节点管理在重庆某区中学生结核病筛查PPD试验中的应用  

Application of node management in PPD test of tuberculosis screening for middle school students in a district of Chongqing

作　　者：沙琳[1] 谭利华 游王杰 万荣珍[3] SHA Lin;TAN Lihua;YOU Wangjie;WAN Rongzhen(Department of Health Care,Chongqing Municipal Ninth People′s Hospital,Chongqing 400700,China;Department of Clinical Emergency,Chongqing Municipal Ninth People′s Hospital,Chongqing 400700,China;Department of Infection,Chongqing Municipal Ninth People′s Hospital,Chongqing 400700,China)

机构地区：[1]重庆市第九人民医院保健科,400700 [2]重庆市第九人民医院急诊科,400700 [3]重庆市第九人民医院感染科,400700

出　　处：《重庆医学》2021年第16期2857-2860,共4页Chongqing medicine

基　　金：北碚区技术创新与应用示范社会民生类基金项目(2019-13)。

摘　　要：目的探讨节点管理在中学生结核菌素纯蛋白衍生物皮试(PPD)筛查中的作用。方法以2017-2018年重庆市某区某校初高中学生7600人为研究对象,其中2017年1-6月(节点管理前)3700人,2017年7月至2018年12月(节点管理后)3900人。根据时间节点管理原理,将管理过程中的3个重要时间节点(筛查前、筛查中、筛查后)作为管理的关键点,并在开展过程中分析节点管理前后的漏筛率、误筛率、结果查看及时率和满意度。结果节点管理前PPD筛查3500人,节点管理后筛查3855人,节点管理前漏筛率(5.40%vs.1.15%,χ^(2)=110.01,P<0.05)和误筛率(0.73%vs.0.05%,χ^(2)=23.99,P<0.01)均明显高于节点管理后。节点管理后结果查看及时率明显高于节点管理前(99.87%vs.89.06%,χ^(2)=429.24,P<0.01)。节点管理后非常满意与较满意者百分比明显高于节点管理前(97.40%vs.86.14%,χ^(2)=317.87,P<0.01)。结论节点管理可有效地降低PPD筛查漏筛率和误筛率,提高PPD结果查看及时率和满意度。Objective To explore the role of node management in tuberculin pure protein derivative(PPD)skin test screening among middle school students.Methods A total of 7600 junior and senior school students in a district of Chongqing during 2017-2018 were taken as the research subjects,including 3700 subjects from January to June 2017(before node management)and 3900 subjects from July 2017 to December 2018(after node management).According to the principle of time node management,the three important time nodes in the management process(before,during and after screening)were served as the key points of management,and the missed screening rate,false screening rate,result viewing timeliness rate and satisfaction before and after node management were analyzed during the carrying out process.Results There were 3500 subjects screened by PPD before node management and 3855 subjects after node management.The missed screening rate and false screening rate before node management were significantly higher than those after node management(5.40%vs.1.15%,χ^(2)=110.01,P<0.05;0.73%vs.0.05%,χ^(2)=23.99,P<0.01).The timely rate of result viewing after node management was higher than that before node management(99.87%vs.89.06%,χ^(2)=429.24,P<0.01).The percentage of very satisfied and more satisfied subjects after node management was significantly higher than that before node management(97.40%vs.86.14%,χ^(2)=317.87,P<0.01).Conclusion The node management can effectively reduce the missed screening rate and false screening rate in PPD screening,and improve the timely viewing rate of PPD results and satisfaction.

关 键 词：节点管理 结核菌素纯蛋白衍生物 筛查 学生 

分 类 号：R521[医药卫生—内科学] R473.1[医药卫生—临床医学]