Quality patient care entails more than simply biomedical interventions. Respect for the wishes, values, and preferences of patients are important elements of quality care. Unique aspects of the beliefs of Jehovah's Witnesses may present physicians with ethical and clinical conflicts. Witnesses believe that allogeneic blood transfusion (ie, whole blood, red blood cells, white cells, platelets, and plasma) and preoperative autologous blood deposit (PAD) are prohibited by several Biblical passages. This article reviews the Witness position on medical care, blood components, and fractions, placing these and related interventions into categories that may help physicians to individualize clinical management plans and meet the challenge of caring for patients who are Jehovah's Witnesses. It includes an overview of cost, safety, efficacy, and medicolegal issues related to patient care using transfusion-alternative strategies.

中文翻译：

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应对照顾耶和华见证人的临床挑战。

高质量的患者护理不仅仅是简单的生物医学干预。尊重患者的意愿，价值观和喜好是优质护理的重要要素。耶和华见证人的信仰的独特方面可能会给医师带来道德和临床冲突。目击者认为，异体输血（即全血，红细胞，白细胞，血小板和血浆）和术前自体血沉积物（PAD）被几条圣经经文所禁止。本文回顾了见证人在医疗保健，血液成分和成分方面的立场，将这些和相关干预措施归为一类，这些类别可以帮助医生个性化临床管理计划并应对照顾耶和华见证会患者的挑战。它概述了成本，安全性，功效，