Nursing care procedures in response to adverse events to blood donation

Silva, Karla Fabiana Nunes da; Barichello, Elizabeth; Mattia, Ana Lúcia de; Barbosa, Maria Helena

doi:10.1590/0104-07072014001360013

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Original Article • Texto contexto - enferm. 23 (3) • Jul-Sep 2014 • https://doi.org/10.1590/0104-07072014001360013 linkcopy

Nursing care procedures in response to adverse events to blood donation¹

Conductas de enfermería adoptadas en los eventos adversos de donación de sangre

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstracts

The aim of this study was to identify types of adverse events, clinical manifestations and nursing care procedures adopted in response to adverse events to blood donation, and to verify the association between these procedures and the adverse events. This was an epidemiological, retrospective study conducted through analysis of 1369 records of treatment of adverse events to blood donation, during the period between January 2009 and December 2011. Descriptive statistics and contingency tables were used to analyze associations through the use of Cramér's V. A total of 92.6% of adverse events were classified as mild, and clinical manifestations were malaise, dizziness, pallor and sweating. The Trendelenburg position, vital signs monitoring, oral hydration and directions for care after blood donation were the main procedures adopted. A statistical significance was observed between the nursing procedures and the types of adverse events. The results point to the critical role of nursing in treating adverse events to blood donation.

Blood donors; Nursing care; Blood safety

Clinical manifestations	n	%
Malaise	701	51.3
Dizziness/vertigo	584	42.7
Skin/facial pallor	385	28.2
Sweating	380	27.8
Nausea	224	16.4
Blurred vision	205	15.0
Complaints of heat or cold	166	12.1
Weakness/fatigue	127	9.3
Hypotension (BP< 90 x 60 mmHg)	121	8.9
Collapse	97	7.1
Transient loss of consciousness	78	5.7
Muscle contractions	69	5.0
Paresthesia/tingling	30	2.2
Vomiting	30	2.2
Anxiety	29	2.1
Hematoma	24	1.8
Drowsiness	20	1.5
Headache	12	0.9
Convulsion	3	0.2

Nursing procedures	n	%
Trendelenburg positioning	1316	96.2
Measurement of vital signs	1309	95.7
Oral hydration	1128	82.5
Post-donation directions	808	59.1
Directions for proper breathing	662	48.4
Interruption of collection	355	26.0
Request for medical evaluation	345	25.2
Intravenous hydration	201	14.7
Elevation of lower limbs	23	1.7
Administration of drugs	20	1.5
Family member contacted	19	1.4
Blood glucose monitoring	14	1.0
Other	52	3.8

Variables	Types of adverse events
	Mild		Moderate		Severe		r (p)	Total (n=1368)
	n	%	n	%	n	%		n	%
Intravenous hydration
Yes	150	11.8	10	45.5	41	51.3	0.28	201	14.7
No	1116	88.2	12	54.5	39	48.8	(<0.001)	1167	85.3
Medical evaluation
Yes	258	20.4	18	81.8	69	86.3	0.39	345	25.2
No	1008	79.6	4	18.2	11	13.8	(<0.001)	1023	74.8
Procedure interruption
Yes	327	25.8	4	18.2	24	30.0	0.03	355	26.0
No	939	74.2	18	81.8	56	70.0	(0.501)	1013	74.0
Offer oral hydration
Yes	1059	83.6	14	63.6	55	68.8	0.11	1128	82.5
No	207	16.4	8	36.4	25	31.2	(<0.001)	240	17.5
Trendelenburgposition
Yes	1231	97.2	19	86.4	66	82.5	0.19	1316	96.2
No	35	2.8	3	13.6	14	17.5	(<0.001)	52	3.8
Elevation of lower limbs
Yes	12	0.9	1	4.5	10	12.5	0.21	23	1.7
No	1254	99.1	21	95.5	70	87.5	(<0.001)	1345	98.3
Administration of drugs
Yes	12	0.9	2	18.2	4	5.0	0.19	20	1.5
No	1254	99.1	18	81.8	76	95.0	(<0.001)	1348	98.5
Measurement of vital signs
Yes	218	96.2	20	90.9	71	88.8	0.09	1309	95.7
No	48	3.8	2	9.1	9	11.2	(0.003)	59	4.3
Blood glucose monitoring
Yes	9	0.7	-	-	5	6.3	0.13	14	1.0
No	1257	99.3	22	100.0	75	93.7	(<0.001)	1354	99.0
Post-donation directions
Yes	754	59.6	12	54.5	42	52.5	0.03	808	59.1
No	512	40.4	10	45.5	38	47.5	(0.419)	560	40.9
Directions on proper breathing
Yes	620	49.0	9	40.9	33	41.2	0.04	662	48.4
No	646	51.0	13	59.1	47	58.8	(0.317)	706	51.6
Contact family member
Yes	8	0.6	1	4.5	10	12.5	0.24	19	1.4
No	1258	99.4	21	95.5	70	87.5	(<0.001)	1349	98.6

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Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
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Nursing care procedures in response to adverse events to blood donation1

Conductas de enfermería adoptadas en los eventos adversos de donación de sangre

Abstracts

Nursing care procedures in response to adverse events to blood donation¹