Sapkota Abja, Poudel Sabitra, Sedhain Arun, Khatiwada Niru
Nepal Medical College, Department of Nursing, Kathmandu University, P.O. Box 13344, Fax No. 977-1-4912118, Jorpati, Kathmandu, Nepal.
Kathmandu Medical College, Department of Nursing, Kathmandu University, P.O. Box 21266, Fax No. 977-1-4477920, Sinamangal, Kathmandu, Nepal.
J Blood Transfus. 2018 Feb 12;2018:6190859. doi: 10.1155/2018/6190859. eCollection 2018.
The complications associated with errors in transfusion practice can be minimized by assessing transfusion practices. In Nepal, there is no standard protocol on blood transfusion. So, this study was conducted with an aim to assess the blood transfusion practice among healthcare personnel.
A descriptive observational study was conducted in two tertiary hospitals in Kathmandu, Nepal, over a period of 10 months. Bedside blood transfusion procedures were observed using structured checklist.
Altogether, 86 observations were made. Time taken from dispatch from the blood bank to transfusion was >2 hours in 53.2% of cases. In majority of the cases, blood was kept in the ward in uncontrolled and unprotected manner by the patients' relatives. Only 8.2% of the patients and/or the relatives were informed about the reasons, associated probable risks (2.4%), and the benefits of transfusion (4.7%). Assessment of vital signs at 15 minutes of initiation of transfusion was done on about 2 to 4% of cases.
We found a suboptimal blood transfusion practice in Nepal, which could be attributable to substantial knowledge gap among healthcare personnel and the absence of quality culture, quality system, and quality management in the area of blood transfusion practices.
通过评估输血操作可将与输血实践错误相关的并发症降至最低。在尼泊尔，没有输血的标准方案。因此，本研究旨在评估医护人员的输血实践。
在尼泊尔加德满都的两家三级医院进行了一项为期10个月的描述性观察研究。使用结构化检查表观察床边输血程序。
共进行了86次观察。在53.2%的病例中，从血库发出到输血的时间超过2小时。在大多数情况下，患者亲属将血液以不受控制和无保护的方式保存在病房。只有8.2%的患者和/或亲属被告知输血的原因、相关可能风险（2.4%）和益处（4.7%）。约2%至4%的病例在输血开始15分钟时对生命体征进行了评估。
我们发现尼泊尔的输血实践不理想，这可能归因于医护人员之间存在巨大的知识差距以及输血实践领域缺乏质量文化、质量体系和质量管理。
