巡视单在单采血小板采集中的应用研究  

Application of inspection sheet in apheresis platelet collection

作　　者：王亚娟 朱晓红[1] 张燕[1] 王中立[1] 席寒星 WANG Yajuan;ZHU Xiaohong;ZHANG Yan;WANG Zhongli;XI Hanxing(Henan Red Cross Blood Center,Zhengzhou 450012,China)

机构地区：[1]河南省红十字血液中心,河南郑州450012

出　　处：《中国输血杂志》2023年第11期1054-1057,共4页Chinese Journal of Blood Transfusion

摘　　要：目的探讨巡视单在单采血小板采集过程中对血液产品质量、献血者服务满意度、采血护士工作协作能力改善的效果。方法选取中心本部2021年5—8月单采血小板献血者为对照组;2021年9—12月单采血小板献血者为观察组,观察组采用巡视单。比较2组献血者采集过程异常情况发生率及异常原因构成比;并在2组献血者中分别随机抽取100名首次献血者做满意度调查;问卷调查采血护士对巡视单实施后的认可度。结果2组献血者数据分别为6673例、6559例,发生异常情况分别为111例、49例,巡视单实施前后献血者采集过程异常情况总发生率分别为1.66%和0.75%,巡视单实施后异常情况发生率显著低于实施前(P<0.001)。异常情况最常见原因为二次穿刺,其次为献血不良反应、冲红和脂血。首次献血者满意度高于实施前,采血护士对单采血小板巡视单的使用认可度均在90%以上。结论巡视单可以有效规范采集操作过程,加强护士的责任心和服务意识,提高献血者的满意度,显著降低不良事件发生率,提高血小板产品质量等,值得在采供血机构推广应用。Objective To explore the effect of inspection sheet on improving the quality of apheresis platelet,the satisfaction of blood donors and the cooperation ability of phlebotomists in the process of apheresis platelet collection.Methods Apheresis platelet donors from May to August 2021 in our center were selected as control group(without inspection sheet)and those from September to December 2021 were included in the observation group(with inspection sheet).The incidence of abnormal collection and the causes during collection process were compared between the two groups.And 100 first-time blood donors in each group were randomly selected for satisfaction survey.The questionnaire was made to investigate the phlebotomists’recognition on the implementation of inspection sheet.Results The number of blood donors in the two groups were 6673 and 6559,with 111 and 49 abnormal cases,respectively.The total incidence of abnormal cases during blood collection before and after the implementation of inspection sheet was 1.66% and 0.75%,respectively,with the latter significantly lower than the former(P<0.001).The most common causes of abnormal conditions were repetitive puncture,followed by adverse reaction of blood donation,red blood cells contamination in platelet and fatty blood.The satisfaction of first-time blood donors was higher than before the implementation,and the recognition of phlebotomists on the inspection sheet was more than 90%.Conclusion The implementation of inspection sheet helps to regulate the collection process,strengthen the responsibility and service consciousness of phlebotomists,improve the satisfaction of blood donors,reduce the incidence of adverse events,and improve the quality of platelet products,which is worth popularizing in blood collection and supply institutions.

关 键 词：巡视单 单采血小板 献血服务 采集过程 

分 类 号：R331.142[医药卫生—人体生理学] R457.12[医药卫生—基础医学]