经外周静脉置入中心静脉导管网络平台在置管患者信息管理中的应用效果

Application of peripherally inserted central catheter network platform in patients information management

目的观察经外周静脉置入中心静脉导管（PICC）网络平台在置管患者信息管理中的应用效果。方法选取2012年4月至2013年4月北京协和医院门诊维护的17254例患者作为对照组，其中男7227例，女10027例，年龄12～85岁，中位年龄58岁；2013年4月至2014年4月北京协和医院门诊维护的20384例患者作为观察组，其中男8188例，女12196例，年龄13～86岁，中位年龄59岁；患者置管后治疗间歇期均在门诊进行导管维护。比较两组观察数据的录入时间、数据的完整性、各种并发症描述准确性和用词规范性。结果对照组17254例，数据录入平均时间为（46±6）s；观察组20384例，数据录入平均时间为（12±5）s，二者差异有统计学意义（t=562．660，P〈0．05）。对照组数据完整例数11732例，较完整3623例，不完整1899例；观察组数据完整19568例，较完整725例，不完整91例，二者差异有统计学意义（x2=5312．000，P〈0．05）。对照组并发症描述准确11840例，不准确5414例；观察组并发症描述准确18427例，不准确1957例，差异有统计学意义（r=2814．000，P〈0．05）。对照组并发症用词规范15280例，不规范1974例；观察组并发症用词规范19659例，不规范725例，差异有统计学意义（x2=872．600，P〈0．05）。结论简单、方便的数据总结有利于质量控制和质量分析，更好地保证置管安全，降低并发症发生。

Objective To observe the effect of the application of peripherally inserted central catheter （PICC） network platform in the information management of the patients with PICC. Methods Altogether 17 254 outpatients receiving PICC maintenance in Peking Union Medical College Hospital from April 2012 to April 2013 were enrolled as the control group, including 7 227 males and 10 027 females, with the median age of 58 years （ 12 -85 years）. A total of 20 384 outpatients from April 2013 to April 2014 with PICC were select- ed as the observation group, including 8 188 males and 12 196 females, with the median age of 59 years （ 13 - 86 years）. Those patients all received PICC maintenance in outpatient clinic during the intermission of therapy after PICC insertion. The time of data entry, the integrity of the data, description accuracy about complications, and normalization of wording were compared between the two groups. Results The average time of data entry in the control group was （46 ± 6） seconds, significantly longer than that in the observation group [ （12 ± 5 ） seconds, t = 562. 660, P 〈 0. 05 ]. In terms of the integrity of the data, there were 11 732 cases of complete data, 3 623 cases of less complete data, and 1 899 cases of incomplete data in the control group; while the numbers of cases of complete data, less complete data, and incomplete data in the observation group were 19 568, 725, and 91, respectively, showing significant difference compared with the control group （X2 = 5 312. 000, P 〈0. 05）. In the description accuracy about complications, the control group had 11 840 accurately described cases and 5 414 inaccurately described cases, while the observation group had 18 427 accurately described cases and 1 957 inaccurately described cases （X2 = 2 814. 000, P 〈 0. 05）. The wording was standard in 15 280 cases but not standard in 1 974 cases in the control group, and standard in 19 659 cases and not standard in 725 cases in the observation group, with significant inter-group difference （X2 = 872. 600, P 〈 0. 05）. Conclusion Simple and convenient data summary could help quality control and quality analysis, preferably guarantee the safety of catheter insertion and reduce the incidence of complications.