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[目的]了解临床医疗机构检验人员对输血相关知识的掌握情况。[方法]对省内30家不同类型和级别医院的检验人员现场问卷调查及统计分析调查结果。[结果]医院检验人员对临床用血法律法规知识回答正确率最高,达到80.67%,对临床用血操作知识回答正确率较低,只有53.18%。分析比较发现,三级医院和二级医院、教学医院与非教学医院的全部输血知识得分有统计学上差异,而综合医院与专科医院、不同职称的检验人员之间及接受不同培训次数的检验人员之间在全部输血知识得分上没有统计学上差异;在临床用血的法律法规知识方面,三级医院检验人员好于二级医院,综合医院好于专科医院,其他没有差异;在临床用血理论知识方面,三级医院检验人员好于二级医院,教学医院好于非教学医院,中级职称检验人员分别好于副高和低级职称;在临床用血操作知识方面,三级医院检验人员好于二级医院,教学医院好于非教学医院,其他没有差异。[结论]医院检验人员是临床用血过程重要环节的执行者,应针对成分输血、产品特点、输血操作和交叉配血等知识进行不同层次检验人员的培训考核并评估培训效果,切实提高检验人员对临床输血进行技术指导的能力。
[Objective] To understand the mastery of blood transfusion-related knowledge by clinical laboratory personnel. [Methods] On-site questionnaire and statistical analysis of survey results of 30 inspectors of different types and levels in the province. [Results] The hospital examiners answered the most accurate answer to the knowledge of laws and regulations on clinical use of blood, reaching 80.67%. The correct answer to the clinical knowledge of clinical practice was only 53.18%. Analysis and comparison showed that there was statistically significant difference in all knowledge of blood transfusion among tertiary hospitals, secondary hospitals, teaching hospitals and non-teaching hospitals. However, there was a statistically significant difference between general hospitals, specialist hospitals, inspectors of different titles and different training times There was no statistical difference in all the knowledge of blood transfusion among the staffs; in the knowledge of laws and regulations on clinical blood use, the level III hospital inspectors were better than the level 2 hospitals, the general hospitals were better than the specialist hospitals, and there was no difference in others; Blood theory knowledge, tertiary hospital inspectors better than two hospitals, teaching hospitals better than non-teaching hospitals, mid-level job title examiners were better than the sub-high and junior titles; in clinical use of blood operating knowledge, tertiary hospital inspectors Better than two hospitals, teaching hospitals better than non-teaching hospitals, the other no difference. [Conclusion] The hospital examiner is the executor of the important part of the clinical blood process. The training and assessment of personnel at different levels should be carried out according to the components of blood transfusion, product characteristics, blood transfusion operation and cross matching with blood, so as to effectively improve the quality of the examiner The ability to provide clinical guidance on clinical transfusion.