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作 者:傅雪梅[1] 陈颜[1] 廖菁[2] 王乃红[1] 严晓梁[2] 田伟[3] 杨群身[1] 程勤侦[1]
机构地区:[1]成都市血液中心,成都610041 [2]四川省医学科学院·四川省人民医院 [3]四川大学华西公共卫生学院
出 处:《现代预防医学》2009年第4期694-695,700,共3页Modern Preventive Medicine
基 金:四川省卫生厅资助科研课题(060199)
摘 要:[目的]了解临床医疗机构检验人员对输血相关知识的掌握情况。[方法]对省内30家不同类型和级别医院的检验人员现场问卷调查及统计分析调查结果。[结果]医院检验人员对临床用血法律法规知识回答正确率最高,达到80.67%,对临床用血操作知识回答正确率较低,只有53.18%。分析比较发现,三级医院和二级医院、教学医院与非教学医院的全部输血知识得分有统计学上差异,而综合医院与专科医院、不同职称的检验人员之间及接受不同培训次数的检验人员之间在全部输血知识得分上没有统计学上差异;在临床用血的法律法规知识方面,三级医院检验人员好于二级医院,综合医院好于专科医院,其他没有差异;在临床用血理论知识方面,三级医院检验人员好于二级医院,教学医院好于非教学医院,中级职称检验人员分别好于副高和低级职称;在临床用血操作知识方面,三级医院检验人员好于二级医院,教学医院好于非教学医院,其他没有差异。[结论]医院检验人员是临床用血过程重要环节的执行者,应针对成分输血、产品特点、输血操作和交叉配血等知识进行不同层次检验人员的培训考核并评估培训效果,切实提高检验人员对临床输血进行技术指导的能力。[Objective] To know the status of knowledge about blood transfusion among the Clinical laboratory personnel. [ Methods] Clinical laboratory personnel of 30 different type and level hospitals were investigated by questionnaire and results of investigation were statistically analyzed. [ Results] The correct rate of knowledge about transfusion' law and rule reached to 80.67%, which was the highest rate among all the answers. The correct rate of knowledge about clinical transfusion operation knowledge showed to be low and with the accuracy rate of 53.18%. There was significant difference among the scores of knowledge about transfusion medicine in third-grade hospitals and two-grade hospitals, teaching hospitals and non-teaching hospitals. Significant difference did not found among the scores of knowledge about transfusion medicine in polyclinic and special hospitals, laboratory personnel with different academic title as well as the times of training. For knowledge about transfusion' law and rule, clinical laboratory persons of third-grade hospitals were better than those of second-grade hospitals as well as clinical laboratory persons of polyclinic were better than those of special hospitals. For knowledge about transfusion' theoretic, clinical lab-oratory personnel of third-grade hospitals were better than those of second-grade hospitals, clinical laboratory personnel of teaching hospitals were better than those of non-teaching hospitals, and clinical laboratory personnel having intermediate title of a technical post were better than those having junior or senior tide of a technical post. For knowledge about transfusion' operation, clinical laboratory personnel of third-class hospitals were better than those of second-class hospitals, and clinical laboratory personnel of teaching hospitals were better than those of non-teaching hospitals. [ Conclusion ] Clinical laboratory personnel are executants of important clinical transfusion course. Different level clinical laboratory personnel should accept training o
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