中国护理管理2024,Vol.24Issue(2) :288-293.DOI:10.3969/j.issn.1672-1756.2024.02.024

湖南省56家医院完全植入式静脉输液港应用及管理现况调查

Application and management of Totally Implantable Vennous Access Ports in 56 hospitals in Hunan province

林琴 李旭英 刘佳惠 袁忠 王童语
中国护理管理2024,Vol.24Issue(2) :288-293.DOI:10.3969/j.issn.1672-1756.2024.02.024

湖南省56家医院完全植入式静脉输液港应用及管理现况调查

Application and management of Totally Implantable Vennous Access Ports in 56 hospitals in Hunan province

林琴 1李旭英 2刘佳惠 3袁忠 1王童语2
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作者信息

  • 1. 湖南省肿瘤医院血管通道护理中心,410013长沙市
  • 2. 湖南省肿瘤医院护理部,410013长沙市
  • 3. 湖南省肿瘤医院乳腺内科,410013长沙市
  • 折叠

摘要

目的:调查完全植入式静脉输液港(Totally Implantable Vennous Access Ports,TIVAP)应用现况及管理过程存在的问题,并提出干预策略,为实现TIVAP的科学安全管理提供参考依据.方法:通过问卷调查,于2022年10月—11月采用便利抽样法调查湖南省14个地区的56家医院TIVAP应用及管理现况.结果:20家(35.7%)医院开展了 TIVAP植入技术,47家(83.9%)医院开展了 TIVAP维护技术.在TIVAP管理方面,47家已开展TIVAP业务的医院中,有39家(83.0%)医院成立了静脉治疗管理小组,14家(29.8%)医院开展了TIVAP植入数据监测,二级医院与三级医院比较差异具有统计学意义(P<0.05);40家(85.1%)医院定期对专科护士进行TIVAP培训,只有17家(36.2%)医院定期对TIVAP使用情况进行质量督查.结论:湖南省各级医院的TIVAP管理制度有待完善,需要进一步完善不同等级医院的TIVAP管理规范、维护流程等,需要加强信息化管理和专科人员培训,以提高TIVAP的管理质量.

Abstract

Objective:To investigate the application status and management problems of Totally Implantable Vennous Access Ports(TIVAP),and propose the intervention strategies,so as to provide reference for scientific and safe management of TIVAP.Methods:A total of 56 hospitals in 14 cities/states in Hunan province were included by convenience sampling method from October to November 2022 to investigate the application and management of TIVAP.Results:Twenty hospitals(35.7%)carried out TIVAP implantation procedure,and 47 hospitals(83.9%)implemented the maintenance of TIVAP.In terms of TIVAP management,39 hospitals(83.0%)set up intravenous therapy management team,14 hospitals(29.8%)carried out data monitoring for TIVAP implantation,and the difference between secondary and tertiary hospitals was statistically significant(P<0.05).Forty hospitals(85.1%)provided regular TIVAP training for specialist nurses,and only 17 hospitals(36.2%)regularly conducted quality supervision on the use of TIVAP.Conclusion:The TIVAP management system in hospitals at all levels in Hunan province needs to be improved,including standardize the maintenance process,strengthen the information management and the training of specialist personnel,so as to improve the the maintenance and management quality of TIVAP.

关键词

完全植入式静脉输液港/医院/专科护士/静脉治疗

Key words

Totally Implantable Vennous Access Ports/hospital/specialist nurse/intravenous therapy

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基金项目

湖南省卫生健康委科研计划课题(B202314057966)

湖南省科技创新计划资助项目(2023ZK4219)

长沙市社科联哲学社会科学规范课题(2023CSSKKT144)

出版年

2024
中国护理管理
卫生部医院管理研究所

中国护理管理

CSTPCD北大核心
影响因子:2.545
ISSN:1672-1756
参考文献量30
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