输血申请单中增加相关病情描述的探讨

Adding description of patient's condition to the blood transfusion requisition

目的探讨在输血申请单中增加患者病情等描述对于促进科学合理输血的效果。方法在输血申请单中增加既往病史、主述、症状、体征和辅助检查结果等内容,输血科工作人员根据申请单信息综合判断是否合理输血并进行相应干预,对更改输血申请单前后的成功干预率进行比较。结果统计更改前1年没有相关病情描述的输血申请单1508份,成功干预率2.85%,更改后1年有相关病情描述的输血申请单1704份,成功干预率9.15%,2组比较差异有统计学意义(χ2=54.70,P<0.05)。结论输血申请单中增加患者相关病情的描述有助于输血科工作人员对输血申请作出有效干预,提高输血的科学性和合理性。

Objective To discuss how to add the description of patient＇s condition to the blood transfusion requisition,in order to improve the scientific and rational blood transfusion.Methods We tried to add past medical history,complained of symptoms,signs and laboratory examinations to the transfusion requisition. So the staff of transfusion department can determine whether the requisition was reasonable or not,based on those information. If it was not reasonable,the staff could make an appropriate intervention. And the intervention rates were compared between the requisitions with or without the description of patient＇s condition. Results The intervention rate of 1508 blood transfusion requisitions,during the previous year,without the description of patient＇ s condition,was 2. 85%,while the intervention rate of 1704 blood transfusion requisitions,during the later year,with the description of patient＇s condition,was 9. 15%. There was significantly difference between the two groups（ χ^2= 54. 70,P〈 0. 05）. Conclusion It is helpful for the staff of transfusion department to take an appropriate intervention via the addition of description of patient＇ s condition,and to strengthen the scientific and rational blood transfusion.