[1]胡龙军陈蓓敏 田梅梅尹小兵 赵慧丽钱明平 杨佳芳侯冷晨 高文学.静脉血栓栓塞症防治能力现况调查与分析[J].中国卫生质量管理,2022,29(02):030-33.[doi:10.13912/j.cnki.chqm.2022.29.2.08 ]
 HU Longjun,CHEN Beimin,TIAN Meimei.Investigation and Analysis of Prevention and Treatment Ability of Venous Thromboembolism[J].Chinese Health Quality Management,2022,29(02):030-33.[doi:10.13912/j.cnki.chqm.2022.29.2.08 ]
点击复制

静脉血栓栓塞症防治能力现况调查与分析
分享到:

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第29卷
期数:
2022年02期
页码:
030-33
栏目:
医疗质量
出版日期:
2022-02-28

文章信息/Info

Title:
Investigation and Analysis of Prevention and Treatment Ability of Venous Thromboembolism
作者:
胡龙军陈蓓敏 田梅梅尹小兵 赵慧丽钱明平 杨佳芳侯冷晨 高文学
同济大学附属第十人民医院
Author(s):
HU LongjunCHEN BeiminTIAN Meimei
The Tenth People's Hospital of Tongji University
关键词:
静脉血栓栓塞症防治能力医疗集团防治认知
Keywords:
Venous ThromboembolismPrevention and Control AbilityMedical GroupPrevention and Treatment Cognizance
分类号:
R197.323;R543
DOI:
10.13912/j.cnki.chqm.2022.29.2.08
文献标志码:
A
摘要:
目的了解医院静脉血栓栓塞症防治现状。方法对同济大学附属第十人民医院医疗集团内45家二、三级医院开展问卷调查,运用描述性统计分析。结果建立静脉血栓栓塞症管理团队或综合管理体系的医院占37.78%,开展宣教或知情同意告知的医院占77.78%,进行医护人员培训的医院达80%以上。对目前开展效果满意的医院占8.89%;医院管理者重视程度三级医院高于二级医院(P=0.028),救治能力高于二级医院(P<0.05)。结论集团内医院对静脉血栓栓塞症预防总体意识较高,但满意度不高。二级医院的静脉血栓栓塞症防治能力相对不足,需加强VTE防治工作监管,提升VTE防治效率;三级医院应细化VTE防控体系,开展VTE防治区域协作,促进VTE防治整体水平提升。
Abstract:
ObjectiveTo investigate the current status of prevention and treatment of Venous Thromboembolism (VTE) in hospitals.MethodsQuestionnaire survey was conducted in 45 secondary and tertiary hospitals of the Tenth People's Hospital of Tongji University, and descriptive statistical analysis was used.Results37.78% of the hospitals established VTE management team or comprehensive management system, 77.78% of the hospitals carried out education or informed consent notification, and more than 80% of the hospitals carried out medical staff training. 8.89% of hospitals were satisfied with the current development effect. Hospital managers in tertiary hospitals paid more attention to the prevention and treatment of VTE than those in secondary hospitals (P=0.028),and the treatment capacity was higher than that of secondary hospitals (P<0.05).Conclusion The overall awareness of the prevention of VTE was high, but the satisfaction was not high. Secondary hospitals were relatively weak in the prevention and treatment of VTE, so it was necessary to strengthen the supervision and improve the efficiency of VTE prevention and treatment. Tertiary hospitals should refine the VTE prevention and control system, carry out regional cooperation on VTE prevention and control, and promote the overall level of VTE prevention and control.

