Analysis Of The Rationality Of Blood Use In Medical Case Of Class3-A General Hospital In Anhui Province

Objective The physician’ knowledge, attitude, belief and practice about rational blood transfusion can be seen through investigating the blood transfusion situation in class3-A hospital in Anhui province and relative knowledge of rational blood use mastered by clinicians, in this way, a corresponding continuing education program of rational blood transfusion could be made towards doctors and nurses so as to strengthen the realization of safely transfusing and improve the level of rational clinical blood use.Method A retrospective investigation method was used to get known of the blood use situation in2011covering29class3-A hospitals in Anhui province. According to department stratification, about15cases of medical blood transfusion were randomly selected from1Jan. to1June, and these cases were marked a score of0-10at the criterion of reasonable blood using. A total number of145persons including5physicians from each hospital were selected randomly to do rationality questionnaire of blood use in medical case. The research adopts Epidata3.1to type in and SPSS13.0to analyze the data.Result The rate of blood products’ rationality of the class3-A comprehensive medical institutions in Ah’hui province was55.76%. The reasonable infusion rates of erythrocyte, plasma, platelet, whole blood and cryoprecitation were78.72%,14.73%,76.55%,62.50%and69.23%. Among the scores of rational transfusion of blood components, every component gained9-10scores except plasma which got a zero.198among the443cases were generally reasonable as to a rational transfusion rate of44.70%. The median average score of rationality was9and the proportion of the combined transfusion of RBC and plasma was12.64%. The investigation indicated that the largest user of blood in clinical operation was RBC which accounted for38.4%in Anhui3-A hospital. While, whole blood only accounted for2.5%. The physicians’ knowledge about the relative blood transfusion was not well commanded with the average score only coming to65.82, scores of the doctors with years’ working experience were lower than that of less years(F=44.223, P<0.001).43.6%of the doctors just transfused blood to the patients at the request of their family so as to avoid medical disputes. Only3.4%of the clinical doctors gained their transfusion knowledge from professional literature.Most respondents (54.1%) were just interested in the basic knowledge of blood transfusion about how to master the prove of clinical blood transfusion.Conclusion Component blood transfusion generalization was in full swing in Anhui3-A hospital. However, the rational rate of blood components was relatively low, there still existed the phenomenon of transfusing plasma randomly and combined blood habitually. Clinical doctors generally didn’t have a good understanding of the relative blood transfusion, it was very necessary to strengthen the learning of basic blood transfusion knowledge in order to further improve the level of rational blood use through the way of training,continuing education,etc.