耐高压PICC影像检查质量开展现状调查与分析  

Investigation and analysis on the current status of power PICC imaging examination quality

作　　者：赵海燕[1] 黄芬[2] 汪祝莎[3] 王馨[4] 李宏军[1] ZHAO Haiyan;HUANG Fen;WANG Zhusha;WANG Xin;LI Hongjun(Department of Radiology,Beijing YouAn Hospital,Capital Medical University,Beijing 100069,China;Department of Radiology,Second Affiliated Hospital of Nanchang University,Nanchang 330000,China;Department of Radiology,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Nursing Department,Beijing YouAn Hospital,Capital Medical University,Beijing 100069,China)

机构地区：[1]首都医科大学附属北京佑安医院放射科,北京100069 [2]南昌大学第二附属医院放射科,南昌330000 [3]武汉大学中南医院放射科,武汉430071 [4]首都医科大学附属北京佑安医院护理部,北京100069

出　　处：《医学新知》2024年第4期391-398,共8页New Medicine

基　　金：国家自然科学基金重点项目(61936013)。

摘　　要：目的调查全国二级以上医院和科室耐高压经外周静脉置入中心导管(peripherally inserted central venous catheters,PICC)影像检查开展现状,为耐高压PICC影像检查规范制定与推广提供依据。方法2023年2月19日至11月7日期间,通过便利抽样法对全国25个省、自治区、直辖市的70所二级以上医院使用造影剂科室的护理负责人进行问卷调查。应用SPSS 27.0进行数据统计分析。结果来自68所医院的100份问卷被纳入,其中42所医院(61.76%)46个科室(46.00%)开展了耐高压PICC影像检查。不同等级的医院与耐高压PICC患者数量呈显著正相关(r=0.417,P<0.05),即随着医院等级升高,耐高压PICC患者数量呈增加趋势。但不同类型(r=-0.149,P>0.05)与地理区域(r=-0.130,P>0.05)的医院与耐高压PICC影像检查开展数量之间不具备相关性。耐高压PICC影像检查操作标准并不统一,且开展受限的主要原因是缺乏耐高压PICC患者(62.96%)和医患担心耐高压PICC检查潜在风险(18.52%)。结论耐高压PICC影像检查开展范围小,发展较缓慢,流程欠规范,亟待指南规范操作流程,完善专业培训,推动耐高压PICC影像检查规范化管理。Objective The purpose of this study is to look into the existing state of power peripherally inserted central venous catheters(PICC)imaging examinations in hospitals and departments at or above the second level across the country,and to create a foundation for standardization and thorough promotion of power PICC imaging examinations.Methods From February 19,2023 to November 7,2023,Survey Questionnaire for power PICC Imaging information was collected through convenience sampling method among the nursing managers in 70 second level or above hospitals using contrast agents in 25 provinces,autonomous regions,and municipalities across China.SPSS 27.0 was used to analyze the data.Results 100 Questionnaires from 68 hospitals were included,with 42 hospitals(61.76%)conducting Power PICC imaging examinations in 46 departments(46.00%).There was a significant positive correlation between hospitals of different grades and the number of power PICC patients(r=0.417,P<0.05),With the increase of hospital grades,the number of power PICC patients showed an increasing trend.However,there was no correlation between the number of Power PICC imaging examinations and different types of hospitals(r=-0.149,P>0.05)and geographical regions(r=-0.130,P>0.05).The operation standards of power PICC imaging examination are not uniform.The main reason for the limited development of power PICC imaging examinations is the lack of patients with Power PICC(62.96%)and the concern of doctors and patients about the potential risks of Power PICC examinations(18.52%).Conclusion power PICC imaging examination is carried out on a small scale,the development is slow,and the procedure is poorly standardized.Urgent advice is required to standardize the operation process,improve professional training,and promote consistent management of Power PICC imaging examinations.

关 键 词：耐高压PICC 影像检查 护理质量 安全管理 

分 类 号：R472[医药卫生—护理学]