摘要
目的研究血站实施基于“WHO血液安全行动框架”的安全管理的6个方面取得的效果。方法选取连云港市红十字中心血站2021年3—8月各献血点工作人员及献血者为对照组接受常规管理,2021年9月—2022年2月各献血点工作人员及献血者为试验组接受献血安全管理。其中对照组15359名,男性8869名,女性6490名,平均年龄(38.92±10.68)岁。试验组17243名,男性9999名,女性7244名,平均年龄(37.75±10.25)岁。献血安全管理包括献血者安全管理、献血场所仪器安全管理、物料安全管理、工作人员安全管理、感染安全管理、信息安全管理6个方面。评价指标:献血不良反应发生率、采血异常发生率、血液检测不合格率、献血者满意度。结果试验组恶心、面色苍白、出冷汗、晕厥发生率均低于对照组;试验组丙氨酸转氨酶(alanine aminotransferase,ALT)>45 U/L发生率、乙型肝炎表面抗原/梅毒螺旋体(hepatitis B surface antigen/treponema pallidum,HBsAg/TP)阳性检出率均低于对照组;试验组采血异常发生率低于对照组;试验组总体服务满意度较高于对照组,差异有统计学意义(P<0.05)。结论基于“血液安全行动框架”的安全管理的6个方面,增强了献血者主动参与管理的意识,帮助献血点工作人员全面、系统的开展工作,降低献血不良反应以及血液检测不合格发生率,提高献血者满意度,值得将这一管理方法推广应用。
Objective To study the effect of safety management in blood bank based on"Blood Safety Action Frame".Methods The staff and blood donors of each blood donation site in Lianyungang Red Cross Center Blood Station from March to August 2021 were selected as the control group to receive routine management,and the staff and blood donors of each blood donation site from September 2021 to February 2022 were selected as the experimental group to accept blood donation safety management.The control group consisted of 15359 males,8869 females and 6490 females,with an average age of(38.92±10.68)years.There were 17243 subjects in the experimental group,9999 males and 7244 females.The mean age was(37.75±10.25)years.Blood donation safety management includes blood donor safety management,blood donation place instrument safety management,material safety management,staff safety management,infection safety management,information safety management.Evaluation Index:the rate of adverse reaction,abnormal rate of blood collection,unqualified rate of blood test,the degree of satisfaction of blood donors.Results The incidence of nausea,pallor,cold sweat and syncope in the experimental group was lower than that in the control group.The incidence of alanine aminotransferase(ALT)>45 U/L in the experimental group,hepatitis B surface antigen/treponema pallidum(HBsAg/TP)positive rate was lower than that of the control group,the incidence of abnormal blood collection in the experimental group was lower than that in the control group,the overall service satisfaction of the experimental group was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusion Based on the six aspects of the safety management of the"Blood Safety Action Framework",the consciousness of blood donors participating in the management is enhanced,which helps the blood donors to carry out their work in a comprehensive and systematic way,the effective adverse reaction of blood donation and the incidence of unqualified blood test c
作者
王波
庄广萍
滕亚莉
WANG Bo;ZHUANG Guangping;TENG Yali(Director's Office,Lianyungang Red Cross Center Blood Station,Lianyungang Jiangsu 222000,China;Body Collection Section,Lianyungang Red Cross Center Blood Station,Lianyungang Jiangsu 222000,China)
出处
《中国卫生标准管理》
2023年第3期185-188,共4页
China Health Standard Management
关键词
WHO血液安全行动框架
献血安全管理
献血不良反应
检验不合格发生率
采血异常发生率
献血者满意度
WHO blood safety action framework
blood donation safety management
adverse reaction of blood donation
incidence of test failure
incidence of abnormal blood collection
satisfaction of blood donors
