Shafiee Akbar, Nazari Shiva, Mogharreban Masoumeh, Koupaei Mohammad Taghi Sadeghi
Department of Cardiovascular Research, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
Transfus Apher Sci. 2013 Apr;48(2):253-6. doi: 10.1016/j.transci.2013.01.004. Epub 2013 Feb 16.
A good knowledge of the proper implication of blood products and the ability to prevent potential complications is crucial, especially for medical interns before embarking upon their career. We aimed to investigate the level of knowledge of common blood transfusion complications among medical interns.
In this study, 90 medical interns at Shahid Beheshti University of Medical Sciences were asked to fill out a questionnaire consisting of 14 questions on acute complications of transfusion; probable causes of the acute complications and their clinical symptoms; initial treatment of acute reactions; role of parenteral corticosteroids in the treatment; best method of applying epinephrine; follow-up duration; and preventive measures of acute reactions.
All the interns enrolled in the study completed the form within the allocated time and sent it back to us. Average total score was 10.94 from 20. There was a significantly acceptable level of awareness of ABO incompatibility, with 96.5% of the total score having been achieved, while general knowledge about treatment methods, observation and risk factors of TRALI was moderate to weak.
Current educational level for transfusion medicine seems to be inadequate as the medical interns in our study were not sufficiently versed in the complications of blood transfusion and their management.
熟知血液制品的正确应用以及预防潜在并发症的能力至关重要，尤其对于即将开启职业生涯的医学实习生而言。我们旨在调查医学实习生对常见输血并发症的认知水平。
在本研究中，我们要求90名来自沙希德·贝赫什提医科大学的医学实习生填写一份问卷，该问卷包含14个问题，涉及输血的急性并发症、急性并发症的可能原因及其临床症状、急性反应的初始治疗、胃肠外皮质类固醇在治疗中的作用、应用肾上腺素的最佳方法、随访时长以及急性反应的预防措施。
所有参与研究的实习生均在规定时间内完成表格并交回给我们。平均总分在20分制中为10.94分。对ABO血型不相容的认知水平达到了显著可接受程度，获得了总分的96.5%，而关于输血相关急性肺损伤的治疗方法、观察及风险因素的一般知识掌握程度为中等偏弱。
鉴于我们研究中的医学实习生对输血并发症及其管理不够精通，目前输血医学的教育水平似乎不足。
