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CICARE流程化沟通及护理在门诊抽血患者中的应用OA

Application of CICARE process-oriented communication and nursing in outpatients undergoing blood draws

中文摘要英文摘要

目的 探讨连接、介绍、沟通、询问、回应、离开(CICARE)流程化沟通模式在门诊抽血患者护理中的应用效果.方法 选取 2024 年1 月至2025 年9 月在柳州市人民医院门诊行静脉采血的100 例患者,采用随机数字表法分为2 组,各 50 例.对照组给予常规护理与沟通,观察组加用 CICARE 流程化沟通及护理.比较 2 组采血过程中的晕针等情况.结果 观察组晕针率、凝血、溶血及纠纷发生率均低于对照组(P 均<0.05).采血后 5 min,观察组的焦虑自评量表(SAS)评分低于对照组(P<0.05).观察组抽血等候、换药等候、注射等候的时间均短于对照组(P 均<0.05).观察组的采血总配合度、穿刺成功率均高于对照组(P 均<0.05).结论 CICARE 流程化沟通模式在门诊抽血中效果显著,能有效缓解患者的焦虑,降低晕针与操作相关并发症,显著缩短等候时间,提高患者的配合度与操作成功率.

Objective To investigate the application effect of the Connect,Introduce,Communicate,Ask,Respond,and Exit(CICARE)process-oriented communication model in the nursing of outpatients undergoing blood draws.Methods One hundred patients who underwent blood draws in the Outpatient Department of Liuzhou People's Hospital from January 2024 to September 2025 were selected as study subjects.They were divided into two groups of 50 patients each using a random number table.The control group received routine nursing and communication,while the observation group additionally received CICARE process-oriented communication and nursing.The incidence of needle phobia and other related events during the blood collection process were compared between the two groups.Results The observation group showed lower incidence rates of needle phobia,coagulation,hemolysis,and disputes compared with the control group(P<0.05).At 5 min after blood collection,the Self-Rating Anxiety Scale(SAS)score of the observation group was lower than that of the control group(P<0.05).The observation group had shorter waiting time for blood draws,dressing changes,and injections than the control group(P<0.05).The total cooperation level of blood draws and puncture success rate were higher in the observation group than in the control group(P<0.05).Conclusion The CICARE process-oriented communication model demonstrates significant effectiveness in outpatient blood collection,effectively alleviating the anxiety of patients,reducing the incidence of needle phobia and procedure-related complications,significantly shorten the waiting time,and improving the patient cooperation and procedural success rate.

傅炜;谭秋华;郭建桃;莫凤莲;覃沅华

柳州市人民医院,广西 柳州,545006柳州市人民医院,广西 柳州,545006柳州市人民医院,广西 柳州,545006柳州市人民医院,广西 柳州,545006柳州市人民医院,广西 柳州,545006

医药卫生

静脉采血CICARE沟通模式门诊护理焦虑配合度

venous blood collectionCICARE communication modeloutpatient nursinganxietycooperation

《中西医结合护理(中英文)》 2026 (6)

141-145,5

10.11997/nitcwm.202606030

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