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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

Journal of Korean Academy of Nursing 2012년 42권 3호 p.443 ~ 451
KMID : 0806120120420030443
성영희 ( Sung Young-Hee ) - 성균관대학교 임상간호대학원 교수

황문숙 ( Hwang Moon-Sook ) - 우석대학교 간호학과 조교수
이지향 ( Lee Jee-Hyang ) - 삼성서울병원 간호파트장
박형두 ( Park Hyung-Doo ) - 삼성서울병원 진단검사의학과 조교수
유광현 ( Ryu Kwang-Hyun ) - 삼성서울병원 진단검사의학과 검사실장
조명숙 ( Cho Myoung-Sook ) - 성균관대학교 임상간호대학원 삼성서울병원 간호부
이영희 ( Yi Young-Hee ) - 성균관대학교 임상간호대학원 부교수
송순옥 ( Song S ) - 메릴랜드 간호대학 Adjunct Faculty

Abstract

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.
KeyWords

Hemolysis, Blood specimen collection, Syringe, Vacuum tube, Emergency
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SCI(E) MEDLINE 학술진흥재단(KCI) KoreaMed