席桂梅

摘要：目的 探讨对肥胖患者静脉采血成功的护理体会。方法 2019年3月-2020年4月收治的静脉采血成功肥胖患者80例纳入研究，用数字奇偶法分两组，各40例，对照组给予常规护理，观察组给予针对性护理干预，对比疼痛程度和满意度。结果 观察组总疼痛率低于对照组（P<0.05）。观察组的总体护理满意率明显高于对照组（P<0.05）。结论 针对性护理干预运用于静脉采血成功肥胖患者护理中，有着较好的应用价值，能够减轻患者的疼痛感，有着更高的护理满意度。

关键词：肥胖;静脉采血;护理

Objective to explore the nursing experience of successful venous blood collection in obese patients. Methods 80 obese patients with successful venous blood collection from March 2019 to April 2020 were included in the study. They were divided into two groups by digital parity method，40 cases in each group. The control group was given routine nursing，and the observation group was given targeted nursing intervention. The degree of pain and satisfaction were compared. Results the total pain rate of the observation group was lower than that of the control group（P < 0.05）. The overall nursing satisfaction rate of the observation group was significantly higher than that of the control group（P < 0.05）. Conclusion targeted nursing intervention applied in the nursing of obese patients with successful venous blood collection has good application value，can reduce the pain of patients，and has higher nursing satisfaction.

[Key words]obesity;Venous blood was collected;nursing

利用血液能够获得患者的相关数据资料，为医生诊断疾病提供了科学的依据，从而制定有效的治疗方案【1】。要想更精准地获取数据，成功、快速的采血是一项基础的保障，在临床采血的过程中，会遇到一些肥胖患者，由于其有着比较多的脂肪，对血管的清晰造成一定的影响，从而加大了一次穿刺成功的难度，甚至会发生多次穿刺的情况，特别是肥胖且有着比较黝黑皮肤的患者，更是增加了多次穿刺失败的风险，这给肥胖患者带来了痛苦，甚至会对静脉采血产生恐惧【2】。本文对静脉采血成功肥胖患者护理中的针对性护理干预进行了研究，现报告如下。

1 资料和方法

1.1一般资料

将 2019年3月-2020年4月收治的静脉采血成功肥胖患者80例纳入研究，用数字奇偶法分两组，各40例。对照组男17例，女23例;年龄20-44岁，平均（35.31±5.24）岁;观察组男18例，女22例;年龄21-45岁，平均（35.47±5.26）岁。患者资料对比无统计学意义（P>0.05）。

1.2 方法

1.2.1对照组

对照组给予常规护理，主要表现在口头讲解静脉采血注意事项等。……