输血质量监控在临床输血护理中的应用
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摘要
目的:探讨输血质量监控在临床输血护理中的应用效果。方法:随机选取2015年1月至2016年6月需输血病人248例为观察组,2012年6月至2014年12月需输血病人240例为对照组。观察组由输血科全程质量监控,严格按照标准输血流程操作;对照组按照常规输血流程操作。比较2组输血过程中差错率、输血不良反应发生率和病人满意度,比较护士对输血基本知识、基本技能和输血相关法律法规的掌握情况。结果:观察组病人输血过程差错率和输血不良反应发生率均低于对照组(P<0.01和P<0.05),观察组病人输血满意度明显优于对照组(P<0.01),观察组护士输血基本知识、基本技能评分均明显优于对照组(P<0.01)。结论:在输血护理中进行质量监控,可强化对输血过程和关键环节的控制,有助于保障输血安全,提高病人满意度。
Objective: To investigate the application effects of the transfusion quality monitoring in clinical transfusion nursing.Methods: Two hundred and forty-eight patients from January 2015 to June 2016 and 240 patients from June 2012 to December 2014 were divided into the observation group and control group,respectively. The transfusion quality in observation group was monitored during whole nursing course according to the standard process,and the control group was operated according to the conventional transfusion process. The error rate,incidence rate of adverse reaction during the process of blood transfusion and satisfaction rate of patients between two groups were compared. The understanding of basic transfusion knowledge,basic skills and related laws in nurses between two group were compared. Results: The error rate and incidence rate of adverse reaction during the process of transfusion in observation group were lower than those in control group( P < 0. 01 and P < 0. 05),the satisfaction rate of patients in observation group was significantly better than that in control group( P < 0. 01),and the basic transfusion knowledge and basic skill of nurses in observation group were significantly better than those in control group( P < 0. 01). Conclusions: The quality monitoring during whole nursing course can strengthen the control of clinical blood transfusion process and key point,ensure the blood transfusion safety,and improve the satisfaction rate of patients.
Objective: To investigate the application effects of the transfusion quality monitoring in clinical transfusion nursing.Methods: Two hundred and forty-eight patients from January 2015 to June 2016 and 240 patients from June 2012 to December 2014 were divided into the observation group and control group,respectively. The transfusion quality in observation group was monitored during whole nursing course according to the standard process,and the control group was operated according to the conventional transfusion process. The error rate,incidence rate of adverse reaction during the process of blood transfusion and satisfaction rate of patients between two groups were compared. The understanding of basic transfusion knowledge,basic skills and related laws in nurses between two group were compared. Results: The error rate and incidence rate of adverse reaction during the process of transfusion in observation group were lower than those in control group( P < 0. 01 and P < 0. 05),the satisfaction rate of patients in observation group was significantly better than that in control group( P < 0. 01),and the basic transfusion knowledge and basic skill of nurses in observation group were significantly better than those in control group( P < 0. 01). Conclusions: The quality monitoring during whole nursing course can strengthen the control of clinical blood transfusion process and key point,ensure the blood transfusion safety,and improve the satisfaction rate of patients.
引文
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[14]张建武,邢志伟,王红,等.输血质量控制体系对临床输血质量的影响[J].山东医药,2015,32(55):95.
[15]FREIXO A,MATOS I,LEITE A,et al.Nurses knowledge in Transfusion Medicine in a Portuguese university hospital:the impact of an education[J].Blood Transfus,2016,15(1):1.
[2]刘芳,李隐逸.浅析临床输血不规范行为的对策及方法[J].生物技术世界,2015,4:108.
[3]王亚宁,邓丽花,刘贞,等.输血路径在临床输血护理中的应用评价[J].护士进修杂志,2012,27(4):308.
[4]毛琪,董云云.防范输血不良反应的护理措施[J].中国社区医师:医学专业,2013,15(8):313.
[5]JIMENEZ-MARCO T,CLEMENTE-MARIN G,GIRONA-LLOBERA E,et al.A lesson to learn from Hemovigilance:The impact of nurses'transfusion practice on mistransfusion[J].Transfus Apher Sci,2012,47(1):49.
[6]李乃鱼.临床输血过程管理[J].中国卫生质量管理,2011,18(6):70.
[7]孙璇,刘靖,范湘鸿.加强临床输血护理的全过程监控与管理[J].临床血液学杂志,2012,25(2):253.
[8]KAUR P,KAUR G,KAUR R,et al.Assessment of impact of training in improving knowledge of blood transfusion among clinicians[J].Transfus Med Hemother,2014,41(3):222.
[9]肖素娟,曾钰莲,黄艳,等.临床输血护理规范化管理调查分析[J].内科,2014,9(2):233.
[10]修彩云.护士在输血关键环节中应重视的问题[J].当代临床医刊,2015,28(1):1264.
[11]QUARANTA JF,CALDANI C,CABAUD JJ,et al.Blood transfusion and supply chain management safety[J].Presse Med,2015,44(2):214.
[12]关艳丽.建立临床输血质量管理体系探讨[J].中国医学创新,2012,9(3):147.
[13]张正芳.输血标准流程在重症监护室病人临床输血护理中的应用[J].临床血液学杂志,2014,27(2):117.
[14]张建武,邢志伟,王红,等.输血质量控制体系对临床输血质量的影响[J].山东医药,2015,32(55):95.
[15]FREIXO A,MATOS I,LEITE A,et al.Nurses knowledge in Transfusion Medicine in a Portuguese university hospital:the impact of an education[J].Blood Transfus,2016,15(1):1.