目的 探究集束化护理管理在新生儿“两病”筛查血样标本采集中的应用效果。方法 选取2017年1月-2017年12月于 我院行“两病”筛查的2336例新生儿为研究对象。将2017年1月-2017年6月出生的1145例新生儿作为对照组，2017 年7月-2017年12月出生的1191例新生儿为研究组。研究组患儿予以集束化护理管理，对照组患儿予以常规护理。比 较两组新生儿血液采集时间、疼痛程度、采血合格率、一次性采血成功率、瘀血发生率、血斑质量等差异。结果 研究组新生儿血液采集时间短于对照组，疼痛程度评分低于对照组，采血合格率、一次性采血成功率、﹥1cm血斑比 例均高于对照组，瘀血发生率、0.7～1cm血斑比例低于对照组(P﹤0.05)。结论 集束化护理管理应用于新生儿“两 病”筛查血样标本采集中，可提高采血成功率、合格率及质量，并能减轻疼痛感，缩短采血时间。

Objective To explore the application effects of cluster nursing management in the collection of blood samples from neonatal two diseases (phenylketonuria, congenital hypothyroidism) screening. Methods A total of 2336 neonates who were screened for two diseases in our hospital from January 2017 to December 2017 were selected as subjects. 1145 neonates born between January 2017 and June 2017 were set as control group, and 1191 neonates born between July 2017 and December 2017 were set as study group. Study group was given cluster nursing management, and control group was given routine nursing. The blood collection time, pain degree, qualified rate of blood sampling, success rate of one-time blood sampling, incidence rate of blood stasis and blood cake quality were compared between the two groups. Results The blood collection time in study group was shorter than that in control group, and the pain score was lower than that in control group, and the qualified rate of blood collection, success rate of one-time blood collection and the proportion of blood cake>1 cm were higher than those in control group, and the incidence rate of blood stasis and the proportion of 0.7-1 cm blood cake were lower than that those in control group (P<0.05). Conclusion Cluster nursing management in the collection of blood samples from neonatal two diseases screening can improve the success rate, qualified rate and quality of blood collection, and can reduce the pain and shorten the blood collection time.