中华现代护理杂志2024,Vol.30Issue(4) :494-499.DOI:10.3760/cma.j.cn115682-20230417-01505

199家医院PICC尖端心腔内电图定位技术实施现状调查研究

Implementation status of intracardiac electrocardiogram positioning technology in localizing peripherally inserted central catheter tip position in 199 hospitals

石静 王蕾 吴晓琦 高伟 孙红 盛源 武艳
中华现代护理杂志2024,Vol.30Issue(4) :494-499.DOI:10.3760/cma.j.cn115682-20230417-01505

199家医院PICC尖端心腔内电图定位技术实施现状调查研究

Implementation status of intracardiac electrocardiogram positioning technology in localizing peripherally inserted central catheter tip position in 199 hospitals

石静 1王蕾 2吴晓琦 1高伟 3孙红 4盛源 1武艳5
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作者信息

  • 1. 山东大学护理与康复学院,济南 250012
  • 2. 北京医院护理部 国家老年医学中心中国医学科学院老年医学研究院,北京 100730
  • 3. 山东大学齐鲁医院PICC 门诊,济南 250012;新疆维吾尔自治区喀什地区结核病防治所护理部,喀什 844000
  • 4. 北京医院国家老年医学中心中国医学科学院老年医学研究院,北京 100730
  • 5. 山东大学齐鲁医院肿瘤内科中心五病房,济南 250012
  • 折叠

摘要

目的 调查各医院PICC尖端心腔内电图定位技术实施现状,为推动心腔内电图定位技术的发展提供参考.方法 本研究采用横断面调查法.采用便利抽样法,于2022年12月-2023年1月由中华护理学会静脉输液治疗专业委员会委员在其工作地区选择5~10家医院中符合纳入标准的PICC/静脉治疗负责人为研究对象,采用自制的《PICC尖端心腔内电图定位技术实施现状调查问卷》对其进行调查.本研究共在28个省/自治区/直辖市发放问卷205份,回收有效问卷199份,有效回收率为97.1%.结果 199家医院中,63.3%(126/199)的医院已顺利开展PICC尖端心腔内电图定位技术;在已开展PICC尖端心腔内电图定位技术的126家医院中,仅20家医院将其纳入收费条目;50.3%(100/199)的医院制订了统一的心腔内电图定位引导PICC置管术流程;47.7%(95/199)的医院举办/参与举办过关于PICC尖端心腔内电图定位技术的培训项目;57.3%(114/199)的医院PICC/静脉治疗负责人参加过PICC尖端心腔内电图定位技术相关的培训项目.199家调研医院的相关成果产出方面,共产出56篇论文、7项实用新型专利、28项奖励.结论 PICC尖端心腔内电图定位技术的应用、培训、成果产出情况有待进一步改善,建议下沉优质资源,制订实施流程和评价标准,规范护理服务项目管理,加大培训力度,提升静脉治疗专科护士科学研究思维,以促进新技术规范化、标准化发展.

Abstract

Objective To investigate the implementation status of peripherally inserted central catheter(PICC)tip intracardiac electrocardiogram positioning technology in the hospitals,so as to provide reference for promoting the development of intracardiac electrocardiogram positioning technology.Methods This study was a cross-sectional survey.Using the convenient sampling method,members of Intravenous Infusion Committee of Chinese Nursing Association selected PICC/intravenous therapy leaders meeting the inclusion criteria from 5 to 10 hospitals in their work area as the research objects from December 2022 to January 2023.The self-made PICC Tip Intracardiac Electrocardiogram Positioning Technology Implementation Status Questionnaire was used to investigate the PICC/intravenous therapy leaders.A total of 205 questionnaires were distributed in 28 provinces/autonomous regions/municipalities directly under the Central Government,and 199 valid questionnaires were collected,with an effective recovery rate of 97.1%.Results Among 199 hospitals,63.3%(126/199)of them successfully implemented PICC tip intracardiac electrocardiogram positioning technology.Among the 126 hospitals that implemented PICC tip intracardiac electrocardiogram positioning technology,only 20 hospitals included it in their charging items.A total of 50.3%(100/199)of hospitals established a unified intracardiac electrocardiogram guided PICC catheterization procedure;47.7%(95/199)of hospitals organized/participated in training programs on PICC tip intracardiac electrocardiogram positioning technology,and 57.3%(114/199)of hospital PICC/intravenous therapy leaders participated in training programs related to PICC tip intracardiac electrocardiogram positioning technology.In terms of the relevant achievements of 199 research hospitals,56 papers,seven utility model patents and 28 awards were issued.Conclusions The application,training and achievement output of PICC tip intracardiac electrocardiogram positioning technology need to be further improved.It is suggested to sink high-quality resources,formulate implementation procedures and evaluation standards,standardize nursing service project management,increase training efforts,and improve scientific research thinking of intravenous therapy nurses,so as to promote the standardization development of new technologies.

关键词

静脉/经外周静脉置入中心静脉导管/心腔内电图定位技术/团体标准/现况调查

Key words

Veins/Peripherally inserted central catheter/Intracardiac electrocardiogram positioning technology/Association standard/Cross-sectional studies

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基金项目

中国医学科学院医学与健康科技创新工程项目(2021-I2M-C&T-B-095)

出版年

2024
中华现代护理杂志
中华医学会

中华现代护理杂志

CSTPCD
影响因子:1.14
ISSN:1674-2907
参考文献量28
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