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临床输血与检验

临床输血与检验 ›› 2019, Vol. 21 ›› Issue (5): 548-551.DOI: 10.3969/j.issn.1671-2587.2019.05.029

• 继教与护理 • 上一篇    下一篇

输血护理规范化管理对血液病输血患者预后和生活质量的影响

朱群卉, 张青, 张研, 杨文平, 胡笛, 杜运, 廖晓琴, 李艳苹, 谭艳丽, 宋正芳, 曾艳   

  1. 445000 湖北省恩施州中心医院血液内科
  • 收稿日期:2018-03-27 出版日期:2019-10-20 发布日期:2019-10-29
  • 通讯作者: 曾艳,女,副主任护师,学士,主要从事血液病学护理及管理工作,（Tel）18671871828。
  • 作者简介:朱群卉（1980-）,女,土家族,湖北恩施人,主管护师,学士,主要从事血液病学护理及管理工作,（Tel）13886795388。

The Influence of Standardized Management of Transfusion Nursing on the Prognosis and Quality of Lives of Patients with Hematological Disease

ZHU Qun-hui, ZHANG Qing, ZHANG Yan, et al   

  1. Department of Hematology,Enshi Central Hospital,Enshi,Hubei,450000
  • Received:2018-03-27 Online:2019-10-20 Published:2019-10-29

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摘要： 目的 探讨输血护理规范化管理在血液病输血患者护理中的应用效果,并分析这种干预方式对患者预后及生活质量的影响。方法 纳入本院收治的血液病输血患者106例,随机将其分成观察组与对照组各53例。对照组采用常规输血护理,观察组采用输血护理规范化管理,两组干预周期为4周。分别在干预前、干预周期满时,向患者发放纸质《SF-36健康调查简表》、《输血满意度问卷调查表》评价生活质量与输血满意度,并记录预后情况。结果 两组护理前的SF-36量表各维度比较差异无统计学意义（P>0.05）;两组标准化护理后各维度评分高于护理前（P<0.05）;观察组护理后的生理功能、生理职能、生命活力、总体健康评分高于对照组,差异有统计学意义（P<0.05）。观察组消毒卫生、输血管理流程、工作效率、输血风险控制满意率分别为94.34%、94.34%、96.23%、98.11%,均高于对照组,组间比较差异有统计学意义（P<0.05）。观察组不良事件发生率为3.77%,低于对照组的16.98%,差异有统计学意义（P<0.05）。结论 输血护理规范化管理能改善血液病输血患者的生活质量,提高输血满意度,降低不良事件发生率,值得推广应用。

关键词: 血液病, 输血治疗, 规范化管理

Abstract: Objective To explore the effect of normalized management of blood transfusion in nursing care of patients with hematological diseases,and to analyze its significance in prognosis and quality of lives of patients.Methods One hundred and six patients who had received transfusions were randomly divided into the observation group and the control group,with 53 case in each. The control were subjected to routine transfusion nursing whereas the observation group were given standardized management of blood transfusion nursing for 4 weeks. Before and after intervention,the SF-36 Health Survey Questionnaire and Blood Transfusion Satisfaction Questionnaire were given to patients for survey,and the quality of life and blood transfusion satisfaction were evaluated and the prognosis was recorded.Results No significant difference was noted between the two groups in various dimensions of the SF-36 scale before nursing （P>0.05）. The scores of each dimension of the two groups were remarkably increased after standardized nursing （P<0.05）. The physiological functions,vitality of lives and health scores in the observation group were higher than those in the control （P<0.05）. The satisfaction rates of disinfection health,blood transfusion management process,work efficiency and blood transfusion risk control were 94.34%,94.34%,96.23%,and 98.11%,respectively,which was elevated （P<0.05） when compared with the control. A low incidence （3.77%） of adverse events was found in the observation group compared with the control group （16.98%） （P<0.05）.Conclusion Standardized management of blood transfusion nursing may improve the quality of life of patients with blood transfusions,increase transfusion satisfaction and reduce the incidence of adverse occasions.

Key words: Hematological disease, Blood transfusion, Standardized management

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