设拉子医科大学附属选定医院新生儿病房和新生儿重症监护病房血液警戒护理的临床评估（2013 - 2014年）
Clinical Assessment of Nursing Care Regarding Hemovigilance in Neonatal Wards and Neonatal Intensive Care Units in Selected Hospitals Affiliated to Shahid Beheshti University of Medical Sciences (2013 - 2014).
作者信息
Tajalli Saleheh, Nourian Manijeh, Rassouli Maryam, Baghestani Ahmad Reza
机构信息
Neonatal Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
Pediatric Nursing Department, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
出版信息
Iran Red Crescent Med J. 2015 Jul 22;17(7):e19987. doi: 10.5812/ircmj.19987v2. eCollection 2015 Jul.
BACKGROUND
Hemovigilance is a series of surveillance procedures encompassing the entire transfusion chain from the collection of blood and its components to the follow-up of its recipients. It is intended to collect and access information on unanticipated or adverse effects stemming from the therapeutic use of labile blood products. Blood transfusion, particularly in neonates, requires meticulous clinical assessment to ensure safety before, during, and after the procedure. Therefore, it is essential to investigate how nurses and other health care providers implement hemovigilance with a view to elevating the standards of care.
OBJECTIVES
The aim of this study, conducted between 2013 and 2014, was to assess nursing care regarding hemovigilance in the neonatal wards and neonatal intensive care units (NICUs) of selected hospitals affiliated to Shahid Beheshti University of Medical Sciences.
MATERIALS AND METHODS
This descriptive study assessed nursing care concerning hemovigilance in 144 neonates. Data were collected using a checklist at the neonatal wards and NICUs of Mahdiyeh, Mofid, and Imam Hussain hospitals affiliated to Shahid Beheshti University of Medical Sciences. The checklist contained information on the standard of care in relation to neonatal hemovigilance in three components of request, transfusion, and documentation. Descriptive statistics with the Statistical Package for the Social Sciences (version 21) were used to analyze the collected data.
RESULTS
The rates of compliance with the hemovigilance guidelines in terms of request, transfusion, and documentation were 47%, 63.2%, and 68%, correspondingly, with a total score of 59.6% in all areas of research. Accordingly, compliance with hemovigilance guidelines was highest in documentation (68%), followed by transfusion (63.2%) and request (47%).
CONCLUSIONS
The overall score of nursing care as regards adherence to the neonatal hemovigilance guidelines was 59.6% in the present study, indicating a lack of care and failure in training in this regard.
背景
血液警戒是一系列监测程序，涵盖从血液及其成分采集到受血者随访的整个输血链。其目的是收集和获取有关不稳定血液制品治疗性使用所产生的意外或不良反应的信息。输血，尤其是在新生儿中，在输血前、输血期间和输血后都需要进行细致的临床评估以确保安全。因此，调查护士和其他医护人员如何实施血液警戒对于提高护理标准至关重要。
目的
本研究于2013年至2014年进行，旨在评估设拉子医科大学附属选定医院新生儿病房和新生儿重症监护病房（NICU）中有关血液警戒的护理情况。
材料与方法
这项描述性研究评估了144名新生儿的血液警戒护理情况。数据通过设拉子医科大学附属马赫迪耶、莫菲德和伊玛目侯赛因医院新生儿病房和NICU的检查表收集。该检查表包含请求、输血和记录三个部分中与新生儿血液警戒护理标准相关的信息。使用社会科学统计软件包（第21版）进行描述性统计分析所收集的数据。
结果
在请求、输血和记录方面，血液警戒指南的遵守率分别为47%、63.2%和68%，所有研究领域的总分为59.6%。因此，血液警戒指南的遵守率在记录方面最高（68%），其次是输血（63.2%）和请求（47%）。
结论
在本研究中，关于遵守新生儿血液警戒指南的护理总体得分是59.6%，表明在这方面缺乏护理且培训不足。
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