分时段预约经外周静脉置入中心静脉导管维护门诊的应用及效果分析

Analysis on the application and effect of time-sharing appointment in the peripherally inserted central catheter maintenance clinic

目的探讨分时段预约在经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)维护门诊中的应用效果。方法选取我院PICC维护门诊分时段预约诊疗应用前后两个月的就诊患者,应用前为对照组,采取人工纸质取号,应用后为研究组,采取分时段预约诊疗,比较两组患者候诊时间、每时段平均候诊人数、患者满意度和护士满意度。结果研究组平均候诊时间中位数为15 min,显著短于对照组中位数为46 min,差异具有统计学意义(P<0.01)。候诊区内候诊人数:研究组每个时段人数相对稳定,候诊人员密度低,而对照组各时间段差异显著,人流高峰出现在8∶00—10∶00和13∶30—14∶30。研究组患者满意度评分为(4.99±0.05)分,明显高于对照组(2.15±0.17)分,差异有统计学意义(P=0.009)。研究组护士满意度评分为(4.67±1.92)分,明显高于对照组(1.90±0.37)分,差异有统计学意义(P<0.01)。结论PICC维护门诊实施分时段预约诊疗可有效减少患者候诊时间,实现患者合理分流,改善就诊环境,提高护患满意度,提高医院管理水平。

Objective To explore the application effect of time-sharing appointment in the peripherally inserted central catheter(PICC)maintenance clinic.Methods Patients with medical appointments within two months before and after the application of time-sharing appointment practice in the PICC maintenance clinic were selected.Patients with appointment before application were control group and took paper appointment sheet manually while those after application were study group and took time-sharing appointment.Waiting time,average number of patients waiting per pre-specified time period,patient satisfaction and nurse satisfaction were compared between the two groups.Results The median waiting time of the study group was 15 min,significantly shorter than that of the control group of 46 min(P<0.01).The numbers of patients waiting in the waiting area for the study group remained relatively stable across each time period,showing low people density.In the contrast,numbers of patients waiting varied significantly for the control group and the peak of patient flow occurred in periods of 8∶00—10∶00 and 13∶30—14∶30.Patient satisfaction and nurse satisfaction of the study group were both significantly higher than those of the control group(4.99±0.05 vs.2.15±0.17,P=0.009;4.67±1.92 vs.1.90±0.37,P<0.01,respectively).Conclusion The application of time-sharing appointment in PICC maintenance clinics effectively reduces the waiting time for patients,achieves reasonable patient triage,improves the clinic environment,improves nurse and patient satisfaction,and improves the level of hospital management.