「手」護小腳丫—新生兒足跟採血
孫嘉慧、梁文隆、謝淑娟
10.6283/JOCSG.202403_12(1).112
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中文摘要 新生兒足跟採血為一侵入性醫療措施，臨床護理人員在執行新生兒足跟採血時，因為不當的足跟採血方式，會發生過度擠壓足跟，造成新生兒足跟淤青、疼痛，或是採血量不足、重覆扎針等情形，為新生兒科病房最常見的併發症；也因此增加人員的護理時數及醫療耗材。因此，純熟且正確的採血技術可降低出血併發症的發生和提升人員工作效率。本設計【「手」護小腳丫】，為模擬新生兒腳跟之輔助教學模型，使用光敏樹脂，利用3D列印方式，製作實體模型，考量便利、可重複使用、耐用和易操作等特性，將足跟空間裝填顏料，人員將採血針穿刺在適當的足跟深度，使用毛細管吸取血液檢驗。期許未來若能擴及至其他兒科相關部門，如：急診兒科、門診與病房兒科，做為護理人員訓練使用，必可增加採血過程安全性及提升人員技能。
關鍵字：足跟採血、新生兒篩檢、毛細管
文章建立時間：2024-03-23
引用格式(APA)：
孫嘉慧、梁文隆、謝淑娟(2024)。 「手」護小腳丫—新生兒足跟採血。
福祉科技與服務管理學刊， 12(1)， 112-122。
“Hands” to Protect Little Feet-Neonatal Heel Prick
Sun, J.-H., Liang, W.-L., Hsieh, S.-C.
English Abstract Neonatal heel prick sampling is an invasive medical procedure. When nurses perform neonatal heel lance sampling, improper heel prick sampling methods may cause excessive squeezing of the heel, causing heel bruising and pain in neonates. Insufficient blood collection and repeated puncture of needles are the most common complications in neonatal wards, thus increasing the number of nursing hours and medical consumables required by nurses. Therefore, skilled and correct blood collection techniques can reduce the occurrence of bleeding complications and improve personnel work efficiency. This “Hands” to Protect Little Feet design is an auxiliary teaching model to simulate the heel of a neonate. It uses photosensitive resin and 3D printing to produce a physical model and takes into account convenience, reusability, durability, and ease of operation. The heel space is first filled with pigment, then the nurse punctures the blood collection lancet at the appropriate heel depth and uses a capillary tube for blood testing. This approach, if successfully implemented in other pediatric-related departments, such as emergency pediatrics as well as outpatient and ward pediatrics, has the potential to significantly improve blood collection safety and enhance nursing skills through training.Keywords：heel prick, neonatal screening, capillary tube