摘要
目的了解医护人员对输血不良反应继续教育需求的现况,为开展医护人员输血不良反应继续教育提供依据。方法选取重庆市3所三甲医院的临床主要用血科室(重症医学科、心血管外科、创伤外科、关节外科、肝胆外科、血液内科、消化科等年用血量较多的科室)全部1 903名医护人员,对其输血不良反应知识做问卷调查,获得的数据采用SPSS 19.0统计软件分析。结果本组医护人员对输血不良反应相关知识正确回答率(%)是51.31(976/1 903);不同学历者得分(分):专科15.98±3.79、本科16.41±3.95、硕士15.72±4.19、博士16.82±3.98(P<0.01);不同职称者得分(分):初级16.06±3.96、中级16.87±3.95、高级16.99±3.73(P<0.01);不同工作年限者得分(分):<5年15.82±3.93、5-10年16.62±4.04、>10年16.92±3.69(P<0.01);不同培训次数者得分(分):0次16.26±3.72、1-3次16.30±3.79、≥4次16.71±3.65(P<0.01);38.26%(728/1 903)的医护人员认为目前输血不良反应上报认为存在漏报,96.42%(1 835/1 903)的医护人员认为有必要开展输血不良反应继续教育。结论临床医护人员对输血不良反应相关知识掌握相对欠缺,需要有针对性地开展继续教育来提高医护人员认识水平,以保证用血安全。
Objective To investigate the demand for continuing education on adverse transfusion reaction for clinical medical staff in the city so as to provide evidence for further awareness promotion on adverse transfusion reaction among medi- cal staff. Methods All medical staff （ from departments of in- tensive care unit,-cardiovascular, trauma, orthopedic, hepato-biliary, gastroenterology and other departments with more utilization of blood） in various blood-using departments of three Grade A Class 3 hospitals were investigated through the use of questionnaires on the knowledge on adverse transfusion reac- tions. The results were analyzed with SPSS 19.0 statistical software. Results The correct rate of knowledge about the trans- fusion adverse reactions of clinical medical staff was 51.31% （976/1 903）. There was statistically significant difference a- mong the staff from different education backgrounds （specialty 15.98 ± 3.79, undergraduate 16. 41 ± 3.95, master 15.72 ± 4. 19, doctor 16. 82 ± 3.98, P = 0. 009 ）, professional title （ primary 16.06 ± 3.96, intermediate 16. 87 ± 3.95, senior 16. 99 ± 3.73, P = 0. 002）, years of service （less than 5 years 15.82 ± 3.93, 5 - 10 years 16.62 ± 4. 04, more than 10 years 16. 92± 3.69, P = 0. 000） and training time （none 16. 26 ± 3.72, 1 - 3timesl6. 30 ＋ 3.79, more than 4 times 16.71 ± 3.65, P = 0. 000） （P 〈 0. 05）. 38.26% （728/1903） of clinical medical staff thought that omission occurred to report adverse transfusion reaction rate of omission. 96. 42% （ 1 835/1 903） of clinical medical staff considered it necessary to car- ry out continuing education on adverse transfusion reactions. Conclusion The clinical medical staff lack related knowledge on adverse transfusion reaction. It is necessary to promote targeted continuing education to advance the level of knowledge in clinical medical staff, thus guaranteeing safe blood transfusion.
出处
《中国输血杂志》
CAS
北大核心
2016年第2期179-183,共5页
Chinese Journal of Blood Transfusion
关键词
临床输血
输血反应
医护人员
问卷调查
继续教育
输血安全
clinical transfusion
transfusion reaction
clinical medical staff
questionnaires
continuing education
transfusion safety
