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手术患者对输血相关风险的认知:一项横断面调查。

Surgical patients' perception about risks related to blood transfusion: A cross-sectional survey.

机构信息

Department of Anaesthesiology, The Aga Khan University, Karachi, Pakistan.

出版信息

Transfus Med. 2024 Jun;34(3):211-218. doi: 10.1111/tme.13041. Epub 2024 Apr 21.

Abstract

OBJECTIVE

To determine the perception of surgical patients at Aga Khan University Hospital (AKUH) about the risks related to blood transfusion. The ultimate aim was to influence patients' acceptability of blood transfusion by reducing their fears through effective counselling.

BACKGROUND

AKUH has a hospital-based blood bank with more than 90% family replacement donation. Many patients perceive blood transfusion as a risky procedure. This survey will help healthcare practitioners in addressing patients' concerns more effectively while counselling them about blood transfusion.

METHODS/MATERIALS: It was a cross-sectional survey of patients attending anaesthesia clinic at AKUH during the study period. It assessed patients' perception about adverse effects associated with blood transfusion.

RESULTS

A total of 363 patients were included. Among the participants, 18% considered blood transfusion to be very often or always risky. Blood transfusion related infections were considered most frequently occurring adverse events. Female patients were more concerned about the risks (p = 0.046).

CONCLUSION

Many patients consider blood transfusion as a high-risk procedure. Healthcare professionals need to understand patient's perceptions and conduct patient counselling accordingly. This will help physicians in addressing patient-specific concerns related to blood transfusion. Improved knowledge is hoped to translate into improvement in transfusion practices at the national level.

摘要

目的

了解阿迦汗大学医院(AKUH)外科患者对输血相关风险的认知。最终目标是通过有效的咨询来减轻患者的恐惧,从而影响其对输血的接受程度。

背景

AKUH 拥有一家医院内血库,其 90%以上的血液来自亲属捐献。许多患者认为输血是一种有风险的操作。这项调查将帮助医疗保健从业者在为患者提供咨询时更有效地解决患者的担忧。

方法/材料:这是一项在研究期间在 AKUH 麻醉科就诊的患者的横断面调查。它评估了患者对输血相关不良反应的认知。

结果

共纳入 363 名患者。在参与者中,18%的人认为输血经常或总是有风险。输血相关感染被认为是最常发生的不良事件。女性患者对风险更为担忧(p=0.046)。

结论

许多患者认为输血是一种高风险的操作。医疗保健专业人员需要了解患者的认知,并相应地进行患者咨询。这将有助于医生解决与输血相关的患者特定问题。希望提高认识能转化为国家层面输血实践的改进。

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