CAJ | 학술논문

目的观察经外周静脉置入中心静脉导管(PICC)网络平台在置管患者信息管理中的应用效果.方法选取2012年4月至2013年4月北京协和医院门诊维护的17 254例患者作为对照组,其中男7 227例,女10 027例,年龄12 ～ 85岁,中位年龄58岁;2013年4月至2014年4月北京协和医院门诊维护的20 384例患者作为观察组,其中男8 188例,女12 196例,年龄13～86岁,中位年龄59岁;患者置管后治疗间歇期均在门诊进行导管维护.比较两组观察数据的录入时间、数据的完整性、各种并发症描述准确性和用词规范性.结果对照组17 254例,数据录入平均时间为(46±6)s;观察组20 384例,数据录入平均时间为(12±5)s,二者差异有统计学意义(t=562.660,P＜0.05).对照组数据完整例数11 732例,较完整3 623例,不完整1 899例;观察组数据完整19 568例,较完整725例,不完整91例,二者差异有统计学意义(x2=5 312.000,P＜0.05).对照组并发症描述准确11 840例,不准确5 414例;观察组并发症描述准确18 427例,不准确1 957例,差异有统计学意义(x2 =2 814.000,P＜0.05).对照组并发症用词规范15 280例,不规范1 974例;观察组并发症用词规范19 659例,不规范725例,差异有统计学意义(x2=872.600,P＜0.05).结论简单、方便的数据总结有利于质量控制和质量分析,更好地保证置管安全,降低并发症发生.
목적 관찰경외주정맥치입중심정맥도관(PICC)망락평태재치관환자신식관리중적응용효과.방법 선취2012년4월지2013년4월북경협화의원문진유호적17 254례환자작위대조조,기중남7 227례,녀10 027례,년령12 ～ 85세,중위년령58세;2013년4월지2014년4월북경협화의원문진유호적20 384례환자작위관찰조,기중남8 188례,녀12 196례,년령13～86세,중위년령59세;환자치관후치료간헐기균재문진진행도관유호.비교량조관찰수거적록입시간、수거적완정성、각충병발증묘술준학성화용사규범성.결과 대조조17 254례,수거록입평균시간위(46±6)s;관찰조20 384례,수거록입평균시간위(12±5)s,이자차이유통계학의의(t=562.660,P＜0.05).대조조수거완정례수11 732례,교완정3 623례,불완정1 899례;관찰조수거완정19 568례,교완정725례,불완정91례,이자차이유통계학의의(x2=5 312.000,P＜0.05).대조조병발증묘술준학11 840례,불준학5 414례;관찰조병발증묘술준학18 427례,불준학1 957례,차이유통계학의의(x2 =2 814.000,P＜0.05).대조조병발증용사규범15 280례,불규범1 974례;관찰조병발증용사규범19 659례,불규범725례,차이유통계학의의(x2=872.600,P＜0.05).결론 간단、방편적수거총결유리우질량공제화질량분석,경호지보증치관안전,강저병발증발생.
Objective To observe the effect of the application of peripherally inserted central catheter (PICC) network platform in the information management of the patients with PICC.Methods Altogether 17 254 outpatients receiving PICC maintenance in Peking Union Medical College Hospital from April 2012 to April 2013 were enrolled as the control group,including 7 227 males and 10 027 females,with the median age of 58 years (12-85 years).A total of 20 384 outpatients from April 2013 to April 2014 with PICC were selected as the observation group,including 8 188 males and 12 196 females,~th the median age of 59 years (13-86 years).Those patients all received PICC maintenance in outpatient clinic during the intermission of therapy after PICC insertion.The time of data entry,the integrity of the data,description accuracy about complications,and normalization of wording were compared between the two groups.Results The average time of data entry in the control group was (46 ± 6) seconds,significantly longer than that in the observation group [(12 ± 5) seconds,t =562.660,P ＜ 0.05].In terms of the integrity of the data,there were 11 732 cases of complete data,3 623 cases of less complete data,and 1 899 cases of incomplete data in the control group;while the numbers of cases of complete data,less complete data,and incomplete data in the observation group were 19 568,725,and 91,respectively,showing significant difference compared with the control group (x2 =5 312.000,P ＜ 0.05).In the description accuracy about complications,the control group had 11 840 accurately described cases and 5 414 inaccurately described cases,while the observation group had 18 427 accurately described cases and 1 957 inaccurately described cases (x2 =2 814.000,P ＜ 0.05).The wording was standard in 15 280 cases but not standard in 1 974 cases in the control group,and standard in 19 659 cases and not standard in 725 cases in the observation group,with significant inter-group difference (x2 =872.600,P ＜0.05).Conclusion Simple and convenient data summary could help quality control and quality analysis,preferably guarantee the safety of catheter insertion and reduce the incidence of complications.