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Blood transfusion in elderly patients with chronic anemia: a qualitative analysis of the general practitioners’ attitudes

机译：老年慢性贫血患者的输血：对全科医生态度的定性分析

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Background Blood transfusion in chronic anemia is not covered by guidelines specific to older adults. When they consider that this treatment is necessary in elderly patients, French general practitioners (GPs) contact a hospital specialist to plan a transfusion. Methods Twenty French GPs were questioned individually regarding their approach to blood transfusion using semi-structured interviews. Each interview was recorded, typed up verbatim and then coded using an inductive procedure by theme, in a cross-over design (two researchers) in two phases: analysis and summary, followed by grouping of the recorded comments. Results The criteria for transfusion were hemoglobin level Conclusion The decision to give a transfusion to an elderly patient with chronic anemia is deemed complex, but GPs seem to take it alone, sometimes guided by the patient’s family. The drawing up of an advance care plan could help involve the patient in decision making.
机译：背景慢性贫血中的输血未包含在针对老年人的指南中。当他们认为这种治疗对老年患者是必要的时，法国全科医生（GPs）与医院专家联系以计划输血。方法使用半结构化访谈对20名法国全科医生进行输血的方式进行了单独询问。记录每个采访，逐字键入，然后使用归纳程序按主题在跨设计（两个研究人员）中按两个阶段进行编码：分析和总结，然后对记录的评论进行分组。结果输血的标准是血红蛋白水平结论结论老年慢性贫血患者的输血决定被认为是复杂的，但是全科医生似乎独自接受输血，有时是在患者家人的指导下进行的。制定预先护理计划可以帮助患者参与决策。

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