Federal Medical Centre, Yenagoa, Haematology and Blood Transfusion.
Rivers State University Teaching Hospital, Dept of Pathology.
Afr Health Sci. 2021 Sep;21(3):1230-1236. doi: 10.4314/ahs.v21i3.32.
Comprehension of blood component therapy (BCT) has profound impact on transfusion outcomes. Variations from the standards in practices of BCT may jeopardize patient care.
To assess the understanding and implementation of BCT by physicians.
The study was carried out at two tertiary health care centres. It was a descriptive cross-sectional study using a self-administered, questionnaire comprising of 30 questions.
A total of 265 physicians responded from various clinical specialties. Physicians studied showed remarkable knowledge (98%) of BCT. Nevertheless, 92.8% of the respondents' were inclined to prescribing whole blood and the commonest reason given was ready availability at the blood bank. More than half of the respondents' have prescribed BCT with sedimented red cells and platelet concentrates being the most frequently prescribed blood components. Non-availability of blood components and cost implications were some of the identified limitations to the use of BCT.
Majority of the physicians have a good knowledge concerning BCT. Nonetheless, there was a knowledge-practice mismatch attributable to the unavailability of the various blood components limiting optimal practice of BCT. Strategies should be formulated to overcome these identified challenges to ensure quality transfusion services in our healthcare facilities.
理解血液成分治疗（BCT）对输血结果有深远影响。BCT 实践中的标准偏差可能危及患者的护理。
评估医生对 BCT 的理解和实施情况。
该研究在两个三级保健中心进行。这是一项描述性的横断面研究，使用了一份自我管理的问卷，共包含 30 个问题。
来自不同临床专业的 265 名医生做出了回应。研究表明，医生们对 BCT 有着显著的了解（98%）。然而，92.8%的受访者倾向于开全血，最常见的原因是血库随时可以提供。超过一半的受访者已经开了 BCT，沉淀的红细胞和血小板浓缩物是最常开的血液成分。血液成分的不可用性和成本影响是限制 BCT 使用的一些确定的限制因素。
大多数医生对 BCT 有很好的了解。尽管如此，由于各种血液成分的不可用性导致了知识与实践之间的不匹配，限制了 BCT 的最佳实践。应制定策略来克服这些已确定的挑战，以确保我们的医疗保健设施中的优质输血服务。
