西部五线区域中心城市临床用血等级医院医务人员输血知识掌握情况调查——以武威市等级用血医院为例  

Survey of knowledge acquisition for blood transfusion of medical staff in Wuwei:an underdeveloped city in western China

作　　者：王维娜 邢志勇 李智新 李玉龙 WANG Weina;XING Zhiyong;LI Zhixin;LI Yulong(Ophthalmology Department,Wuwei Hospital,Wuwei 733000.China;Wuwei Blood Center)

机构地区：[1]武威市人民医院眼科,甘肃武威733000 [2]武威市中心血站

出　　处：《中国输血杂志》2023年第2期176-180,共5页Chinese Journal of Blood Transfusion

摘　　要：目的了解西部不发达地区区域中心城市用血医院输血相关业务人员对输血知识的掌握情况,找出对医务人员掌握输血知识现状(程度)的影响因素。方法设计制作《医务人员输血知识调查表》,调查内容(指标)主要有输血法律法规知识、临床输血理论知识和输血技术知识;采用分层整群随机抽样方法,以全市17家二级及以上用血医院的医护人员、输血(科)技术人员为对象,采用现场发放问卷现场收回方式,采用统计描述方法比较各类人群输血相关知识掌握情况,结合各项调查指标,用多因素Logistic回归方法对输血知识掌握的影响因素做筛选分析。结果问卷回收率100%(507/507),有效率98.22%(498/507);输血相关法律法规知识、输血理论知识与输血操作知识问卷得分,医生组(n=158)、护士组(n=239)、输血技术人员(n=101)分别为:4.56.~5.97(5.06±0.73)(P<0.01)、4.23~5.87(4.98±1.24)(P<0.01)、3.71~0.78(4.15±1.34),3.67~5.02(4.27±1.02)、3.76~5.12(4.06±0.75)、4.71~5.98(5.16±0.64)(P<0.01),3.41~5.76(3.82±0.56)、3.78~5.24(4.01±0.56)、3.77~5.46(3.82±0.59);在7个临床用血科室中,3类知识得分最高的是血液科(组)(n=51),分别为:4.91~5.97(5.28±0.43)、5.03~5.92(5.36±0.59)、4.39~5.77(4.97±0.79)(P<0.01)。单因素分析:不同年龄、职业、职称、培训次数和医院级别对调查对象输血相关知识掌握程度(得分)有影响(P<0.05);多因素非条件Logistic回归分析:培训次数是影响调查对象输血相关知识得分的重要因素(P<0.01)。结论本组数据证实西部地区即使其区域中心城市用血医院业务人员输血相关知识掌握程度普遍较低,且不同等级医院、用血科室人员存在明显落差;加强对西部地区用血医院各类业务人员输血相关知识的培训刻不容缓。Objective To investigate the knowledge acquisition status for blood transfusion of transfusion related medical staff in underdeveloped cities in western China and explore its influencing factors.Methods A questionnaire consisted of blood transfusion laws and regulations,clinical blood transfusion theory and blood transfusion technology was designed,randomly distributed to medical staff and blood transfusion departmenttechnicians of 17 secondary/tertiary hospitals in Wuwei and then collected on the spot.The knowledge acquisition of blood transfusion of each group was compared using statistical description method,and its influencing factors were analyzed by multivariate logistic regression analysis.Results A total of 507 questionnaires were issued,and 498 valid questionnaires(98.22%)were collected.The scores of transfusion related laws and regulations,blood transfusion theory and blood transfusion technology of doctor group(n=158),nurse group(n=239)and transfusion technician group(n=101)were 4.56-5.97(5.06±0.73)(P<0.01)vs 4.23-5.87(4.98±1.24)(P<0.01)vs 3.71-0.78(4.15±1.34),3.67-5.02(4.27±1.02)vs 3.76-5.12(4.06±0.75)vs 4.71-5.98(5.16±0.64)(P<0.01)and 3.41-5.76(3.82±0.56)vs 3.78-5.24(4.01±0.56)vs 3.77-5.46(3.82±0.59).Among the seven departments,blood transfusion department(n=51)won the highest score of above three types of knowledge[4.91-5.97(5.28±0.43)vs 5.03-5.92(5.36±0.59)vs 4.39-5.77(4.97±0.79)(P<0.01)].Univariate logistic regression analysis showed that age,occupation,professional titles,training times and hospital grade had an impact on the degree(score)of blood transfusion knowledge acquisition(P<0.05),and multivariate unconditional logistic regression analysis indicated that training times was an important influencing factor(P<0.01).Conclusion This survey revealed that the level of knowledge acquisition for blood transfusion among medical staff in Wuwei is generally low,and there is a significant difference between staff from hospitals of different grade and different departments.It is urgent to s

关 键 词：用血等级医院 输血相关医务人员输血知识掌握 输血法规 输血技术 输血培训 西部地区 武威 

分 类 号：R457.1[医药卫生—治疗学]