摘要
目的分析医院静脉血栓栓塞(VTE)防治成效,探讨通过多学科协同治理的方式提高医院VTE防治成效的创新策略。方法对哈尔滨医科大学附属第一医院临床高危科室、临床其他科室等人员进行问卷抽样调查,运用χ~2检验、多因素logistic回归分析探讨医院VTE防治成效的影响因素。结果结果显示,76%的调查对象认为医院VTE防治成效较好。多学科组建的医院内肺栓塞和深静脉血栓形成防治委员会的建设程度(OR=10.473)、对需要血栓预防的住院患者进行出血风险评估机制的健全程度(OR=2.637)和开展VTE检查与诊断技术的完善程度(OR=4.292)对医院VTE防治成效产生明显影响。结论多学科组建的医院内VTE防治委员会的建设程度是院内VTE防治成效的关键因素,健全血栓预防的住院患者出血风险评估机制,并通过多学科协同治理共同完善VTE检查与诊断技术,有助于提升医院VTE防治成效。
Objective To analyze the effectiveness of hospital venous thromboembolism prevention and treatment,and explore innovative strategies to improve the effectiveness of hospital venous thromboembolism prevention and treatment through multidisciplinary collaborative governance.Methods A questionnaire survey was conducted on the clinical high-risk departments and other clinical departments in the first affiliated hospital of Harbin medical university and the factors influencing the effectiveness of the prevention and treatment of venous thromboembolism in the hospital were investigated by chi-square and multiple logistic regression analysis.Results The results showed that 76%of the research subjects believed that the prevention and treatment of venous thromboembolism in hospitals was effective.The construction degree of venous thromboern bolism prevention and control committes for PE and DVT in multidisciplinary hospitals(OR=10.473),the degree of soundness of mechanisms for the bleeding risk assessment mechanism of inpatients requiring thrombosis prevention(OR=2.637),and the perfection of VTE examination and diagnosis technology(OR=4.292).The effectiveness of thromboembolism prevention and treatment has a significant impact.Conclusion Multidisciplinary VTE prevention committee formed hospital construction level is the key factor in nosocomial VTE prevention effect,improve the thrombosis prevention of hospitalized patients with bleeding risk assessment mechanism,and perfecting the VTE by multidisciplinary collaborative governance examination and diagnosis technology is helpful to promote hospital venous thromboembolism prevention effect.
作者
马原
潘宇
李洋
李峒作
Ma Yuan;Pan Yu;Li Yang(The First Affiliated Hospital of Harbin Medical University,Harbin,Heilongjiang,150001,China)
出处
《中国医院管理》
北大核心
2022年第12期50-53,共4页
Chinese Hospital Management
基金
黑龙江省医药卫生科研课题(2020-156)。
关键词
多学科协同治理
静脉血栓栓塞
防治成效
影响因素
multidisciplinary collaborative governance
VTE
control effect
influencing factor
