RESUMO
【Objective】 To assess the sufficient information got by the informed transfusion recipients from the consents for blood transfusion and to explore the influencing factors, so as to provide scientific evidences for patients to comprehend the consent better. 【Methods】 A cohort study using questionnaire was conducted among 198 patients who received red blood cell transfusion from April 2019 to June 2019 in a tertiary hospital. 18 options were investigated, including basic information of patients, recall of the informed consent process performed by physicians and how well they comprehend the information. SPSS 23.0 statistical software was used for data statistical processing. 【Results】 All 198 questionnaires were returned and valid (100%, 198/198). The score of 198 informed transfusion recipients was 2~9 (5.293±1.549), and the score of Internal Medicine and Surgical transfusion patients was 6.07±1.77 vs 6.07±1.77 (P<0.05). Univariate comparative analysis showed that the clinical department, age, education background, instructions, including its time and identity of instructors, before transfusion were the variables that affected the comprehension of informed patients (P<0.05). Linear regression analysis indicated that the clinical department, pre-transfusion instruction and its time were independent influencing factors on the comprehension(P<0.05). The top 3 poorly-understood items included auto-transfusion, alternative transfusion therapy and 1-year donation deferral after blood transfusion. 【Conclusion】 More efforts are needed to help transfusion candidates to comprehend consent for blood transfusion better since their knowledge varied with clinical departments. Physicians′ transfusion knowledge and communication skills also need to be enhanced to provide targeted and multi-form informing methods.
RESUMO
ObjectiveTo discuss the influence of nursing intervention on psychological state of transfusion patients in outpatient and emergency department. MethodsSCL-90 questionnaires were used to investigate 600 transfusion patients in outpatient and emergency department to understand their psychological state. Psychological nursing was given to them before, during and after transfusion, SCL- 90 questionnaire was used again for investigation at the last day of transfusion,χ2 test was used to evaluate the results. ResultsAfter psychological care, the somatization, interpersonal relationships, anxiety, depres-sion, hostility and terrorism and other items significantly alleviated compared with those before interven-fion. ConclusionsTo grasp the patients' psychological state and give psychological care to them can ef-fectively reduce the adverse psychological reaction of patients, improve the quality of care and safety and promote the treatment and rehabilitation of diseases.