宜昌地区综合医院医师合理输血知识态度调查分析  

Investigation and analysis of doctors' appropriate blood transfusion knowledge and concept in secondary general hospitals in Yichang Area

作　　者：高均翠 袁玉荣 卢伟 张莉 聂心教 郑山根[2] 

机构地区：[1]宜昌市红十字中心血站,湖北宜昌443005 [2]广州军区武汉总医院

出　　处：《中国输血杂志》2016年第4期413-416,共4页Chinese Journal of Blood Transfusion

基　　金：湖北省卫生和计划生育委员会科研项目(项目编号:WJ2015CB008);宜昌市科技局科研项目(项目编号:A1530142)

摘　　要：目的了解本地区临床用血科室医师合理输血知识及态度,以便针对性地采取措施,提高临床输血医疗质量。方法采用以医院为单位的现场抽样的方式,在本地区14家2级以上综合医院中,平均每家至少抽取8名主要临床用血科室医师进行问卷调查。结果各级医院医师对临床输血规范、FFP输注指证、自身输血最大益处、RBC与FFP模拟应用的知晓率总体较差,分别为39.8%、47.8%、55.8%、52.2%、52.2%,其余均>60%;2级与3级医院在自身输血最大益处及RBC模拟应用上差异有统计学意义(P<0.05);不同科室医师输血基础知识掌握存在差异有统计学意义(P<0.05),且对RBC和FFP的治疗作用存在不同程度错误观念;89.38%的医师认同有必要减少或避免输血;96.5%的医师有合理输血知识培训需求。结论本地区临床用血科室医师对合理输血知识及输血适应证基本了解,并认同有必要减免不必要的输血,但整体水平不容乐观,有必要加强临床输血质量管理和合理输血知识培训与教育,让临床合理输血真正进入良性循环。Objective To understand doctors＇ knowledge and attitude towards reasonable transfusion in the clinical blood use departments of Yichang Area,and to take corresponding measures to improve the medical quality of clinical blood transfusion. Methods At least eight doctors were randomly surveyed on-the-spot from the major clinical blood use departments at each hospital,which belonged to 14 secondary hospitals in Yichang Area. Results The doctors＇ awareness was poor on The Specification for Clinical Transfusion Technology,FFP transfusion indications,maximum benefits of autotransfusion,and the simulation application of RBC and FFP,whose percentages were 39. 8%,47. 8%,55. 8%,52. 2% and 52. 2%,respectively,but their awareness on others were 60%. While comparing secondary and tertiary hospitals,there was a significant difference（ P 0. 05） on the knowledge regarding maximum benefits in autotransfusion and RBC simulation application.There were significant differences（ P 0. 05） in different departments to grasp the basics of blood transfusion. While there were varying degrees of misconceptions on the effect of RBC and FFP,89. 38% of physicians agreed that it is necessary to reduce or avoid blood transfusions,while 96. 5% of physicians demanded for reasonable transfusion knowledge training.Conclusion The doctors of these departments in Yichang Area basically understand the clinic blood transfusion knowledge and indications. They agree that it is necessary to reduce unnecessary blood transfusion,but overall their awareness is not sufficient. It is necessary to strengthen quality management in clinical transfusion through blood transfusion training and education and promotion of the new knowledge and attitude. They will be supported with corresponding policies,management measures and technical improvements,so that such that the clinical blood transfusion can be fed into a healthy cycle.

关 键 词：输血 合理性 医师 知识态度 

分 类 号：R457.1[医药卫生—治疗学]