Theo dõi và chăm sóc bệnh nhi sau can thiệp tim mạch tại Trung tâm Tim mạch trẻ em, Bệnh viện Nhi Trung ương năm 2018: Thực trạng và một số yếu tố ảnh hưởng

Abstract

Objective: To assess the implementation of the procedures of monitoring and post-intervention care and to analyze some factors affecting the compliance with these procedures. Subject and method: A cross-sectional design combined both (parallel) quantitative and qualitative. The tools to collect are the samples of medical records (HSBA) and in-depth interviews with leaders, health insurance staff, doctors, nurses and family members of pediatric patients. Result: In the first 2 hours of post-intervention, the procedure with the lowest rate of compliance by doctors was "signing the consent form when explaining to family members" (53.2%), for nurses as "measuring blood pressure", "taking the temperature with thermometer" and "catching the pulse at the instep" 30 minutes/time and "assessing the status of the limbs heads in compression bandage interface pressures" (25.3%, 21.5%, 17.7%, and 21.5%). When pediatric patients were in cardiopulmonary resuscitation department, the procedure with the lowest compliance rate was "assessing the degree of pinched circuit at the limbs" (32.5%, for doctors) and "calculating the amount of fluid input and output according to the medical command” (35.4%, for nurses). Factors affecting compliance include: does not have specific monitoring and care procedures for cardiovascular intervention, lack of nursing human resources, overloaded patients and inexperience in young doctors, intervention facilities are still cramped. Conclusion: The rate of correct, proper and complete performance in our study is significantly lower than the other studies that have been reported. The hospital should have a specialized care and monitoring procedures for cardiovascular intervention and need to upgrade facilities, equipment to meet the standards of the cardiovascular intervention department/Room.