河南省血液透析血管通路协调员岗位设置的调查研究

Investigation on post setting among hemodialysis vascular access coordinator in Henan

目的调查河南省血液透析血管通路(vascular access,VA)协调员的设置情况及影响因素。方法2022年12月采用便利抽样法,运用自行设计的问卷,对河南省各级医疗机构的226家血液净化中心的基本情况和VA协调员设置相关情况进行问卷调查。结果226家血液净化中心只有11.06%的中心设置有透析通路协调员专职岗位,且工作内容较为局限;护理管理者认为透析通路协调员应至少具备5年血液净化专科工作经验,本科及以上学历以及主管护师及以上的职称,取得血液净化专科护士证书;多元logistic回归分析显示:VA团队建立、人力资源配置及开展通路相关培训是VA协调员岗位设置的影响因素。结论本研究结果显示河南省VA协调员岗位设置不足,未来需要完善该岗位职能并从优化人力配置、加强通路相关培训及成立通路管理小组,促进该岗位的发展。

Objective To investigate the post setting and influencing factors among hemodialysis vascular access coordinator in Henan.Methods Though convenient sampling method and a self-designed questionnaire,the basic situation of A total of 226 hemodialysis centers in medical institutions at all levels in Henan and the messages on hemodialysis VA coordinator were investigated on December 2022.Results Only 11.06%of the 226 hemodialysis centers centers had full-time posts of vascular access coordinator,and and the work content was relatively limited;Nursing managers suggested that VA coordinator should have at least 5 years of professional work experience in blood purification,had a bachelor's degree or above and a professional title of nurse in charge or above,obtained the certificate of specialist nurse in blood purification;Multivariate logistic regression analysis showed that the establishment of a VA team,human resource allocation,and conducting access related training were the influencing factors for the position setting of VA coordinators.Conclusion The results of this study indicate that the position of VA coordinator in Henan province is insufficient,and in the future,it is necessary to further improve the functions of this position and promote the development of this position by optimizing manpower allocation,strengthening channel related training,and establishing a channel management team.