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目的:调查分析二级医院临床输血护理管理的现状,采取应对措施。方法:选取县级和民营二级医院各11家的输血护理人员,现场发收自行设计的输血护理相关知识问卷共500份,对其进行统计分析。结果:2014年临床输血护理人员答卷正确率(81.4%)与2013年(55.3%)相比差异有统计学意义(P<0.05);2013年县级二级医院正确率(63.5%)与同年度民营二级医院(46.0%)相比差异有统计学意义(P<0.05),2014年正确率分别为82.7%和79.6%,二者比较差异无统计学意义(P>0.05)。结论:充分发挥临床用血管理与质量控制中心、医院临床用血管理委员会的作用,加强护理人员输血相关知识面对面的专项培训及规范管理,加强输血过程关键控制点的监控,才能确保患者输血安全,保护医护人员的自身合法权益。
Objective: To investigate and analyze the status quo of clinical transfusion care management in secondary hospitals and take countermeasures. Methods: Eleven blood transfusion nursing staffs at county and private secondary hospitals were selected. A total of 500 self-designed questionnaires about blood transfusion care were collected and analyzed statistically. Results: The correct rate (81.4%) of clinical transfusion nurses’ questionnaires in 2014 was significantly different from that of 2013 (55.3%) (P <0.05). In 2013, the correct rate of secondary level hospitals (63.5%) was the same as There were significant differences between the two years (46.0%) in the private hospitals (P <0.05). The correct rates in 2014 were 82.7% and 79.6%, respectively. There was no significant difference between them (P> 0.05). Conclusion: It is necessary to give full play to the role of clinical blood management and quality control centers and hospital clinical blood management committees, strengthen special face-to-face training and standardized management of blood transfusion-related knowledge among nurses, and strengthen the monitoring of critical control points during blood transfusion so as to ensure the safety of blood transfusion , Protect the legitimate rights and interests of medical staff.