Ray Gopal Krushna, Mukherjee Somnath, Routray Suman Sudha, Sahu Ansuman, Mishra Debasish, Naik Archana, Prakash Satya
Department of Transfusion Medicine, All India Institute of Medical Sciences, Bhubaneswar, India.
Department of Transfusion Medicine, All India Institute of Medical Sciences, Bhubaneswar, India.
Hematol Transfus Cell Ther. 2023 Jul-Sep;45(3):342-349. doi: 10.1016/j.htct.2022.06.004. Epub 2022 Jul 20.
The knowledge of clinicians regarding blood transfusion services may impact patient care and transfusion outcome. The wide variation in transfusion practices among clinicians leads to inappropriate blood product usage and jeopardizes patient safety. Hence, this survey study aimed to assess knowledge, attitude and practice among the residents and interns of safe blood transfusion.
The online survey was based on self-administered questionnaires of three sections: 1. Demography; 2. Knowledge, and; 3. Attitude and Practice. One point was assigned for the correct response of each question in every section. The knowledge score was further categorized into three categories, depending on the points obtained. The participants were also divided into four groups, depending on their experience. The Kruskal-Wallis test was applied to determine the difference of knowledge and practice scores in three designated groups of residents and interns. A p-value of less than 0.05 was considered to be significant.
A total of 247 residents and interns participated in this study. Thirteen participants had an incomplete response. Out of 234 participants, Senior Residents (SR), Junior Residents (JR), and interns were 70, 96 and 68 participants, respectively. The knowledge scores of interns were significantly low, as compared to SRs and JRs. Practice scores of interns were also significantly low, compared to the JRs. However, most of the residents and interns (85%) were aware of the pre-transfusion testing.
Therefore, the mandatory incorporation of the transfusion medicine subject in the undergraduate curriculum can help the young budding doctors to better implement the patient blood management.
临床医生对输血服务的了解可能会影响患者护理和输血结果。临床医生之间输血实践的广泛差异导致血液制品使用不当，并危及患者安全。因此，这项调查研究旨在评估住院医师和实习医师在安全输血方面的知识、态度和实践。
在线调查基于自我管理的问卷，分为三个部分：1. 人口统计学；2. 知识；3. 态度和实践。每个部分的每个问题答对得1分。根据所得分数，知识得分进一步分为三类。参与者还根据他们的经验分为四组。应用Kruskal-Wallis检验来确定住院医师和实习医师三个指定组的知识和实践得分差异。p值小于0.05被认为具有统计学意义。
共有247名住院医师和实习医师参与了这项研究。13名参与者回答不完整。在234名参与者中，高级住院医师（SR）、初级住院医师（JR）和实习医师分别为70名、96名和68名。与SR和JR相比，实习医师的知识得分显著较低。与JR相比，实习医师的实践得分也显著较低。然而，大多数住院医师和实习医师（85%）了解输血前检测。
因此，在本科课程中强制纳入输血医学科目可以帮助初出茅庐的年轻医生更好地实施患者血液管理。
