ICU导管全生命周期管理系统的应用效果分析  

Effects of ICU catheter whole life cycle management system

作　　者：张慧娟[1] 任奇[1] 邵晓露[2] 俞李嘉[3] 陈芳[4] Zhang Huijuan;Ren Qi;Shao Xiaolu;Yu Lijia;Chen Fang(Intensive Care Unit,Zhejiang Hospital,Hangzhou 310030,China;Integrated Chinese and Western Medicine Medical Care Ward,Zhejiang Hospital,Hangzhou 310030,China;Information Center,Zhejiang Hospital,Hangzhou 310030,China;Nursing Department,Zhejiang Hospital,Hangzhou 310030,China)

机构地区：[1]浙江医院重症医学科,杭州310030 [2]浙江医院中西医结合医疗照护病房,杭州310030 [3]浙江医院信息中心,杭州310030 [4]浙江医院护理部,杭州310030

出　　处：《中华现代护理杂志》2022年第23期3102-3106,共5页Chinese Journal of Modern Nursing

基　　金：浙江省医药卫生科技计划项目 (2020KY398)。

摘　　要：目的探讨ICU导管全生命周期管理系统的临床应用效果。方法构建ICU导管全生命周期管理系统,并将其应用于临床。收集浙江医院重症医学科2019年4—12月导管全生命周期管理系统使用前及2020年4—12月导管全生命周期管理系统使用后的患者导管管理及医院感染相关数据,比较ICU导管全生命周期管理系统应用前后导管记录准确率、导管日常护理质量符合率、重点导管相关感染的发生率。分析现阶段应用ICU导管全生命周期管理系统和计算机手工输入两种方法下导管信息记录的耗时,并通过半结构访谈调查现阶段护士对ICU导管全生命周期管理系统的使用体验。结果ICU导管全生命周期管理系统应用后,导管记录准确率由89.96%(22491/25001)上升至96.09%(30897/32155),差异有统计学意义(P<0.05);导管日常护理质量符合率由89.81%(22453/25001)上升至95.94%(30849/32155),差异有统计学意义(P<0.05);重点导管相关感染的发生率系统应用前后差异无统计学意义(P>0.05)。此外,护士使用ICU导管全生命周期管理系统下的导管记录耗时少于计算机手工输入方式,差异有统计学意义[(0.98±0.28)min vs.(1.78±0.50)min,P<0.05]。半结构访谈结果显示,护士对ICU导管全生命周期管理系统的使用体验较好。结论ICU导管全生命周期管理系统为护士提供了系统化、便捷化、规范化的导管管理方法,该系统的使用体验较好,能提高护士导管记录的准确性及导管护理质量,缩短导管记录用时,但对其是否有助于降低重点导管相关感染的发生率仍需进一步研究予以证实。Objective To explore the clinical effect of Intensive Care Unit(ICU)catheter whole life cycle management system.Methods An ICU catheter whole life cycle management system was constructed and applied in clinical practice.This study collected data on catheter management and hospital infection of patients in ICU of Zhejiang Hospital before the application of the catheter whole life cycle management system from April to December 2019 and after the application of the catheter whole life cycle management system from April to December 2020.The accuracy of catheter recording,the compliance rate of daily catheter nursing quality,and the incidence of major catheter-associated infections were compared before and after the application of the ICU catheter whole life cycle management system.The time-consuming of catheter information recording under the two methods of applying the ICU catheter whole life cycle management system and computer manual input was analyzed,and the nurses'experience of using the ICU catheter whole life cycle management system was investigated through semi-structured interviews.Results After the application of the ICU catheter whole life cycle management system,the accuracy rate of catheter recording increased from 89.96%(22491/25001)to 96.09%(30897/32155),and the difference was statistically significant(P<0.05).The compliance rate of daily catheter nursing quality increased from 89.81%(22453/25001)to 95.94%(30849/32155),and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of major catheter-associated infections before and after system application(P>0.05).In addition,the time-consuming of catheter recording by nurses using the ICU catheter whole life cycle management system was less than that of manual input by computer,and the difference was statistically significant[(0.98±0.28)min vs.(1.78±0.50)min,P<0.05].The semi-structured interview results showed that nurses had a good experience in using the ICU catheter whole life cycle management system

关 键 词：重症监护病房 留置导管 全生命周期管理 护理信息系统 导管护理 

分 类 号：R47[医药卫生—护理学]