Court E L, Robinson J A, Hocken D B
Department of Surgery, The Great Western Hospital, Swindon SN3 6BB, UK.
Transfus Med. 2011 Jun;21(3):183-9. doi: 10.1111/j.1365-3148.2011.01069.x. Epub 2011 Jan 27.
Obtaining separate informed consent for blood transfusion is mandatory in some countries. Although patients should be informed about risks and benefits of transfusion, studies suggest this does not happen routinely in the UK and the patient perspective is lacking in the current literature.
To explore provision of information and the consent process for patients receiving blood transfusions at our hospital.
To assess patient recall of the consent process, information conveyed, ease in understanding discussions and perceived knowledge of transfusion afterwards.
All 342 adult patients for whom blood was cross-matched between 1 March 2008 and 30 April 2008 were sent postal questionnaires.
One hundred and sixty-four questionnaires were returned. Overall, 59·1% of patients said someone explained they might need a transfusion; of those 86·7% felt the reason had been explained. Only 58·8% of patients felt informed of what transfusion involves, with 67·0% told of the benefits and 27·8% informed of risks. Overall, 51·5% of patients said this information was easy to understand, but only 26·8% were aware of a transfusion information leaflet. Of those receiving leaflets, all said they read it and had no questions. Despite this, 61·9% were satisfied overall with the information received.
Information leaflets could increase the information available to patients, with minimal impact on health care professionals' time. Leaflets are available, free of charge, from the National Health Service Blood and Transplant website. These have been introduced at each bedside, in pre-op packs and in outpatient clinics, with re-assessment planned in 6 months.
在一些国家，必须为输血单独获取知情同意书。尽管应该告知患者输血的风险和益处，但研究表明在英国这并非常规操作，且当前文献中缺乏患者的观点。
探讨我院接受输血患者的信息提供情况和同意过程。
评估患者对同意过程的回忆、所传达的信息、理解讨论的难易程度以及之后对输血的认知。
向2008年3月1日至2008年4月30日期间所有进行血型交叉配血的342例成年患者发送邮政问卷。
共收回164份问卷。总体而言，59.1%的患者表示有人向他们解释可能需要输血；其中86.7%的患者认为原因已得到解释。只有58.8%的患者觉得了解了输血的具体内容，67.0%的患者被告知益处，27.8%的患者被告知风险。总体而言，51.5%的患者表示这些信息易于理解，但只有26.8%的患者知晓有输血信息手册。在收到手册的患者中，所有人都表示阅读了且没有疑问。尽管如此，61.9%的患者总体上对所获得的信息感到满意。
信息手册可以增加患者可获取的信息，对医护人员的时间影响最小。这些手册可从英国国民医疗服务体系血液与移植网站免费获取。已在每张病床旁、术前包以及门诊诊所发放，计划在6个月后进行重新评估。
