Factors Associated with Multiple Blood Draws among Cancer Patients in Outpatient Department at Maha Vajiralongkorn Thanyaburi Hospital
Keywords:
Cancer , Multiple blood draws , Blood sampling , Venipuncture factorsAbstract
Repeated venipuncture attempts are common in oncology settings and may compromise patient comfort and the efficiency of care. This cross-sectional analytical study aimed to determine the prevalence and associated factors of more than one venipuncture attempt per visit. Data were collected from 173 cancer outpatients who received blood sampling services at Maha Vajiralongkorn Thanyaburi Hospital from October 1, 2024, to January 31, 2025, using simple random sampling. A structured record form was used for data collection, and the data were analyzed using descriptive statistics and multiple logistic regression. The mean age of participants was 58.3 ± 13.0 years, with 65.9% being female. The most common cancer types were breast cancer (40.5%) and colorectal cancer (22.5%). The prevalence of multiple blood draw attempts was 9.8%. Significant factors associated with multiple blood draw attempts in multivariate analysis were history of previous multiple attempts (AOR = 22.4, 95%CI = 5.2-96.4, p < 0.001), history of breast, chest, or axillary lymph node surgery (AOR = 11.7, 95%CI = 3.0-45.4, p = 0.001), and healthcare provider experience of less than 6 years (AOR = 3.6, 95%CI = 1.1-11.6, p = 0.030). Patients with a history of breast, chest, or axillary surgery are at increased risk for multiple venipunctures. Tailored risk-based protocols and experienced phlebotomist allocation should be considered to improve care quality.
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