摘要
目的:了解我国二级、三级医院静脉治疗管理现状,为加强静脉治疗质量管理提供参考。方法:本研究为横断面调查,采取便利抽样法,于2018年10—11月由中华护理学会静脉治疗护理专业委员会委员在其所在的28个省、直辖市、自治区便利选择医院进行问卷调查。采用中华护理学会静脉治疗护理专业委员会设计的《全国各级医院静脉输液治疗护理情况调查》中的《静脉治疗质量管理情况调查表》进行调查,共发放759份,回收759份,有效问卷743份,有效回收率为97.9%。结果:743家医院中,76.2%~82.9%的医院制定了不同项目的质量评价标准;制定PICC置管和维护流程及相关文书的医院达到了所调查医院总数的70%以上,但制定PICC拔管和并发症处理流程及相关文书的医院较少。制定新生儿、婴幼儿、儿童、孕妇、老年人静脉治疗操作流程的医院分别有201家(27.1%)、133家(17.9%)、102家(13.7%)、37家(5.0%)和78家(10.5%)。134家(18.0%)医院建立了静脉治疗信息系统。医院等级、是否成立护理工作委员会/静脉治疗小组,对静脉治疗质量管理有影响( P<0.05)。 结论:静脉治疗质量评价标准的制定有待统一,PICC相关流程和文书的制定有待完善;针对特殊人群的静脉治疗操作流程亟待制定;应用静脉治疗信息系统进行质控管理的形式有待建立和完善,利用静脉治疗信息系统收集数据的功能未能得到充分利用;基层医院静脉治疗管理有待加强。
Objective To understand the status quo of intravenous therapy management in ClassⅡand ClassⅢhospitals of China,and provide a reference for strengthening the quality of management of intravenous therapy.Methods The study was a cross-sectional survey.From October to November 2018,hospitals from 28 provinces,municipalities and autonomous regions where members of the Intravenous Therapy Nursing Committee of the Chinese Nursing Association were located were selected by convenient sampling for a questionnaire survey with the"Questionnaire on the Quality Management of Intravenous Therapy"in the"Survey on the Nursing of Intravenous Infusion Therapy in Hospitals at All Levels across the Country"designed by the Intravenous Therapy Nursing Committee of the Chinese Nursing Association.A total of 759 questionnaires were distributed and collected,and 743 of them were valid,accounting for an effective recovery rate of 97.9%.Results Among the 743 hospitals,76.2%-82.9%formulated quality evaluation standards for different items;over 70%formulated procedures and related documents for peripherally inserted central catheter(PICC)intubation and maintenance,but few formulated procedures and related documents for PICC extubation and maintenance as well as complication treatment.Totally 201(27.1%),133(17.9%),102(13.7%),37(5.0%),and 78(10.5%)hospitals formulated intravenous therapy procedures for newborns,infants,children,pregnant women,and the elderly,respectively.A total of 134(18.0%)hospitals established intravenous therapy information systems.The level of the hospital and the establishment of a nursing work committee/intravenous treatment team have an impact on the quality management of intravenous treatment(P<0.05).Conclusions The formulation of quality evaluation standards for intravenous therapy needs to be unified,and the formulation of PICC-related procedures and documents needs to be improved;intravenous therapy procedures for special populations need to be formulated urgently;the form of quality control management using int
作者
聂圣肖
王蕾
孙红
Nie Shengxiao;Wang Lei;Sun Hong(Department of Nursing,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China)
出处
《中华现代护理杂志》
2020年第36期5017-5022,共6页
Chinese Journal of Modern Nursing
关键词
静脉输液
静脉治疗
质量管理
信息系统
并发症
Intravenous infusion
Intravenous therapy
Quality management
Information system
Complication
