Current status of infusion therapy in 743 Class Ⅱ and Class Ⅲ hospitals
10.3760/cma.j.cn115682-20191202-04390
- VernacularTitle:743家二级和三级医院静脉治疗现状的调查研究
- Author:
Lei WANG
1
;
Shengxiao NIE
;
Hong SUN
Author Information
1. 北京医院护理部 国家老年医学中心 中国医学科学院老年医学研究院 100730
- Keywords:
Infusion therapy;
Nurse specialists;
Nursing management;
PICC
- From:
Chinese Journal of Modern Nursing
2020;26(32):4494-4500
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the current status of infusion therapy in Class Ⅱ and Class Ⅲ hospitals in China so as to provide a reference for strengthening infusion therapy management.Methods:This study was a cross-sectional survey. From October to November 2018, convenience sampling was used to select hospitals in provinces (municipalities, autonomous regions) where the members of the Infusion Therapy Nursing Professional Committee of Chinese Nurse Association were located for the questionnaire survey. The study adopted the "Survey on Infusion Therapy Nursing in Hospitals at all Levels Nationwide" designed by the Infusion Therapy Nursing Professional Committee of Chinese Nurse Association. A total of 759 questionnaires were distributed in hospitals of 28 provinces (municipalities, autonomous regions) across the country, and 759 were returned with 743 valid questionnaires, and the effective response rate was 97.9%.Results:On the survey day, the number of inpatients with infusions in the whole hospital accounted for 68.0%-90.0% of the total number of inpatients, with an average of 79.6%; the number of infusion bags was 2.8-4.3 bags per day with an average of 3.4 bags per capita. A total of 628 (85.3%, 628/736) hospitals implemented central venous catheter (CVC) technology, 595 (80.8%, 595/736) hospitals implemented peripherally inserted central catheter (PICC) technology. The proportion of blind puncture of PICC and med-length catheter, and ultrasound-guided Seldinger technique in Class Ⅲ hospitals was higher than that in Class Ⅱ hospitals, and the difference was statistically significant ( P<0.05) . The proportion of PICC catheter tip positioning technology carried out by X-ray and electrocardiography (ECG) in ClassⅢ hospitals was higher than that in ClassⅡ hospitals, and the difference was statistically significant ( P<0.05) . The team of infusion therapy specialist nurses were mainly undergraduates, intermediate titles with working years of 10 years or more. More than 70% of hospital infusion therapy/PICC specialist nurses were responsible for PICC placement and maintenance, complication management, specialist nursing clinics, consultations and training. Conclusions:The daily infusion volume per capita in China is at a high level, and the management of large infusions needs to be strengthened; infusion therapy technology has been rapidly developed, and the quality management information system for infusion therapy needs to be widely promoted. Our country has initially established a team of high-quality specialist nurses for infusion therapy. The work place of infusion therapy specialist nurses has been expanded, and the work content is mainly clinical practice and teaching. However, there is an imbalance in the development of infusion therapy in different levels of medical institutions, and the development of infusion therapy technology, quality management and information in Class Ⅱ hospitals is relatively backward.
