中长期静脉通路互联网平台的构建与应用

Establishment and application of internet platform used for mid-to-long-term management of venous access

目的了解超声引导下中长期静脉通路带管患者居家自我管理的现状,开发互联网平台,解决中长期静脉通路带管患者在静脉治疗间歇期对导管的自我管理、相关问题辨识及处理、远程问诊、维护提醒等问题。方法收集2018年9月至2019年4月首次进行超声引导下中长期静脉通路穿刺的患者,对照组、观察组各40例。对照组按中长期静脉通路护理常规进行宣教、门诊维护及咨询。观察组按中长期静脉通路护理常规外,同时使用互联网平台,以协助患者对中长期静脉通路的自护管理。结果两组患者带管期间的依从性、带管期间获得信息资源的满意度,观察组均优于对照组,差异具有统计学意义(P<0.05),观察组并发症发生率低于对照组(P<0.05)。结论中长期静脉通路互联网平台可以有效地帮助带管患者进行居家自我管理,降低静脉导管相关并发症的发生,提高患者导管自我管理能力、导管维护依从性及获得信息资源满意度。

Objective To further understand the present situation of self-management of ultrasoundguided mid-to-long-term venous access in patients carrying an indwelling catheter at home,and to develop an internet platform used for patients carrying a mid-to-long-term indwelling catheter,which can be used in solving the problems of self-management of catheter,identifying and treating the related problems,making remote consultation,providing the maintenance guidance,etc.Methods A total of 80 patients,who received initial ultrasound-guided mid-to-long-term venous access during the period from September 2018 to April 2019,were enrolled in this study.The patients were divided into control group(n=40)and study group(n=40).Routine mid-to-long-term venous access nursing education,clinic maintenance and consultation were adopted for the patients of both groups,and additional internet platform was employed for the patients of the study group to help them in self-care management of venous access.Results The compliance and the satisfaction with access to information resources during catheter-carrying period in the patients of the study group were better than those in the patients of the control group,the differences were statistically significant(P<0.05),while the incidence of complications in the study group was lower than that in the control group(P<0.05).Conclusion The mid-to-long-term venous access internet platform can effectively help catheter-carrying patients to conduct selfmanagement at home,reduce the occurrence of venous catheter-related complications,and improve the patients’ability to manage catheter by own,the patients’catheter maintenance compliance and the patients’satisfaction with access to information resources.(J Intervent Radiol,2021,30:730-733)