综合性护理手段对急性非溶血性发热性输血反应的预防干预措施探讨  

Exploration of preventive intervention measures for comprehensive nursing means in acute febrile non-hemolytic transfusion reaction

作　　者：张月群[1] 殷凯铃 ZHANG Yuequn;YIN Kailing(Zhongshan Hospital of Traditional Chinese Medicine,Guangdong,Zhongshan 528403,China)

机构地区：[1]广东省中山市中医院,广东中山528403

出　　处：《中国医药科学》2020年第7期137-139,共3页China Medicine And Pharmacy

摘　　要：目的探讨综合性护理手段在急性非溶血性发热性输血反应预防工作中的临床效果。方法选取我院妇产科在2017年1月~2018年12月输注同型悬浮红细胞的患者42例,随机分为对照组及实验组,每组21例,其中对照组患者给予传统护理手段,实验组则给予综合性护理手段,护理后观察两组患者急性非溶血性发热性输血反应的发生情况。结果对照组患者实施传统护理后,非溶血性发热性输血反应(FNHTRs)发生率为28.6%,经物理降温后均不能继续输血,实验组患者实施综合性护理后,FNHTRs发生率为4.8%,1例经治疗后其体温下降至37.5℃,继续完成输血治疗,实验组FNHTRs发生率明显低于对照组,差异有统计学意义(P<0.05)。实验组各项指标缓解情况与对照组相比更明显,差异有统计学意义(P<0.05)。结论在临床护理工作中实施综合性护理手段,可对预防急性非溶血性发热性输血反应起到积极作用,建议在临床上广泛应用该护理模式。Objective To explore the clinical effect of comprehensive nursing means in the prevention of acute febrile non-hemolytic transfusion reaction.Methods 42 patients who were transfused with the same type of suspended red blood cells from January 2017 to December 2018 in obstetrics and gynecology department of our hospital were selected and randomly divided into control group and experimental group,with 21 patients in each group.The patients in the control group were given traditional nursing,while those in the experimental group were given comprehensive nursing.After nursing,the incidence of acute febrile non-hemolytic transfusion reaction in the two groups was observed.Results After the implementation of traditional care,the incidence of febrile non-hemolytic transfusion reactions(FNHTRs)in the control group was 28.6%,and blood transfusions could not be continued after physical cooling.After implementing comprehensive nursing,the incidence of FNHTRs in the experimental group was 4.8%.After treatment,the temperature of one patient dropped to 37.5℃and continued to complete the blood transfusion treatment.The incidence of FNHTRs in the experimental group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).The remission of each indicator in the experimental group was more obvious than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of comprehensive nursing means in clinical nursing work can play a positive role in preventing acute febrile non-hemolytic transfusion reaction.Therefore,it is recommended to widely apply this nursing model in clinical practice.

关 键 词：综合性护理 传统护理 非溶血性发热性输血反应 预防干预 

分 类 号：R473[医药卫生—护理学]