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沙特阿拉伯卡西姆地区普通公众和医疗保健专业人员对输血治疗的看法。

Perceptions About Blood Transfusion Therapy Among the General Public and Healthcare Professionals in the Qassim Region of Saudi Arabia.

作者信息

Alsharidah Ashwag S, Alsuhaibani Haifa A, Almansour Basma S, Alsharidah Mansour S

机构信息

Department of Physiology, College of Medicine, Qassim University, Buraidah, Qassim, Saudi Arabia.

Department of Pharmacy Practice, College of Pharmacy, Qassim University, Buraidah, Qassim, Saudi Arabia.

出版信息

J Blood Med. 2021 Mar 11;12:139-145. doi: 10.2147/JBM.S296036. eCollection 2021.

DOI:10.2147/JBM.S296036
PMID:33737852
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7961130/
Abstract

PURPOSE

Blood transfusion is a conventional therapeutic procedure; however, the perceptions of general public and healthcare professionals (HCPs), especially physicians and nurses, remain unclear, although the insights of HSPs may affect the treatment decision. This study aimed to assess the awareness of HCPs and the public about blood transfusion risks and consent in Qassim region of Saudi Arabia, to uncover the factors that may influence such perceptions.

PATIENTS AND METHODS

This study used two different closed questionnaires that were distributed electronically between February and March 2018 among the population and HCPs in Qassim region.

RESULTS

A total of 400 general public participants and 135 HCPs completed the survey. Among the surveyed participants, 70% believed that blood transfusion therapy was safe. The perceived risk of human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) was the highest among all complications (74%). Furthermore, 88.2% of respondents were willing to accept a blood transfusion as a therapeutic measure, primarily from a first-degree relative, although the remaining 11.8% rejected the idea of a transfusion due to fear of medical error. From the HCP survey, 80% were previously involved in a blood transfusion therapy consent process. HCPs typically reported explaining the benefits, risks, and alternatives described in the consent form (74.1%, 67.4%, and 53.3%, respectively).

CONCLUSION

Our results indicated that despite the current high level of acceptance and knowledge regarding blood transfusions, additional educational efforts remain necessary to increase public awareness of blood transfusion therapy.

摘要

目的

输血是一种传统的治疗手段;然而,尽管医疗保健专业人员(HCPs)的见解可能会影响治疗决策,但普通公众和医疗保健专业人员,尤其是医生和护士,对输血的认知仍不明确。本研究旨在评估沙特阿拉伯卡西姆地区医疗保健专业人员和公众对输血风险及同意输血的认知,以揭示可能影响此类认知的因素。

患者与方法

本研究使用了两种不同的封闭式问卷,于2018年2月至3月间以电子方式分发给卡西姆地区的普通人群和医疗保健专业人员。

结果

共有400名普通公众参与者和135名医疗保健专业人员完成了调查。在接受调查的参与者中,70%认为输血治疗是安全的。在所有并发症中,人们认为人类免疫缺陷病毒(HIV)/获得性免疫缺陷综合征(AIDS)的风险最高(74%)。此外,88.2%的受访者愿意接受输血作为一种治疗措施,主要是接受一级亲属的输血,不过其余11.8%的人因担心医疗失误而拒绝输血的想法。在医疗保健专业人员的调查中,80%的人此前参与过输血治疗的同意过程。医疗保健专业人员通常报告称会解释同意书中所述的益处、风险和替代方案(分别为74.1%、67.4%和53.3%)。

结论

我们的结果表明,尽管目前公众对输血的接受程度和认知水平较高,但仍需要进一步开展教育工作,以提高公众对输血治疗的认识。

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本文引用的文献

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Patients' and health care professionals' perceptions of blood transfusion: a systematic review.患者与医护人员对输血的认知:一项系统综述
Transfusion. 2018 Feb;58(2):446-455. doi: 10.1111/trf.14404. Epub 2017 Dec 19.
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Transfusion Consent in Oman: Physicians' Perception at a Tertiary Care University Hospital.阿曼的输血同意书:三级护理大学医院内科医生的认知
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A prospective study on red blood cell transfusion related hyperkalemia in critically ill patients.危重症患者红细胞输血相关高钾血症的前瞻性研究。
J Clin Med Res. 2015 Jun;7(6):417-21. doi: 10.14740/jocmr2123w. Epub 2015 Apr 8.
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The IgE-dependent pathway in allergic transfusion reactions: involvement of donor blood allergens other than plasma proteins.过敏性输血反应中IgE依赖途径:除血浆蛋白外供体血液过敏原的参与情况
Int J Hematol. 2015 Jul;102(1):93-100. doi: 10.1007/s12185-015-1794-0. Epub 2015 Apr 4.
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Consent for blood transfusion: do patients understand the risks and benefits?输血同意书:患者是否了解风险与益处?
Transfus Med. 2014 Oct;24(5):269-73. doi: 10.1111/tme.12141. Epub 2014 Jul 28.
6
Perceptions about blood transfusion: a survey of surgical patients and their anesthesiologists and surgeons.关于输血的看法:一项对手术患者及其麻醉师和外科医生的调查。
Anesth Analg. 2014 Jun;118(6):1301-8. doi: 10.1213/ANE.0000000000000131.
7
Serious Hazards of Transfusion (SHOT) haemovigilance and progress is improving transfusion safety.严重输血不良反应(SHOT)监测有助于提高输血安全性。
Br J Haematol. 2013 Nov;163(3):303-14. doi: 10.1111/bjh.12547. Epub 2013 Sep 14.
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Informed consent for blood transfusion: what do medicine residents tell? What do patients understand?输血知情同意:医学住院医师会告知什么?患者能理解什么?
Am J Clin Pathol. 2012 Oct;138(4):559-65. doi: 10.1309/AJCP2TN5ODJLYGQR.
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