参考文献/References:

[1]White RH. The Epidemiology of venous thromboembolism[J].Circulation,2003,107:I4-I8. [2]张敏,黄荷,周保利,等.院内静脉血栓栓塞症防治管理体系构建及应用[J].中华医院管理杂志,2017, 33(4):291-292. [3]李妍,彭相文,栾瑞,等.某三甲医院VTE综合预防管理体系建立与初步效果评价[J].中国医院管理,2018,38(8): 48-50. [4]张敏,王勇,王莉,等.构建全面防治静脉血栓栓塞症的精细化管理体系[J].中国医院, 2015,19(6):46-48. [5]叶红梅,温静,周金花,等.某三甲医院新型医疗集团模式实践[J].解放军医院管理杂志,2017,24(4):314-316. [6]杨倩,刘丽萍.静脉血栓栓塞症防控体系的研究进展[J].中国护理管理,2017,17(11):1555-1559. [7]张敏,王勇,陈小兰,等.我院静脉血栓栓塞症防治体系建设的实践[J].中国医院管理,2018, 38(4): 44-46. [8]张馨,倪叶彬.静脉血栓栓塞症患者预防及院后管理现状[J].介入放射学杂志,2019,28(10):1009-1012. [9]陈亚红,王华芬,金爱东,等.VTE防范护理管理团队的构建与运行成效[J].中华急诊医学杂志,2018,27(6):705-708. [10]Zhang Z, Lei J, Shao X, et al. Trends in Hospitalization and In-Hospital Mortality from Venous Thromboembolism, 2007 to 2016, in China[J].Chest,2019,155(2):342-353. [11]饶娟娟,钟彩棠,蔡秀媚,等.某二级甲等综合性医院护士预防患者静脉血栓栓塞症的知信行现状调查[J].现代医院,2019,19(1):149-153. [12]翟振国.基层院内VTE防治和质控势在必行[N].医师报,2021-07-08(B06). [13]中华医学会血栓栓塞性疾病防治委员会. 构建医院内静脉血栓栓塞症防治和管理体系[J].中华医院管理杂志, 2013, 29(1): 28-31. [14]王吉善,陈晓红,王圣友,等.医院等级评审的作用与可持续发展[J].中国卫生质量管理,2018,25(6):28-30. [15]蔡诗凝, 诸杜明, 黄俊峰,等. 构建医联体协作VTE防治模式[J].中国卫生质量管理, 2020, 27(1):114-152.[16]中国健康促进基金会血栓与血管专项基金专家委员会,中华医学会呼吸病学分会肺栓塞与肺血管病学组, 中国医师协会呼吸医师分会肺栓塞与肺血管病工作委员会. 医院内静脉血栓栓塞症防治与管理建议[J].中华医学杂志, 2018,98(1):1383-1388. [17]李笠,魏蓉溪,姚晓东.医院VTE风险评估与预警监控系统的应用[J].中国卫生信息管理杂志,2020,17(2):223-226. [18]姚远,毛丽,刘志宇,等.住院患者静脉血栓栓塞症防治标准编制研究[J].中华医院管理杂志,2018,34(12):999-1003. [19]陈忠,王盛.再谈医院内静脉血栓栓塞症的整体防控[J].中国血管外科杂志(电子版),2020,12(1):1-3. [20]周亚婷,史颜梅,白琳,等.山东省院内静脉血栓栓塞症预防现状的调查分析[J].中国实用护理杂志,2018,34(10):721-726. [21]全国肺栓塞和深静脉血栓形成防治能力建设项目单位实地评审评分表(第一版 2019 年)[EB/OL].[2021-02-18].https://www.thrombosischina.cn/wp-content/uploads/2020/02/全国肺栓塞和深静脉血栓形成防治能力建设项目单位实地认证评分表.pdf.

相似文献/References:

