Abstract:

Objective To establish and apply the PICC information management platform for intravenous treatment league to achieve PICC continuity care. Methods We designed the functions of PICC information platform in accordance with the requirements of “Internet + Nursing Services”. We designed a simplified model of the PICC information platform based on the Freeman 2007. We established and applied the PICC information management platform for Chongqing intravenous treatment league,and evaluated the effects. Results The PICC information platform consisted of management center （PC） and mobile phone client end（APP）for nurses and patients. The nurses end contained 13 modules in 4 sections,and the patients end contained 10 modules in 5 sections. The platform was able to collect the whole-process data of PICC insertion,maintenance,and extubation,as well as management data such as consulting,consultation,and follow-up generated during the process,realizing continuity of PICC care process. Untill May 31 ^st,2019,the platform has been used for 2.5 months,with 81 registered hospitals,1595 registered medical staff,and 457 patients. The amount of data reported by tertiary hospitals in the platform was significantly higher than that by other hospitals. Conclusion The PICC information management platform provides closed-loop management of PICC continuity care,enhances the initiative of PICC patients’ self-management,and supports the exploration of “online + offline” specialist care models.

Key words: Peripherally Inserted Central Catheter（PICC）, Continuity of Care（COC）, Internet + Nursing Service, Intravenous Treatment League, Information Management Platform, Nursing Administration Research, Basic Nursing

摘要：

目的 构建并应用PICC信息管理平台,实现PICC置管患者的连续性照护。方法 根据“互联网+护理服务”文件要求设定PICC信息管理平台功能,基于Freeman 2007连续性照护模型,设计PICC信息管理平台简化模型,建立PICC信息管理平台并在重庆市静脉治疗联盟医院中应用。结果 PICC信息管理平台由管理中心（电脑端）和手机客户端（APP）组成,手机客户端包括护士端和患者端,护士端包含4大板块、13个模块,患者端包含5大板块、10个模块。平台可采集PICC置管、维护、拔管全过程数据,以及过程中产生的咨询、会诊、随访等管理数据,实现PICC护理的连续性。截至2019年5月31日,平台使用2个半月,共有注册医院81所,注册医务人员1 595名,照护患者457例,平台中三级医院的填报数据显著多于其他级别医院的数据。结论 PICC信息管理平台为患者提供连续性PICC诊疗的闭环管理,提升了PICC患者自我管理的主动性,为“线上+线下”专科护理照护模式的探索提供支持。

关键词: PICC, 连续性照护, 互联网+护理服务, 静脉治疗联盟, 信息管理平台, 护理管理研究, 基础护理