三医联动下PICC维护网的构建与实践
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摘要
目的在三医联动、分级诊疗背景下,探讨区医疗中心对基层医院PICC护理管理的影响。方法将PICC维护网建立前后各70例PICC置管化疗患者分别作为对照组和研究组。对照组按各医院常规护理;研究组由区中心医院作为区医疗中心,组建PICC管理团队,负责周边社区卫生服务中心的PICC的护理管理、人员培训和质量监控,行规范的PICC维护。结果研究组PICC相关并发症相对少于对照组,但差异无统计学意义(均P> 0. 05),护理满意率显著优于对照组(P <0. 01),护士满意率优于PICC维护网建立前。结论在三医联动改革下,区中心医院在全区范围内建立PICC维护网,对基层医院开展业务帮扶,提升其服务能力,为社区肿瘤患者提供更方便、安全、优质的PICC维护服务,有利于促进三医联动的进一步深化。
Objective To explore the the influence of regional medical center on PICC nursing management in primary hospitals under the background of health care reforms of medical care,medical insurance and pharmaceutical industry. Methods Before the establishment of a regional medical center,70 patients with a PICC line were chosen into a control group,who received routine nursing care in hospitals. Then Shanghai Songjiang Central Hospital was appointed as the regional medical center of the distric. A PICC management team was established by the center to aid nursing management,personnel training and quality control of PICC in the peripheral community health service centers,which formed a PICC maintenance network. Another 70 cases with a PICC line who received standardized PICC maintenance care at the health service centers were included into the research group,and compared with the control group. Results Incidence rates of PICC related complications in the research group were lower than the control group,though significant differences were not observed between the 2 groups( P > 0. 05 for all). The former had significantly higher satisfaction rates regarding PICC maintenance care( P < 0. 01). Nurses reported significantly higher satisfaction rates after the establishment of the PICC maintenance network. Conclusion Under the background of health care reforms of medical care,medical insu-rance and pharmaceutical industry,by establishing a PICC maintenance network in the distric,Shanghai Songjiang Central Hospital as the regio-nal medical center,provided professional aids to the peripheral grass root hospitals,and improved the service capacity of the hospitals. By providing cancer patients with more convenient,safe and high quality PICC maintenance service,health care reforms of medical care,medical insurance and pharmaceutical industry were further deepened.
Objective To explore the the influence of regional medical center on PICC nursing management in primary hospitals under the background of health care reforms of medical care,medical insurance and pharmaceutical industry. Methods Before the establishment of a regional medical center,70 patients with a PICC line were chosen into a control group,who received routine nursing care in hospitals. Then Shanghai Songjiang Central Hospital was appointed as the regional medical center of the distric. A PICC management team was established by the center to aid nursing management,personnel training and quality control of PICC in the peripheral community health service centers,which formed a PICC maintenance network. Another 70 cases with a PICC line who received standardized PICC maintenance care at the health service centers were included into the research group,and compared with the control group. Results Incidence rates of PICC related complications in the research group were lower than the control group,though significant differences were not observed between the 2 groups( P > 0. 05 for all). The former had significantly higher satisfaction rates regarding PICC maintenance care( P < 0. 01). Nurses reported significantly higher satisfaction rates after the establishment of the PICC maintenance network. Conclusion Under the background of health care reforms of medical care,medical insu-rance and pharmaceutical industry,by establishing a PICC maintenance network in the distric,Shanghai Songjiang Central Hospital as the regio-nal medical center,provided professional aids to the peripheral grass root hospitals,and improved the service capacity of the hospitals. By providing cancer patients with more convenient,safe and high quality PICC maintenance service,health care reforms of medical care,medical insurance and pharmaceutical industry were further deepened.
引文
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[5]钱字,王小合,谷雨,等.基于有限理性理论的患者满意度研究策略及框架构建[J].中国医院管理,2016,36(2):40-42.
[6]王市敏.医务人员工作满意度对患者满意度的传导作用研究[J].医学与哲学,2013,34(5):53-55.
[7]王莉,孙晓,吴茜,等.二、三级医院慢病延续性护理开展现况调查[J].护理学杂志,2017,32(2):85-89.
[8]闻曲. PICC临床应用中的安全隐患及管理现状[J].护理学杂志,2013,28(14):6-8.
[2]宋欢欢,高伟,孙媛媛,等.基于微信公众平台PICC维护网的建立与管理[J].护理学杂志,2016,31(9):1-4.
[3]刘嫣,曹建文.病人满意度若干问题浅析[J].中国医院管理,2005,25(2):51-52.
[4]韩秋霞,方鹏骞,王禾,等.基于三医联动的分级诊疗制度建设研究[J].中华医院管理杂志,2017,33(1):15-17.
[5]钱字,王小合,谷雨,等.基于有限理性理论的患者满意度研究策略及框架构建[J].中国医院管理,2016,36(2):40-42.
[6]王市敏.医务人员工作满意度对患者满意度的传导作用研究[J].医学与哲学,2013,34(5):53-55.
[7]王莉,孙晓,吴茜,等.二、三级医院慢病延续性护理开展现况调查[J].护理学杂志,2017,32(2):85-89.
[8]闻曲. PICC临床应用中的安全隐患及管理现状[J].护理学杂志,2013,28(14):6-8.