浅谈军队血站实施血液采集全过程的质量控制

发布时间：2018-08-13 11:33

【摘要】：目的探讨军队血站血液采集全过程实行质量控制后所取得的成效和存在的问题。方法回顾血液采集全过程实行质量控制所采取的具体措施,统计分析血站实施质量控制前后献血者满意度、献血不良反应发生率、血液报废率及血液报废原因构成比的结果,从而了解所取得的成效。结果实行全程质量控制后献血者对采血工作的满意度由质量控制前的96.03%提高到99.22%;献血不良反应发生率0.41%低于控制前0.77%;血液报废率3.23%低于质量控制前4.91%,但血液报废原因所占比分析,其乳糜血和转氨酶(ALT)导致的血液报废比例较以前偏高。结论血液采集全过程实施质量控制后能有效降低献血者的不良反应发生率及血液报废率,同时也能提高献血者对血站工作人员的满意度,成果显著。但因乳糜血和ALT导致的血液报废比例仍然居高不下,则提示在实施质量控制的同时我们还应加强对无偿献血的宣传力度,广泛普及献血前的相关知识,以减少因献血者饮食、休息等因素导致的血液报废。
[Abstract]:Objective to investigate the effect and problems of blood collection in military blood station after quality control. Methods the specific measures taken in the whole process of blood collection were reviewed, and the results of blood donors' satisfaction, the incidence of adverse reactions, the rate of blood scrapping and the proportion of the causes of blood abandonment before and after the implementation of quality control were statistically analyzed. In order to understand the results achieved. Results after the whole process of quality control, the blood donors' satisfaction with blood collection increased from 96.03% before quality control to 99.222.The incidence of adverse reactions in blood donation was 0.41% lower than that before control, and the scrap rate was 3.23% lower than 4.91% before quality control, but the blood was abandoned. Analysis of the proportion of reasons, The proportion of blood scrap caused by chyme blood and transaminase (ALT) was higher than before. Conclusion the implementation of quality control in the whole process of blood collection can effectively reduce the incidence of adverse reactions and the rate of blood scrapping among blood donors, and at the same time, it can also improve the blood donors' satisfaction with the staff of the blood station, and the results are significant. However, the proportion of blood scrap caused by chylous blood and ALT is still high, which suggests that we should strengthen the propaganda of blood donation for free while implementing quality control, so as to widely popularize the relevant knowledge before blood donation, so as to reduce the diet of blood donors. Rest and other factors lead to blood scrapping.
【作者单位】：第三军医大学附属西南医院输血科中国人民解放军重庆血站;
【分类号】：R82

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