Development of a Care Model for Blood Supply for Transfusion Dependent Thalassemia Patients in Namsom Hospital

Abstract

This research and development aimed to the development of a care model for Blood supply for transfusion dependent Thalassemia patients in Namsom Hospital. The research was implemented in 3 phases. Phase 1: a study of blood supply problem, informants were 5 persons including physician 1 person, nurses 2 persons, and medical technologists 2 persons. Data were analyzed through medical documents of hospital information system. Phase 2: development of a care model for blood supply for transfusion dependent Thalassemia patients, a model was validated by 5 experts. Phase 3: evaluation of its effectiveness by using quasi-experimental research, sample was 12 transfusion dependent Thalassemia patients. Data were analyzed using descriptive statistics and Wilcoxon signed rank test.

Research results revealed as follows; 1. Problem of blood supply in Namsom Hospital was delayed blood transfusion as patients received blood after 03.00 pm and waited for blood longer than 48 hours 16.6%. 2. A care model for blood supply for transfusion dependent Thalassemia patients, Namsom Hospital included 4 phases.1) development of good management system, 2) development of easy and convenient venipuncture system, 3) reduced turn around time for timely blood transfusion, 4) development of communication model for giving physicians information. 3. After utilizing a care model for blood supply for transfusion dependent Thalassemia patients, Namsom Hospital, it was not found delayed blood transfusion and found that Ferritin level was significantly lower than 2,500 ng/ml (p=.05) as well as there was no blood transfusion reaction and utilizing a care model for blood supply for transfusion dependent Thalassemia patients, Namsom Hospital. Patients and nurses of the blood transfusion clinic had significantly higher satisfaction (p=.05).

Therefore, a model should be applied to implement in transfusion dependent Thalassemia clinic, Namsom Hospital by focusing on instant blood supply as well as extending it to other community hospitals establishing Thalassemia clinics.