湖南省56家医院完全植入式静脉输液港应用及管理现况调查

Application and management of Totally Implantable Vennous Access Ports in 56 hospitals in Hunan province

目的:调查完全植入式静脉输液港(Totally Implantable Vennous Access Ports,TIVAP)应用现况及管理过程存在的问题,并提出干预策略,为实现TIVAP的科学安全管理提供参考依据。方法:通过问卷调查,于2022年10月—11月采用便利抽样法调查湖南省14个地区的56家医院TIVAP应用及管理现况。结果:20家(35.7%)医院开展了TIVAP植入技术,47家(83.9%)医院开展了TIVAP维护技术。在TIVAP管理方面,47家已开展TIVAP业务的医院中,有39家(83.0%)医院成立了静脉治疗管理小组,14家(29.8%)医院开展了TIVAP植入数据监测,二级医院与三级医院比较差异具有统计学意义(P<0.05);40家(85.1%)医院定期对专科护士进行TIVAP培训,只有17家(36.2%)医院定期对TIVAP使用情况进行质量督查。结论:湖南省各级医院的TIVAP管理制度有待完善,需要进一步完善不同等级医院的TIVAP管理规范、维护流程等,需要加强信息化管理和专科人员培训,以提高TIVAP的管理质量。

Objective:To investigate the application status and management problems of Totally Implantable Vennous Access Ports(TIVAP),and propose the intervention strategies,so as to provide reference for scientific and safe management of TIVAP.Methods:A total of 56 hospitals in 14 cities/states in Hunan province were included by convenience sampling method from October to November 2022 to investigate the application and management of TIVAP.Results:Twenty hospitals(35.7%)carried out TIVAP implantation procedure,and 47 hospitals(83.9%)implemented the maintenance of TIVAP.In terms of TIVAP management,39 hospitals(83.0%)set up intravenous therapy management team,14 hospitals(29.8%)carried out data monitoring for TIVAP implantation,and the difference between secondary and tertiary hospitals was statistically significant(P<0.05).Forty hospitals(85.1%)provided regular TIVAP training for specialist nurses,and only 17 hospitals(36.2%)regularly conducted quality supervision on the use of TIVAP.Conclusion:The TIVAP management system in hospitals at all levels in Hunan province needs to be improved,including standardize the maintenance process,strengthen the information management and the training of specialist personnel,so as to improve the the maintenance and management quality of TIVAP.