脐带血和胎盘血采集的良好操作规范。
Good practices in collecting umbilical cord and placental blood.
作者信息
Lopes Lauren Auer, Bernardino Elizabeth, Crozeta Karla, Guimarães Paulo Ricardo Bittencourt
机构信息
MSc, RN, Complexo do Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, PR, Brazil.
PhD, Adjunct Professor, Departamento de Enfermagem, Universidade Federal do Paraná, Curitiba, PR, Brazil.
出版信息
Rev Lat Am Enfermagem. 2016 Aug 18;24:e2770. doi: 10.1590/1518-8345.0781.2770.
OBJECTIVE
to identify the factors related to the quality of umbilical cord and placental blood specimens, and define best practices for their collection in a government bank of umbilical cord and placental blood.
METHOD
this was a descriptive study, quantitative approach, performed at a government umbilical cord and placental blood bank, in two steps: 1) verification of the obstetric, neonatal and operational factors, using a specific tool for gathering data as non-participant observers; 2) definition of best practices by grouping non-conformities observed before, during and after blood collection. The data was analyzed using descriptive statistics and the following statistical software: Statistica(r) and R(r).
RESULTS
while there was a correlation with obstetrical and neonatal factors, there was a larger correlation with operational factors, resulting in the need to adjust the professional practices of the nursing staff and obstetrical team involved in collecting this type of blood. Based on these non-conformities we defined best practices for nurses before, during and after blood collection.
CONCLUSION
the best practices defined in this study are an important management tool for the work of nurses in obtaining blood specimens of high cell quality.
目的
确定与脐带血和胎盘血样本质量相关的因素，并明确在政府脐带血和胎盘血库中采集这些样本的最佳做法。
方法
这是一项描述性研究，采用定量方法，在一家政府脐带血和胎盘血库分两个步骤进行：1）使用特定的数据收集工具作为非参与观察者，核查产科、新生儿和操作因素；2）通过对采血前、采血期间和采血后观察到的不符合项进行分组，确定最佳做法。使用描述性统计方法和以下统计软件对数据进行分析：Statistica(r) 和 R(r)。
结果
虽然与产科和新生儿因素存在相关性，但与操作因素的相关性更大，因此需要调整参与采集此类血液的护理人员和产科团队的专业操作。基于这些不符合项，我们确定了护士在采血前、采血期间和采血后 的最佳做法。
结论
本研究中确定的最佳做法是护士获取高细胞质量血液样本工作的一项重要管理工具。
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