首页|输血记录模板在输血患儿中应用适用性研究

输血记录模板在输血患儿中应用适用性研究

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目的 评价输血记录模板在输血患儿临床输血操作中的应用效果.方法 基于循证的方法制订输血患儿输血记录模板,选取2022年7月至12月在安徽省儿童医院住院期间需要输注血小板、红细胞成分血的患儿93例作为研究对象(有同一人多次在不同时间输注不同成分血).其中,输注血小板的患儿67例,输注104例次,输注红细胞的患儿54例,输注72例次,按照制订的输血记录模板进行输血操作.观察输血效果、输血循环负荷过重等不良反应率、护理记录耗时及护士满意度.结果 血小板有效输注98例次,无效6例次,有效率为94.2%,出现过敏反应4例;红细胞有效输注62例次,无效10例次,有效率为86.1%,出现发热反应1例;均无输血循环负荷过重等其他不良反应发生;患儿家属输血护理满意度较高;护理记录耗时降低,护士满意度较高.结论 将输血记录模板用于输血护理操作中,能保证输血质量,提升家属输血护理满意度,同时有效提高护士临床输血操作的效率及记录的规范性.
Study on the applicability of blood transfusion record template in children with blood transfusion
Objective To evaluate the application effect of blood transfusion record template in the clinical transfusion operation of children with blood transfusion.Methods Based on the evidence-based method,a blood transfusion record template was developed for transfusion of children with blood transfusion.Ninety-three children who needed transfusion of platelet and red cell components during their hospitalization in Anhui Children's Hospital from July to December 2022 were selected as the study objects(the same person received multiple transfusions of different components at different times).Among them,67 hospitalized children were transfused with platelets(104 times),and 54 hospitalized children were transfused with red blood cells(72 times),which were transfused according to the established blood transfusion record template.The effect of blood transfusion,the rate of adverse reactions such as excessive load of blood transfusion circulation,the time consuming of nursing records,and the sat-isfaction of nurses was observed.Results Ninety-eight platelet transfusions were effective,6 were ineffective,the effective rate was 94.2%,and 4 were allergic reactions.Red blood cell infusion was effective in 62 cases,ineffective in 10 cases,effective rate was 86.1%,and fever reaction oc-curred in 1 case.There were no other adverse reactions such as excessive blood circulation load.Blood transfusion nursing satisfaction of family members was higher.The time consuming of nursing records was reduced,and nurses'satisfaction was higher.Conclusion The application of blood transfusion record template in transfusion nursing operation can guarantee the quality of transfusion,improve the satisfaction of family members,and effectively improve the efficiency and standardization of nurses'clinical transfusion operation.

Adverse blood use eventsBlood transfusionEfficiencyNursing recordsSecurity management

段明霞、王宏琴、徐靖、陈瑞娟、钱玲艳、康旭旭、程迁、马海霞

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安徽省儿童医院儿童血液肿瘤科,安徽合肥 200051

用血不良事件 输血 效率 护理记录 安全管理

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(18)
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