[1]刘翠,王筱慧,陆清声,等.静脉血栓栓塞症发生情况调查及对策探讨[J].中国卫生质量管理,2016,23(04):045.[doi:10.13912/j.cnki.chqm.2016.23.3.16]
[2]孙湛 张敏 秦净 丁昉 虞正红 秦薇 杨春 汤罗嘉 张亚平.静脉血栓院内防治管理体系的中山模式[J].中国卫生质量管理,2019,26(01):039.[doi:10.13912/j.cnki.chqm.2019.26.1.13]
[3]蔡诗凝 诸杜明 黄俊峰 郑毅隽 潘思梦 魏宁 孙湛.构建医联体协作VTE防治模式[J].中国卫生质量管理,2020,27(01):114.[doi:10.13912/j.cnki.chqm.2020.27.1.29]
[4]张敏丁昉孙湛*锁涛黄丽红胡永钟鸣宋洁琼.静脉血栓栓塞症风险评估模型研究进展与启示[J].中国卫生质量管理,2020,27(06):046.[doi:10.13912/j.cnki.chqm.2020.27.6.12 ]
 ZHANG Min,DING Fang,SUN Zhan,et al.Research Progress and Prospectiveness of Risk Assessment Model for Venous Thromboembolism[J].Chinese Health Quality Management,2020,27(02):046.[doi:10.13912/j.cnki.chqm.2020.27.6.12 ]
[5]杨晓梅高京华夏薇刘佳红马瑜张玉莲.护士主导的MDT模式在防范VTE中的应用[J].中国卫生质量管理,2021,28(04):062.[doi:10.13912/j.cnki.chqm.2021.28.4.18 ]
 YANG Xiaomei,GAO Jinghua.Application of Nurse-Led MDT Model in Prevention of VTE[J].Chinese Health Quality Management,2021,28(02):062.[doi:10.13912/j.cnki.chqm.2021.28.4.18 ]
[6]蓝淳愉曹磊.基于人工智能的VTE管控平台建设[J].中国卫生质量管理,2021,28(06):079.[doi:10.13912/j.cnki.chqm.2021.28.6.21 ]
 LAN Chunyu,CAO Lei.Construction of VTE Management and Control Platform Based on Artificial Intelligence[J].Chinese Health Quality Management,2021,28(02):079.[doi:10.13912/j.cnki.chqm.2021.28.6.21 ]
[7]屈晓玲王颖杨婷周雁荣.降低泌尿系统疾病患者围术期VTE发生率[J].中国卫生质量管理,2021,28(08):062.[doi:10.13912/j.cnki.chqm.2021.28.8.17 ]
 QU Xiaoling,WANG Ying,YANG Ting.Reducing the Incidence of Perioperative VTE in Patients with Urinary System Diseases[J].Chinese Health Quality Management,2021,28(02):062.[doi:10.13912/j.cnki.chqm.2021.28.8.17 ]
[8]唐丽丽刘晓青陈锦柏杨李静张又丹刘权兴.降低肺癌患者术后静脉血栓栓塞症发生率[J].中国卫生质量管理,2021,28(12):066.[doi:10.13912/j.cnki.chqm.2021.28.12.18 ]
 TANG Lili,LIU Xiaoqing,CHEN Jin.Reducing the Incidence of Postoperative Venous Thromboembolism in Patients with Lung Cancer[J].Chinese Health Quality Management,2021,28(02):066.[doi:10.13912/j.cnki.chqm.2021.28.12.18 ]
[9]刘成刚赵志勇孙仁峰.基于三级医院评审标准的静脉血栓栓塞症防控策略研究[J].中国卫生质量管理,2022,29(04):039.[doi:10.13912/j.cnki.chqm.2022.29.4.11 ]
 LIU Chenggang,ZHAO Zhiyong,SUN Renfeng.Prevention and Control Strategies of Venous Thromboembolism Based on Tertiary Hospital Accreditation Standards[J].Chinese Health Quality Management,2022,29(02):039.[doi:10.13912/j.cnki.chqm.2022.29.4.11 ]
[10]杨颖郭豫涛高杨姚远张璇张文一靳雪源.解放军总医院静脉血栓栓塞症防治体系构建与思考[J].中国卫生质量管理,2022,29(06):028.[doi:10.13912/j.cnki.chqm.2022.29.6.07 ]
 YANG Ying,GUO Yutao,GAO Yang.Construction and Thinking on Venous Thromboembolism Prevention and Treatment System in PLA General Hospital[J].Chinese Health Quality Management,2022,29(02):028.[doi:10.13912/j.cnki.chqm.2022.29.6.07 ]

更新日期/Last Update: 2022-02-28