摘要
目的掌握四川省临床医生用血知识现状,分析存在缺陷,探讨改进措施。方法由医学伦理委员会授权设计调查问卷,问卷由2大部分共20个问题组成,内容包括输血相关法规和标准、输血相容性实验室检测技术、输血反应、血液成分选择。调查对象为四川省二、三级医院的临床医生。调查结果采用Epi Data 3.1软件进行统计分析。结果 31家医院786名医生完成了问卷调查,平均分12.02±2.77,正确率60.1%。输血相关法规和标准正确率较高(74.50%),与其余3部分(输血相容性实验室检测技术56.20%、输血反应52.20%、血液成分选择53.10%)差异具统计学意义(P<0.05)。正确率最高(93.4%)的1题是关于复核交叉合血结果和血袋标签确认的问题,正确率最低(15.8%)的1题是"有输血史和妊娠史的患者在输血前应选用哪种介质做交叉配血"。工龄>15年的医生在输血相容性实验室检测技术、输血反应、血液成分选择方面优势显著(P<0.05)。学士组得分高于学士以下组(P<0.05)和硕士及以上组(P<0.05)。高级职称组在"输血反应"得分高于初级组(P<0.05),"血液成分选择"得分高于初、中级(P<0.05)。麻醉科医生在"法规和标准"、"血液成分选择"的得分明显高于其他专业医生(P<0.05)。结论当前四川省临床医生对用血知识的掌握程度和执行情况尚可,仍应加强监管、沟通和针对性培训。
Objective To obtain information on transfusion knowledge and identify deficient areas in clinicians in Sichuan province in order to design educational plan for improvement.Methods The questionnaire was authorized by Medical Ethics Committee of Sichuan Provincial People＇s Hospital.This survey was performed by means of the questionnaire which was composed of 20 questions assessing transfusion medicine knowledge including regulations and standards,laboratory testing technique of blood compatibility,transfusion reaction and selection and use of blood components.The questionnaires were administered to clinicians from grade Ⅱ and Ⅲ hospitals of different geographic locations in Sichuan.The data were analyzed by EpiData 3.1 software.Results 786 clinicians from 31 hospitals finished all questions.The overall mean score for the 20 questions of all respondents was 12.02±2.77 with accurate rate of 60.1%.Respondents performed better on transfusion related regulations and standards （74.50%） than other three parts,including laboratory technology （56.20%）,transfusion reaction （52.20%）,and selection and use of blood components （53.10%） （P〈0.05）.The subject on verification of crossmatch results and labeling of blood bag achieved the highest score （93.4%）.The subject on choosing what kind of media to do crossmatch for patients with history of transfusion and pregnancy achieved the lowest score （15.8%）.Clinicians with 15-year or longer career obtained better score evidently,especially in the last three parts （P〈0.05）.Clinicians with bachelor degrees got the better scores （P〈0.05）.Clinicians titled with senior did better in selection and use of blood components than intermediate title and primary title （P〈0.05）.A significantly stronger performance was noted in anesthesia for rule and selection of blood composition （P〈0.05）.Conclusions In Sichuan Province,the doctors have a decent grasp on the knowledge on rational use of blood.In the future,supervision,communication and ta
出处
《中国输血杂志》
北大核心
2017年第3期300-303,共4页
Chinese Journal of Blood Transfusion
基金
四川省卫生体项目-四川省临床用血质量体系建立及推广(30305030143
