在泌尿生殖医学诊所中，对静脉穿刺的恐惧成为血液传播感染检测的障碍，以及使用口腔液检测作为静脉穿刺替代方法的情况。
Fear of venepuncture as a barrier to testing for blood-borne infection and use of an oral fluid test as an alternative to venepuncture in a genitourinary medicine clinic.
作者信息
McClean H L, Taylor A J, Mortimer A M
机构信息
Genitourinary Medicine Clinic, Hull Primary Care NHS Trust, Sexual Health Resource Centre, Conifer House, 32-36 Prospect Street, Hull HU2 8PX, UK.
出版信息
Sex Transm Infect. 2007 Feb;83(1):66-7. doi: 10.1136/sti.2006.020974. Epub 2006 Nov 10.
OBJECTIVE
A survey of 505 consecutive patients attending a UK genitourinary medicine clinic (GUM) included a psychometric tool to compute a fear of venepuncture (FOV) score, responses to the offer of venepuncture and to alternative testing.
METHOD
An oral fluid test (OFT) was available to test for blood-borne infection (BBI). Completed fear scores were provided by 299 (59%) patients routinely offered venepuncture, of whom 72 (24%) who did not have venepuncture had higher fear scores compared with 227 (76%) who had venepuncture (p<0.001).
RESULTS
Both FOV and female sex were independent predictors of not having venepuncture.
CONCLUSIONS
FOV is an important barrier to uptake of venepuncture. FOV may not always be recognised by health carers. OFT is an acceptable alternative test for some patients with needle aversion who decline venepuncture.
目的
对连续就诊于英国泌尿生殖医学诊所（GUM）的505例患者进行的一项调查，纳入了一种心理测量工具，以计算静脉穿刺恐惧（FOV）评分、对静脉穿刺提议的反应以及对替代检测的反应。
方法
有一种口服液体检测（OFT）可用于检测血源感染（BBI）。299例（59%）常规接受静脉穿刺的患者提供了完整的恐惧评分，其中72例（24%）未接受静脉穿刺的患者恐惧评分高于227例（76%）接受静脉穿刺的患者（p<0.001）。
结果
FOV和女性性别均为未接受静脉穿刺的独立预测因素。
结论
FOV是接受静脉穿刺的一个重要障碍。医护人员可能并不总是认识到FOV。对于一些拒绝静脉穿刺且有针头厌恶的患者，OFT是一种可接受的替代检测方法。
Zotero 插件