献血护理工作中的应用效果良好，对提升无偿献血者血液采集的质与量均有较明显作用。

【关键词】 精细化护理 献血护理 静脉穿刺一针率 非标量采集率 献血者满意度

doi：10.14033/j.cnki.cfmr.2019.28.047 文献标识码 B 文章编号 1674-6805（2019）28-0-03

The Application Effect of Refined Nursing in Blood Donation Nursing/DONG Xiuming. //Chinese and Foreign Medical Research， 2019， 17（28）： -115

[Abstract] Objective： To explore the application effect of refined nursing in blood donation nursing work. Method： A total of 8 369 blood donors who donated blood from February to June 2017 were selected as the control group， and routine nursing was used. And 8 497 blood donors who donated blood from February to June 2018 were set as the observation groups， and refined nursing was used. The average blood donation volume， one-time donation rate of 300 ml and 400 ml， a needle rate of venous puncture， non-scalar collection rate， and blood donation service satisfaction were compared between the two groups. Result： The average blood donation volume， one-time donation rate of 300 ml and 400 ml， a needle rate of venous puncture， and total satisfaction of the observation group were higher than those of the control group （P<0.05）. The non-scalar collection rate of the observation group was lower than that of the control group， and the difference was not statistically significant （P>0.05）. Conclusion： The application of refined nursing in blood donation nursing work is good， and it has a significant effect on improving the quality and quantity of blood collection of unpaid blood donors.

[Key words] Refined nursing Blood donation nursing A needle rate of venous puncture Non-scalar collection rate Blood donor satisfaction

First-authors address： Nanping Central Blood Station， Nanping 353000， China

随着医疗技术水平的不断提高，临床用血需求量逐年递增，无偿献血工作面临更大的压力与挑战。献血护理是血站采供血工作的源头，也是血站的重点工作之一，直接影响着采集血液的“质”与“量”，影响着献血者队伍的稳定和壮大[1]。精细化护理是参照20世纪初“科学管理之父”弗雷德里克·温斯洛·泰勒提出的欧美国家的精细化管理的概念，通过制定相应的护理标准和制度，使得护理方法和技术更加具体，保证工作效率和安全性[2]。笔者所在献血站于2018年2月开始将精细化护理引入到献血护理工作中，取得较好效果，报道如下。

1 资料与方法

1.1 一般资料

选取2017年2-6月及2018年2-6月在笔者所在献血站各采血点参加无偿捐献全血的16 866例献血者为研究对象。依据《献血者健康检查要求》（GB18467-2011）制定……