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Development and Application of Evidence-based Algorithms on the Transfusion of Packed RBC through Small-gauged Needle

±Ù°Å¿Í °£È£ 2015³â 3±Ç 1È£ p.18 ~ 25
KMID : 1011720150030010018
Çѹοµ:Han Min-Young
ȲÁ¤È­:Hwang Jung Hwa/ÀÌÇöÁ¤:Lee Hyun-Jung/ÀÌÁø°æ:Lee Jin-Keong/±èÁö¼ö:Kim Ji-Su/À̹̿µ:Lee Mi-Young/±è¹Ì¶ó:Kim Mi-Ra/ÀÌ°ï:Lee Gon/½Å°æ¹Î:Shin Kyung-Min/Á¤¹Ì¾Ö:Jeong Mi-Ae/À忬¼ö:Jang Yeon-Soo

Abstract

Purpose: To develop and apply evidence-based algorithms associated with the needle size used when the blood transfusion is to improve nursing practice.

Methods: A transfusion algorithm developed by the Clinical Guideline of Adaption Manual (version 2.0), after voluntarily underwent training to nurses and patient groups in the study, confirmed the hemolytic reaction and Nursing satisfaction. Data were analyzed by statistical methods such as t-test, ¥ö2 square using SPSS 20.0 program.

Results: The hemolysis reaction between test and control groups applying evidence-based algorithm with no statistically significant difference (p=.921), but the average number of times per 1Unit flushing frequency was increased in the experimental group (p=.029), speed is also significantly reduced (p=.037). Nurse satisfaction is also higher in the experimental group indicated an algorithm was a significant difference between the two groups (p=.004).

Conclusion: Without hemolytic transfusion reactions are possible with 22G catheter, and evidence-based algorithms developed through a review of the literature will help to improve efficiency and increase satisfaction of Nursing nurse.
KeyWords
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Blood transfusion, Hemolysis, Catheter, Evidence based clinical practice guideline, Needle
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