Pacientu drošības aspekti asins komponentu transfūzijas laikā
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Date
2020
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Droša asins komponentu izmantošana nozīmē asins transfūziju izpildi saskaņā ar valstī apstiprinātu tehnoloģiju un ārstniecības iestādē izstrādātām standartprocedūrām (Ņemceva, Sisene, Šteinerte,2009).
Hemotransfūziju komplikāciju cēlonis - kļūdas asins pārliešanā, ko izraisa nepietiekamas zināšanas par transfuzioloģijas pamatiem, vai asins pārliešanas drošības aspektu neievērošana dažādos posmos. Lai noskaidrotu un izvērtētu pacientu drošības aspektu ievērošanu asins komponentu transfūzijas laikā, tika veikta māsu novērošana un anonīma aptauja. Iegūtie rezultāti ļāva novertēt kā māsas ievēro izstradātas standartprocedūras.
Darbs sastāv no ievada, saīsinājumu saraksta, 2 daļām, secinājumiem un 16 pielikumiem. Darbā ir iekļauti 4 tabulas, 17 attēli. Analīzei tika izmantoti 28 literatūras avoti.
Pētījuma mērķis: Noskaidrot un izvērtēt pacientu drošības aspektu ievērošanu asins komponentu transfūzijas laikā.
Pētījuma jautājums: Kā tiek ievēroti pacientu drošības aspekti veicot asins komponentu transfūziju?
Pētījumā tika iesaistītas 80 māsas, kuras savā darba gaitā veic asins komponentu pārliešanu X slimnīcā. 73 māsas tika anketētas un 7 māsas tika novērotas. Pētījuma tika izmantoti divi instrumenti - novērošanas protokols, kurš tika izstrādāts saskaņā ar X slimnīcas asins kabineta iekšējiem dokumentiem un anketa, kura tika iztrādāta saskaņā ar valstī apstiprinātām medicīnas tehnoloģijām.
Pētījuma rezultāti liecina, ka visas māsas, kas veic asins komponentu transfūziju ir apmācītas transfuzioloģijā un viņā, ir iegūts transfuzioloģijas pamatu apliecinājums. Pacientu drošību ietekmē tas, kas 11% respondentu pārkāpj noteikto kārtību un identificē pacientu neievērojot pilnībā ārstniecības iestādē noteikto kārtību. 21% respondentu neievēro izstrādātus procedūras posmus un nemarķē asins paraugu pacienta klātbūtnē.
Var secināt, ka pacientu drošības aspekti tiek ievēroti, tomēr māsām vēlams uzlabot savu darba kvalitāti dažos aspektos un papildināt zināšanas un prasmes, lai samazinātu asins transfūzijas risku un uzlabotu asins produktu drošību.
Safe use of blood components means performing blood transfusions in accordance with nationally approved technology and standard procedures developed in a medical institution (Nemtseva, Sisene, Šteinerte, 2009). The cause of haemodytic complications - errors in blood transfusions caused by insufficient knowledge of the underlying transfusionology, or failure to respect the safety aspects of bloodtransfusions at different stages. Nursing observations and an anonymous survey were performed to determine and evaluate patient safety during transfusion of blood components. The obtained results allowed to evaluate how the nurses follow the developed standard procedures. The work consists of an introduction, a list of abbreviations, 2 parts, conclusions and 16 appendices. The work includes 4 tables, 17 figures. 28 literature sources were used for the analysis. Aim of the study: To find out and evaluate the observance of patient safety aspects during transfusion of blood components. Research question: How are patient safety aspects taken into account when transfusing blood components? The study involved 80 nurses who performed blood transfusions at Hospital X in the course of their work. 73 nurses were interviewed and 7 nurses were observed. Two tools were used in the study - an observation protocol, which was developed in accordance with the internal documents of the X hospital blood cabinet, and a questionnaire, which was developed in accordance with nationally approved medical technologies. The results of the study show that all nurses who perform transfusions of blood components have been trained in transfusiology and have received proper training of the basics of transfusiology. Patient safety is affected by the fact that 11% of respondents violate the established procedure and identify the patient without fully following the established procedure in the medical institution. 21% of respondents do not follow the established stages of the procedure and do not label the blood sample in the presence of the patient. It can be concluded that patient safety aspects are taken into account, however, it is desirable for nurses to improve the quality of their work in some aspects and to increase their knowledge and skills to reduce the risk of blood transfusions and improve the safety of blood products.
Safe use of blood components means performing blood transfusions in accordance with nationally approved technology and standard procedures developed in a medical institution (Nemtseva, Sisene, Šteinerte, 2009). The cause of haemodytic complications - errors in blood transfusions caused by insufficient knowledge of the underlying transfusionology, or failure to respect the safety aspects of bloodtransfusions at different stages. Nursing observations and an anonymous survey were performed to determine and evaluate patient safety during transfusion of blood components. The obtained results allowed to evaluate how the nurses follow the developed standard procedures. The work consists of an introduction, a list of abbreviations, 2 parts, conclusions and 16 appendices. The work includes 4 tables, 17 figures. 28 literature sources were used for the analysis. Aim of the study: To find out and evaluate the observance of patient safety aspects during transfusion of blood components. Research question: How are patient safety aspects taken into account when transfusing blood components? The study involved 80 nurses who performed blood transfusions at Hospital X in the course of their work. 73 nurses were interviewed and 7 nurses were observed. Two tools were used in the study - an observation protocol, which was developed in accordance with the internal documents of the X hospital blood cabinet, and a questionnaire, which was developed in accordance with nationally approved medical technologies. The results of the study show that all nurses who perform transfusions of blood components have been trained in transfusiology and have received proper training of the basics of transfusiology. Patient safety is affected by the fact that 11% of respondents violate the established procedure and identify the patient without fully following the established procedure in the medical institution. 21% of respondents do not follow the established stages of the procedure and do not label the blood sample in the presence of the patient. It can be concluded that patient safety aspects are taken into account, however, it is desirable for nurses to improve the quality of their work in some aspects and to increase their knowledge and skills to reduce the risk of blood transfusions and improve the safety of blood products.
Description
Māszinības (ar specializāciju Ķirurģiskās aprūpes māsa)
Nursing Studies
Veselības aprūpe
Health Care
Nursing Studies
Veselības aprūpe
Health Care
Keywords
asins komponenti, pārliešana, drošības aspekti, protokols., blood components, transfusion, safety aspects, protocol.