Effects of case management system in patients with venous thromboembolism
10.3760/cma.j.cn115682-20200325-02168
- VernacularTitle:个案管理系统在静脉血栓栓塞症患者中的应用
- Author:
Weina YAN
1
;
Li SHEN
;
Weiwei WU
;
Xiaohua YU
Author Information
1. 清华大学附属北京清华长庚医院护理部，清华大学临床医学院 102218
- Keywords:
Venous thromboembolism;
Case management system;
Clinical application
- From:
Chinese Journal of Modern Nursing
2020;26(24):3352-3355
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of case management system in the management of patients with venous thromboembolism (VTE) and its impact on patients.Methods:Totally 391 VTE patients treated in Tsinghua University Affiliated Beijing Tsinghua Changgung Hospital between June and December 2018 were retrospectively analyzed. Relying on the structural system of the hospital's VTE prevention and control center, these patients were managed using the hospital's self-developed case management system. Patients with positive signs in the test were automatically transferred to the case management system; a case management plan for VTE patients was formulated; and the system implementation was reported. The general data, clinical classification and clinical symptoms of all VTE patients included in this study were analyzed, and the patients' medication compliance and ultrasound examination were followed up.Results:Totally 78.0% of the 391 VTE patients were aged >60 years. 93.1% only had deep vein thrombosis (DVT) in the lower extremities; 5.4% only had pulmonary embolism; 1.5% had DVT combined with pulmonary embolism; and 95 patients had no obvious clinical symptoms. The medication compliance rate was 94.9%, and the ultrasound reexamination rate was 89.8%.Conclusions:The case management system centralizes the management, guidance and tracking of VTE patients in the hospital. The dedicated management improves the compliance and standardization of patients' medication after discharge, improves the rate of reexamination back to the hospital, and brings good outcomes to the tracked patients.
