本文選題：輸血治療 + 慢性貧血��； 參考：《中國(guó)全科醫(yī)學(xué)》2017年26期

【摘要】：背景目前尚沒(méi)有專(zhuān)門(mén)針對(duì)老年慢性貧血患者的輸血治療指南。在法國(guó),當(dāng)全科醫(yī)生認(rèn)為必須對(duì)此類(lèi)患者采用輸血治療時(shí),會(huì)聯(lián)系醫(yī)院的專(zhuān)科醫(yī)生為患者安排輸血。方法研究對(duì)象為20名法國(guó)全科醫(yī)生。對(duì)每名全科醫(yī)生對(duì)輸血方式的態(tài)度進(jìn)行半結(jié)構(gòu)化訪(fǎng)談。每場(chǎng)訪(fǎng)談均被錄音、記錄、按主題歸納,然后,由2名研究者對(duì)其進(jìn)行分析和總結(jié),并將所記錄的評(píng)論進(jìn)行分類(lèi)。結(jié)果全科醫(yī)生為此類(lèi)患者進(jìn)行輸血治療的標(biāo)準(zhǔn)為血紅蛋白水平8 g/dl及合并心臟病。此外,一些老年病,如認(rèn)知障礙或不能自理,也被視為需要輸血治療,這是由于患者的體質(zhì)過(guò)于虛弱,或其他有限的治療方法會(huì)導(dǎo)致患者預(yù)期壽命減少。由于擔(dān)憂(yōu)患者可能因貧血而導(dǎo)致的死亡,也促使全科醫(yī)生采取輸血治療。對(duì)于輸血治療,全科醫(yī)生聽(tīng)取了患者家屬的意見(jiàn),但并沒(méi)有常規(guī)聽(tīng)取患者意見(jiàn)。專(zhuān)科醫(yī)生也很少參與到為患者的輸血治療中。全科醫(yī)生對(duì)是否采取輸血治療存在矛盾:一方面輸血可對(duì)患者產(chǎn)生較好療效,但另一方面,由于療效短暫,輸血治療價(jià)值不大。結(jié)論為老年慢性貧血患者是否采取輸血治療需考慮多方因素,但全科醫(yī)生更傾向于獨(dú)自做出決策,有時(shí)會(huì)參考患者家屬意見(jiàn)。提前制定護(hù)理計(jì)劃能有助于患者參與治療決策。
[Abstract]:Background there are no guidelines for blood transfusion therapy for elderly patients with chronic anemia. In France, when a general practitioner deems it necessary to treat such patients with blood transfusions, they contact hospital specialists to arrange blood transfusions for patients. Methods Twenty French general practitioners were studied. A semi-structured interview was conducted on each GP's attitude towards blood transfusion. Each interview was recorded, summarized according to the topic, and then analyzed and summarized by two researchers, and the recorded comments were classified. Results the standard of blood transfusion for these patients was hemoglobin level 8 g/dl and heart disease. In addition, some geriatric diseases, such as cognitive impairment or inability to take care of themselves, are also considered to require blood transfusion treatment because patients are too weak or other limited treatments can lead to reduced life expectancy. Fears that patients may die from anaemia have also prompted general practitioners to take blood transfusions. For blood transfusion, the general practitioner listened to the patient's family, but did not routinely listen to the patient. Specialists are also rarely involved in the treatment of blood transfusions for patients. On the one hand, blood transfusion can produce better effect on patients, but on the other hand, because of the short curative effect, the value of blood transfusion treatment is not great. Conclusion in elderly patients with chronic anemia, many factors should be considered, but general practitioners tend to make decisions on their own, and sometimes refer to the opinions of the family members of the patients. Early care planning can help patients participate in treatment decisions.
【分類(lèi)號(hào)】：R556

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 劉景蘭,馮道營(yíng);自身免疫性溶血性貧血的輸血治療[J];中國(guó)小兒血液;2001年04期

2 姜玉珍,王秀麗,姚娟;貧血的輸血治療[J];中國(guó)社區(qū)醫(yī)師;2002年10期

3 蔡興權(quán) ,夏蘭;一例自身免疫性溶血性貧血的輸血治療體會(huì)[J];海南醫(yī)學(xué);2003年03期

4 謝琦瑛;;輸血治療自身免疫性溶血性貧血患者的效果評(píng)價(jià)[J];內(nèi)蒙古中醫(yī)藥;2012年06期

5 趙曉霞,張繼紅,侯軍良;自身免疫性溶血性貧血患者的輸血治療[J];臨床薈萃;2004年18期

6 邵宗鴻;自身免疫性溶血性貧血與陣發(fā)性睡眠性血紅蛋白尿癥患者的輸血治療[J];中國(guó)實(shí)用內(nèi)科雜志;2004年09期

7 肖碧源;輸血治療呋喃丹重度中毒1例[J];中國(guó)危重病急救醫(yī)學(xué);1999年05期

8 朱家寶;;自身免疫性溶血性貧血的輸血治療體會(huì)[J];中國(guó)醫(yī)療前沿;2008年08期

9 張繼田;;自身免疫性溶血性貧血輸血治療體會(huì)[J];中國(guó)實(shí)用醫(yī)藥;2012年19期

10 吳國(guó)光;;自身免疫性溶血性貧血患者的輸血治療問(wèn)題[J];實(shí)用內(nèi)科雜志;1990年11期

相關(guān)會(huì)議論文 前1條

1 陸志剛;;免疫性溶血性貧血患者輸血治療的臨床問(wèn)題[A];第七屆全國(guó)血液免疫學(xué)學(xué)術(shù)大會(huì)暨2008年浙江省血液病學(xué)術(shù)年會(huì)論文匯編[C];2008年

，

本文編號(hào)：2012077