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阿曼的输血同意书:三级护理大学医院内科医生的认知

Transfusion Consent in Oman: Physicians' Perception at a Tertiary Care University Hospital.

作者信息

Al-Riyami Arwa Z, Al-Marshoodi Ibrahim, Zia Fehmida, Al-Huneini Mohammed, Al-Rawas Abdul Hakim, Jose Sachin, Daar Shahina, Al-Khabori Murtadha, Al-Sabti Hilal

机构信息

Department of Hematology, Sultan Qaboos University Hospital, Muscat, Oman.

College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.

出版信息

Oman Med J. 2016 Jul;31(4):253-7. doi: 10.5001/omj.2016.50.

Abstract

OBJECTIVES

Transfusion is a common intervention that mandates the discussion of benefits, risks, and alternatives to planned transfusions. In Oman, transfusion consent was first introduced at the Sultan Qaboos University Hospital in March 2014. We sought to evaluate our physicians' opinions, attitudes, and perception of the transfusion consent process.

METHODS

Attending physicians of different specialties were invited to complete an anonymous survey on transfusion consent.

RESULTS

A total of 114 physicians responded to the survey. Transfusion benefits and risks were explained regularly by 91% and 87% of the surveyed physicians, respectively. On the other hand, alternatives were declared by only 38%. Discomfort with the consent process was admitted by 10% of the physicians. There was no statistically significant association between discomfort in obtaining the consent and the physician seniority (p = 0.801), nor their specialties (p = 0.623). The importance of the consent process was acknowledged by 80% of surveyed physicians, who supported its implementation in other hospitals.

CONCLUSION

This survey reflects positive attitudes of the surveyed physicians on the importance of transfusion consent. However, actions are required to achieve physicians' full ease with the process and to ensure that transfusion alternatives are discussed. We advocate implementation of transfusion consent in other hospitals in Oman.

摘要

目的

输血是一种常见的干预措施,需要对计划输血的益处、风险及替代方案进行讨论。在阿曼,2014年3月苏丹卡布斯大学医院首次引入输血同意书。我们试图评估本院医生对输血同意书流程的意见、态度和认知。

方法

邀请不同专业的主治医生完成一份关于输血同意书的匿名调查问卷。

结果

共有114名医生回复了该调查问卷。分别有91%和87%的受访医生会定期解释输血的益处和风险。另一方面,仅38%的医生会说明替代方案。10%的医生承认对同意书流程感到不适。在获取同意书时感到不适与医生的资历(p = 0.801)及其专业(p = 0.623)之间无统计学显著关联。80%的受访医生认可同意书流程的重要性,并支持在其他医院实施。

结论

本次调查反映出受访医生对输血同意书重要性持积极态度。然而,需要采取行动让医生在该流程中完全放松,并确保讨论输血替代方案。我们主张在阿曼的其他医院实施输血同意书制度。

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